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A Retrospective Study of Injury Pattern & Analysis of Its Outcome In Patients presenting to Emergency Department after Near hanging

Brinda B, Professor and Head of Department of Emergency Medicine, Kempegowda Institute of Medical Sciences Hospital ,V V puram, Bangalore, Karnataka 560004, India. , Brinda B. , Bharat K. , Sanjay B R.

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Indian Journal of Emergency Medicine 7(2):p 17-20, April-June 2021. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.7221.2

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Brinda B, Bharat K, Sanjay B R./ A Retrospective Study of Injury Pattern &Analysis of Its Outcome In Patientspresenting to Emergency Department after Nearhanging./ Indian J Emerg Med. 2021;7(2):17–20.
 

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Near hanging is one of the common modes of suicidal methods presenting to the A&E department. Despite hanging having high fatality rate, survival is possible with early prompt intervention & resuscitation of the victim. To study the injury pattern & analysis of its outcome innear hanging victims presenting to emergency department. Medical records of 30 patients aged between 15&50 years was reviewed retrospectively. Information regarding age, gender, marital status & material used was noted. Outcome of those patients were analyzed maintaining strict confidentiality. Female gender accounted for 16 patients & 14 were males. 54% of patients presented to ED with complete hanging & 46% with partial hanging. 80% (24) patients had a coma scale of (GCS) <8 & all of them required mechanical ventilator support. 60% (18) required <2days of ventilation, 4 patients for 3- 6 days & 2 patients had >7days of ventilator support. Co-morbidities associated were alcohol abuse, seizure disorder, drug abuse, & opioid dependence with uncomplicated withdrawal. Outcome in 66% of patients was good were discharged with minimal or no neurological deficits, 10% died & 24% got discharged against medical advice. Probable cause of death was post near hanging cardiac arrest, hypoxic ischemic injury, seizures, severe metabolic acidosis & brain death. Longer hanging time with severe injury pattern had bad prognosis with increase in morbidity & mortality. However, in spite of low GCS active intervention, resuscitation & aggressive management improved the outcome.

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Cite this article

 

Brinda B, Bharat K, Sanjay B R./ A Retrospective Study of Injury Pattern &Analysis of Its Outcome In Patientspresenting to Emergency Department after Nearhanging./ Indian J Emerg Med. 2021;7(2):17–20.
 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.7221.2

Keywords

Confidentiality; Neurological; Resuscitation.

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