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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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Related Experiment Video

Updated: Aug 22, 2025

Use of a Hanging-weight System for Isolated Renal Artery Occlusion
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Near Hanging: Evaluation and Management.

Jon D Dorfman1

  • 1Division of Trauma and Surgical Critical Care, UMass Memorial, Worcester, MA.

Chest
|November 13, 2022
PubMed
Summary
This summary is machine-generated.

Near-hanging injuries require prompt assessment, but common injuries are rare. While over half of critically ill patients survive, cardiac arrest indicates a poor prognosis, and mental health support is crucial for survivors.

Keywords:
blunt cerebrovascular injuryhangman’s fracturelaryngeal fracturenear hangingsuicide

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Area of Science:

  • Medical Sciences
  • Emergency Medicine
  • Trauma Care

Background:

  • Self-harm incidence, including hanging/suffocation, was increasing pre-pandemic.
  • Hanging/suffocation is the second leading cause of death from self-harm in the US.
  • Literature on near-hanging patient management is scarce and largely retrospective.

Purpose of the Study:

  • To review the diagnosis and management of near-hanging injuries.
  • To highlight the outcomes and challenges in treating critically ill near-hanging patients.
  • To emphasize the need for addressing mental health in survivors.

Main Methods:

  • Review of clinical examination and CT angiography for injury identification.
  • Analysis of survival rates in critically ill near-hanging patients.
  • Discussion of management strategies for asphyxia-related arrest and targeted temperature management.

Main Results:

  • Common injuries like cervical spine fracture are infrequent (<5%).
  • Over 50% of critically ill near-hanging patients survived to discharge.
  • Cardiac arrest was a predictor of poor outcomes.
  • Targeted temperature management efficacy is uncertain due to selection bias.

Conclusions:

  • Prompt airway, circulation, and imaging are essential for near-hanging patients.
  • While survival is possible, cardiac arrest significantly worsens prognosis.
  • Addressing underlying mental health issues is critical to prevent repeat suicide attempts, as 30% of patients had prior attempts.