Unintentional strangulation by a cervical collar after attempted suicide by hanging
We report the case of a young man who attempted suicide by hanging and whose neurological status deteriorated until the cervical collar, that had been correctly placed by the prehospital team, was removed. We discuss the physiopathological mechanisms leading to death in hanging that is, a blockage o...
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| Veröffentlicht in: | Emergency medicine journal : EMJ 2011-06, Vol.28 (6), p.532-532 |
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| container_end_page | 532 |
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| container_title | Emergency medicine journal : EMJ |
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| creator | Lemyze, Malcolm Palud, Aurore Favory, Raphael Mathieu, Daniel |
| description | We report the case of a young man who attempted suicide by hanging and whose neurological status deteriorated until the cervical collar, that had been correctly placed by the prehospital team, was removed. We discuss the physiopathological mechanisms leading to death in hanging that is, a blockage of the blood stream to the brain leading to vasogenic and cytotoxic cerebral edema rather than asphyxia or spinal fracture. Our case supports the early removal of neck stabilization devices that can dangerously harm the patient after an attempted suicide by hanging, by increasing intracerebral pressure. |
| doi_str_mv | 10.1136/emj.2010.106625 |
| format | Article |
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We discuss the physiopathological mechanisms leading to death in hanging that is, a blockage of the blood stream to the brain leading to vasogenic and cytotoxic cerebral edema rather than asphyxia or spinal fracture. Our case supports the early removal of neck stabilization devices that can dangerously harm the patient after an attempted suicide by hanging, by increasing intracerebral pressure.</description><identifier>ISSN: 1472-0205</identifier><identifier>EISSN: 1472-0213</identifier><identifier>DOI: 10.1136/emj.2010.106625</identifier><identifier>PMID: 21183526</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Asphyxia - etiology ; Asphyxia - therapy ; Device Removal ; Emergency Medical Services - methods ; Fatalities ; Follow-Up Studies ; Glasgow Coma Scale ; Humans ; Immobilization - instrumentation ; Immobilization - methods ; Intracranial Hypertension - etiology ; Intracranial Hypertension - prevention & control ; Intracranial Pressure ; Intubation, Intratracheal ; Male ; Neck ; Neck Injuries - prevention & control ; Orthotic Devices - adverse effects ; Orthotic Devices - utilization ; Respiration, Artificial ; Risk Assessment ; Suicide, Attempted ; Suicides & suicide attempts ; Vertebrae</subject><ispartof>Emergency medicine journal : EMJ, 2011-06, Vol.28 (6), p.532-532</ispartof><rights>2011, Published by the BMJ Publishing Group Limited. 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| ispartof | Emergency medicine journal : EMJ, 2011-06, Vol.28 (6), p.532-532 |
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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Adult Asphyxia - etiology Asphyxia - therapy Device Removal Emergency Medical Services - methods Fatalities Follow-Up Studies Glasgow Coma Scale Humans Immobilization - instrumentation Immobilization - methods Intracranial Hypertension - etiology Intracranial Hypertension - prevention & control Intracranial Pressure Intubation, Intratracheal Male Neck Neck Injuries - prevention & control Orthotic Devices - adverse effects Orthotic Devices - utilization Respiration, Artificial Risk Assessment Suicide, Attempted Suicides & suicide attempts Vertebrae |
| title | Unintentional strangulation by a cervical collar after attempted suicide by hanging |
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