BACKGROUND: Patients who survive after suicidal hanging attempts suffer from transient brain ischaemia. Morbidity and mortality is high, and no specific therapy is available. Hypothermia attenuates ischaemic brain damage and has become standard care in comatose survivors of cardiac arrest; therapeutic hypothermia may thus be useful for near-hanging victims as well. OBJECTIVES: To perform a literature review on outcome and outcome predictors after near-hanging. To make a retrospective chart review on treatment and outcome of near-hanging victims in two Swedish intensive care units during a 4-year period (2003-2006). METHODS: The literature review was conducted as a Medline search. Study patients were identified and data retrieved from the intensive care units' medical records. The primary outcome measure was neurological function at discharge. RESULTS: No randomised, controlled trials were found in the Medline search. Thirteen patients could be identified and were included in the study, all were in coma and three had suffered cardiac arrest. Outcome was good in six of eight patients treated with hypothermia, as compared to three of five patients who were not. All three patients with cardiac arrest received hypothermia treatment and outcome was good in one. CONCLUSION: No randomised, controlled trial for treatment of near-hanging victims has been published. No conclusions could be drawn regarding treatment effects of hypothermia in this survey, but in the absence of better evidence, it seems reasonable to consider hypothermia treatment in all comatose near-hanging victims.
BACKGROUND:Patients who survive after suicidal hanging attempts suffer from transient brain ischaemia. Morbidity and mortality is high, and no specific therapy is available. Hypothermia attenuates ischaemic brain damage and has become standard care in comatose survivors of cardiac arrest; therapeutic hypothermia may thus be useful for near-hanging victims as well. OBJECTIVES: To perform a literature review on outcome and outcome predictors after near-hanging. To make a retrospective chart review on treatment and outcome of near-hanging victims in two Swedish intensive care units during a 4-year period (2003-2006). METHODS: The literature review was conducted as a Medline search. Study patients were identified and data retrieved from the intensive care units' medical records. The primary outcome measure was neurological function at discharge. RESULTS: No randomised, controlled trials were found in the Medline search. Thirteen patients could be identified and were included in the study, all were in coma and three had suffered cardiac arrest. Outcome was good in six of eight patients treated with hypothermia, as compared to three of five patients who were not. All three patients with cardiac arrest received hypothermia treatment and outcome was good in one. CONCLUSION: No randomised, controlled trial for treatment of near-hanging victims has been published. No conclusions could be drawn regarding treatment effects of hypothermia in this survey, but in the absence of better evidence, it seems reasonable to consider hypothermia treatment in all comatose near-hanging victims.
Authors: Cindy H Hsu; Bryce E Haac; Mack Drake; Andrew C Bernard; Alberto Aiolfi; Kenji Inaba; Holly E Hinson; Chinar Agarwal; Joseph Galante; Emily M Tibbits; Nicholas J Johnson; David Carlbom; Mina F Mirhoseini; Mayur B Patel; Karen R OʼBosky; Christian Chan; Pascal O Udekwu; Megan Farrell; Jeffrey L Wild; Katelyn A Young; Daniel C Cullinane; Deborah J Gojmerac; Alexandra Weissman; Clifton Callaway; Sarah M Perman; Mariana Guerrero; Imoigele P Aisiku; Raghu R Seethala; Ivan N Co; Debbie Y Madhok; Bryan Darger; Dennis Y Kim; Lara Spence; Thomas M Scalea; Deborah M Stein Journal: J Trauma Acute Care Surg Date: 2018-07 Impact factor: 3.313
Authors: Jean Baptiste Lascarrou; Ferhat Meziani; Amélie Le Gouge; Thierry Boulain; Jérôme Bousser; Guillaume Belliard; Pierre Asfar; Jean Pierre Frat; Pierre François Dequin; Jean Paul Gouello; Arnaud Delahaye; Ali Ait Hssain; Jean Charles Chakarian; Nicolas Pichon; Arnaud Desachy; Fréderic Bellec; Didier Thevenin; Jean Pierre Quenot; Michel Sirodot; François Labadie; Gaétan Plantefeve; Dominique Vivier; Patrick Girardie; Bruno Giraudeau; Jean Reignier Journal: Scand J Trauma Resusc Emerg Med Date: 2015-03-07 Impact factor: 2.953
Authors: Max Andresen; Jose Tomás Gazmuri; Arnaldo Marín; Tomas Regueira; Maximiliano Rovegno Journal: Scand J Trauma Resusc Emerg Med Date: 2015-06-05 Impact factor: 2.953