Strangulation - Revision history

Rossdonaldson1: /* Background */

2024-11-13T22:17:08Z

Background

← Older revision		Revision as of 22:17, 13 November 2024
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	==Background==		==Background==
			[[File:MCMAP Rear choke - Defense Visual Information Center 2006.jpg\|thumb\|An example of strangulation ("blood choke") from a rear naked choke.]]
	[[File:Gray513.png\|thumb\|Anatomy of neck arteries.]]		[[File:Gray513.png\|thumb\|Anatomy of neck arteries.]]
	[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]		[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]

Rossdonaldson1: /* Background */

2024-11-13T21:59:57Z

Background

← Older revision		Revision as of 21:59, 13 November 2024
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	==Background==		==Background==
	[[File:Gray513.png\|thumb\|Anatomy of neck arteries.]]		[[File:Gray513.png\|thumb\|Anatomy of neck arteries.]]
			[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]
	*Strangulation		*Strangulation
	**Hanging, ligature, manual or postural strangulation		**Hanging, ligature, manual or postural strangulation

Rossdonaldson1: /* Clinical Features */

2022-01-06T05:44:03Z

Clinical Features

← Older revision		Revision as of 05:44, 6 January 2022
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	==Clinical Features==		==Clinical Features==
			[[File:PMC5392724 gr1.png\|thumb\|Strangulation marks sustained after scarf-related strangulation injury.]]
	*Facial [[petechiae]]		*Facial [[petechiae]]
	*Ecchymoses		*Ecchymoses

Rossdonaldson1: /* Evaluation */

2019-12-11T06:30:04Z

Evaluation

← Older revision		Revision as of 06:30, 11 December 2019
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	***''CTA neck AND head (can miss top of carotids with just CTA neck)''		***''CTA neck AND head (can miss top of carotids with just CTA neck)''
	*[[CXR]]		*[[CXR]]

			{{Denver Screening Criteria}}

	==Management==		==Management==

Rossdonaldson1: /* See Also */

2019-12-11T06:29:40Z

Rossdonaldson1: /* References */

2019-12-11T06:28:58Z

References

← Older revision		Revision as of 06:28, 11 December 2019
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	*ICU		*ICU
	*Psychiatric assessment		*Psychiatric assessment

			==See Also==

	==References==		==References==

Rossdonaldson1: /* Background */

2019-12-11T05:34:20Z

Background

← Older revision		Revision as of 05:34, 11 December 2019
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	==Background==		==Background==
			[[File:Gray513.png\|thumb\|Anatomy of neck arteries.]]
	*Strangulation		*Strangulation
	**Hanging, ligature, manual or postural strangulation		**Hanging, ligature, manual or postural strangulation

Hoxbox: /* Evaluation */

2019-11-25T20:20:44Z

Evaluation

← Older revision		Revision as of 20:20, 25 November 2019
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	*[[CT brain]]		*[[CT brain]]
	*CT cervical spine		*CT cervical spine
	*CTA neck		*CTA neck criteria from Taming of the Sru Grand Rounds <ref>[http://www.tamingthesru.com/blog/grand-rounds/recap-110619 Taming of the Sru Grand Rounds Recap 11.6.19 accessed 11/25/2019. Copy permission given by CC BY-NC-SA 4.0 license Taming of the Sru Website]</ref>directly quoted below:
			**''Guidelines for imaging: GCS<8, audible neck bruit, expanding neck hematoma, focal neurologic deficit (including TIAs, Horner’s syndrome, vertebrobasilar syndrome), arterial bleeding from nose, mouth, neck''
			***''OR consider adding on if high C spine fracture, cervical vertebral body or fracture through foramen transversarium, subluxation or ligamentous injury at any level, significant thoracic/cardiac blunt force trauma, LeFort II or III fractures, skull base fracture, diffuse axonal injury''
			***''CTA neck AND head (can miss top of carotids with just CTA neck)''
	*[[CXR]]		*[[CXR]]

ClaireLewis at 22:40, 30 September 2019

2019-09-30T22:40:56Z

← Older revision		Revision as of 22:40, 30 September 2019
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	*Strangulation		*Strangulation
	**Hanging, ligature, manual or postural strangulation		**Hanging, ligature, manual or postural strangulation
	**Homicide, assault, suicide or execution		**Homicide, assault, [[suicide]] or execution
	*Mechanism of death/injury <ref>Iserson, K. V. (1984) ‘Strangulation: A review of ligature, manual, and postural neck compression injuries’, Annals of Emergency Medicine, 13(3), pp. 179–185.</ref>		*Mechanism of death/injury <ref>Iserson, K. V. (1984) ‘Strangulation: A review of ligature, manual, and postural neck compression injuries’, Annals of Emergency Medicine, 13(3), pp. 179–185.</ref>
	**Spinal cord/brainstem injury		**Spinal cord/brainstem injury
	**Mechanical compression		**Mechanical compression
	**Bradycardia		**[[Bradycardia]]

	===Pathophysiology===		===Pathophysiology===
	*Upper C-spine fractures		*Upper [[cervical Spine Injuries\|C-spine fractures]]
	**Judicial hanging, greater heights		**Judicial hanging, greater heights
	*Jugular venous obstruction		*Jugular venous obstruction
	**Cerebral congestion		**Cerebral congestion
	**Loss of consciousness		**[[syncope\|Loss of consciousness]]
	*Arterial compression		*Arterial compression
	**Cerebral ischemia		**Cerebral ischemia
	*Airway compression		*Airway compression
	**Hypoxia		**[[Hypoxia]]
	*Carotid baroreceptor reflex		*Carotid baroreceptor reflex
	**Bradycardic arrest		**[[bradycardia\|Bradycardic]] [[cardiac arrest\|arrest]]

	==Clinical Features==		==Clinical Features==
	*Facial petechiae		*Facial [[petechiae]]
	*Ecchymoses		*Ecchymoses
	*Airway		*Airway
	**Hoarseness		**[[dysphonia\|Hoarseness]]
	**Stridor		**[[Stridor]]
	**Fracture of larynx, hyoid, thyroid cartilage		**Fracture of larynx, hyoid, thyroid cartilage
	**Laryngeal edema		**Laryngeal edema
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	**Aspiration [[pneumonia]]		**Aspiration [[pneumonia]]
	**[[Cardiac arrest]]		**[[Cardiac arrest]]
	**Bradycardia		**[[Bradycardia]]
	**[[Negative-pressure pulmonary edema (NPPE)]]		**[[Negative-pressure pulmonary edema (NPPE)]]
	*Neurologic		*Neurologic
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	**Cerebral anoxia		**Cerebral anoxia
	**Cerebral edema		**Cerebral edema
	**Delayed dementia, amnesia, psychosis		**Delayed [[dementia]], amnesia, [[psychosis]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	*PT/PTT		*PT/PTT
	*Type and screen		*Type and screen
	*Lactate		*[[Lactate]]
	*VBG/ABG		*[[VBG]]/[[ABG]]
	*EtOH, ~~UTox~~		*EtOH, [[Utox]]
	*CT brain		*[[CT brain]]
	*CT cervical spine		*CT cervical spine
	*CTA neck		*CTA neck
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	*Cervical spine immobilization		*Cervical spine immobilization
	*Cardiac monitoring		*Cardiac monitoring
	*Antibiotics if aspiration present		*[[Antibiotics]] if aspiration present
	*PEEP for hypoxia		*PEEP for hypoxia
	*[[Levophed]] for neurogenic shock		*[[Levophed]] for neurogenic shock

Ostermayer: /* Clinical Features */

2017-10-02T02:20:40Z

Clinical Features

← Older revision		Revision as of 02:20, 2 October 2017
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	**[[Cardiac arrest]]		**[[Cardiac arrest]]
	**Bradycardia		**Bradycardia
	**~~Neurogenic~~ pulmonary edema		**[[Negative-pressure pulmonary edema (NPPE)]]
	*Neurologic		*Neurologic
	**[[Spinal cord trauma]]		**[[Spinal cord trauma]]

← Older revision		Revision as of 06:29, 11 December 2019
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	==See Also==		==See Also==
			*[[Denver screening criteria]]

	==References==		==References==