Strangulation: Difference between revisions
(Strangulation injuries) |
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**Neurogenic pulmonary edema | **Neurogenic pulmonary edema | ||
*Neurologic | *Neurologic | ||
**Spinal cord | **[[Spinal cord trauma]] | ||
**Neurogenic shock | **Neurogenic shock | ||
*Cerebral anoxia | *Cerebral anoxia | ||
Revision as of 01:52, 13 June 2015
Background
- Strangulation
- Hanging, ligature, manual or postural strangulation
- Homicide, assault, suicide or execution
- Mechanism of death/injury
- Spinal cord/brainstem injury
- Mechanical compression
- Bradycardia
Pathophysiology
- Upper C-spine fractures
- Hanging, greater heights
- Jugular venous obstruction
- Cerebral congestion
- Loss of consciousness
- Arterial compression
- Cerebral ischemia
- Airway compression
- Hypoxia
- Carotid baroreceptor reflex
- Bradycardic arrest
Clinical Features
- Facial petechiae
- Ecchymoses
- Airway
- Hoarseness
- Stridor
- Fracture of larynx, hyoid, thyroid cartilage
- Laryngeal edema
- Cardiopulmonary
- Aspiration pneumonia
- Cardiac arrest
- Bradycardia
- Neurogenic pulmonary edema
- Neurologic
- Spinal cord trauma
- Neurogenic shock
- Cerebral anoxia
- Delayed dementia, amnesia, psychosis
Work up
- CBC
- Chem 10
- PT/PTT
- Lactate
- VBG/ABG
- EtOH, UTox
- CT brain
- CT cervical spine
- CTA neck
- CXR