Correlation of survivors of near hanging with Glasgow coma scale

Authors

  • Mangala S. Borkar Professor and Head of The Department Department Of Medicine Govt. Medical College Hospital, Aurangabad, Maharashtra.
  • Sunita B. Patil
  • Kusum K. Sikariya
  • Akshay A. Kashid
  • Hemant N. Chimote
  • Veena M. Malani

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20151256

Keywords:

Hanging, Glasgow coma scale, Asphyxia

Abstract

Background: A patient, who survives an attempt to hang himself, at least for some time, is said to be a case of “near-hanging”. This study attempts to correlate survival in near- hanging with Glasgow Coma Scale and to study the clinical profile of hanging the 25 patients of near hanging who were admitted in the MICU of Government Medical College, Aurangabad from January 2014 to July 2015.

Methods: Detail clinical history was taken and thorough examination was done. Patients were assessed by applying Glasgow coma scale. NCCT Brain and spine was done of all these patients before admitting to MICU to rule out cervical injury.

Results: Males were 76% and female 24% in this study.20 of the 25 patients required mechanical ventilation. 18 patients survived, of whom 13 had been ventilated. All the 5 who did not need ventilation survived.

Conclusions: Only 1 patient survived out of the 8, whose Glasgow - coma scale was less than 6, (87.5 % mortality). 100 % patients who were ventilated but had a Glasgow Coma Scale of 6 or more survived.

Metrics

Metrics Loading ...

Author Biography

Mangala S. Borkar, Professor and Head of The Department Department Of Medicine Govt. Medical College Hospital, Aurangabad, Maharashtra.

HOD and Professor

References

Parikh’s textbook of Jurisprudence, forensic medicine and toxicology; 6th edition. Death for asphyxia section 3, page no. 340-341.

Indian Journal of Anaesthesia.

Nandy’s handbook of forensic medicine and toxicology. Chapter 14, violent asphyxia death. Page no. 328.

Journal of anaesthesia and critical care: open access the effective factors on survival in near hanging. 2015;2(2).

Yıldırım MS, Çelik F, Gümüş A, Tüfek A. The Effective Factors on Survival in Near-Hanging. J Anesth Crit Care 2015;2(2).

http://medcraveonline.com. J Anesth Crit Care Open Access. 2015;2(2):00051.

Yıldırım MB, Çelik F, Gümüş A, Tüfek A. The Effective Factors on Survival in Near-Hanging. J AnesthCrit Care. 20215;2(2):00051.

Lt Col Raj. Post obstructive pulmonary oedema following attempted suicide by hanging. MJAFI. 2009;65:184-5.

Aggarwal R, Anant S, Vardhan H. Pulmonary Oedema in a survivor of Suicidal Hanging. MJAFI. 2004;60:188-9.

Gandhi R, Taneja N, Mazumder P. Near hanging: Early intervention can save lives. Indian J Anaesth. 2011 Jul;55(4):388-91.

Yıldırım MB, Çelik F, Gümüş A, Tüfek A. The Effective Factors on Survival in Near-Hanging Anesthesia & Critical Care. 2015;2(2):00051.

Downloads

Published

2015-11-29

Issue

Section

Original Research Articles