Abstract
The objectives of this study were to review variable factors influencing outcomes
in hanging and to identify prognostic factors related to outcomes. Forty-seven patients
presented to our department. Eleven patients survived and 36 died. A significant difference
in mean hanging time was observed between survivor (11.8 ± 8.37 minutes) and nonsurvivor
(50.81 ± 61.9). In survivors, heartbeat was recognized in 63.6% at the scene and in
90.9% on arrival. Conversely, cardiopulmonary arrest (CPA) was recognized in all nonsurvivors
and heartbeat was recognized on arrival in only 5.6%. Thirty-nine (83%) had a Glasgow
Coma Score (GCS) of 3 on arrival. Three (7.7%) of theses 39 patients survived. In
survivors, eight patients had a GCS greater than 3. A significant difference in outcome
existed between patients with a GCS of 3 and those with a GCS greater than 3. Hanging
time, presence of CPA at the scene and on arrival, and GCS on arrival represented
prognostic factors of outcome in hanging.
Keywords
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References
- Injuries produced by jugical hanging.Am J Forensic Med Pathol. 1994; 15: 183-186
- Airway and respiratory management following non-lethal hanging.Can J Anaesth. 1997; 44: 445-450
- Embolization of a ruptured aneurysm of the distal anterior inferior cerebellar artery.Surg Neurol. 1999; 51: 509-512
- delayed death after attempted suicide by hanging.Int J Legal Med. 1997; 110: 164-166
- Near-hanging injury.Ann Emerg Med. 1983; 12: 774-776
- Injury of the vertebral artery in suicidal hanging.Forensic. Sci Int. 1984; 25: 265-275
- Prognostic outcome indicators following hanging injuries.Resuscitation. 2002; 54: 27-29
- Death by hanging in Western Australia.Pathology. 1995; 27: 268-272
- Hanging—a review.Forensic. Sci Int. 1982; 20: 247-249
- The emergency department management of near-hanging victims.J Emerg Med. 1994; 12: 285-292
- Patjogenesis of cerebral ischemic anoxia.Crit Care Med. 1978; 6: 203-214
- Facts-and trends in cerebral blood flow and metabolism.J Cereb Blood Flow Metab. 1989; 9: 573-578
- CT in hanging.Neuroradiology. 1993; 35: 591
- Emergency airway management in hanging victims.Ann Emerg Med. 1994; 24: 879-884
- Frequency of neck organ fractures in hanging.Am J Forensic Med Pathol. 1999; 20: 128-130
- Near hanging.Emerg Med. 1999; 11: 17-21
- Complications of suicidal hanging.Mili Med. 1994; 159: 720-721
- Unusual hanging deaths.J Forensic Sci. 1986; 31: 747-755
Article Info
Publication History
Accepted:
May 1,
2003
Received:
May 1,
2003
Identification
Copyright
© 2004 Elsevier Inc. Published by Elsevier Inc. All rights reserved.