Strangulation: Difference between revisions
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**Laryngeal edema | **Laryngeal edema | ||
*Cardiopulmonary | *Cardiopulmonary | ||
**Aspiration pneumonia | **[[Aspiration pneumonia]] | ||
**Cardiac arrest | **[[Cardiac arrest]] | ||
**Bradycardia | **Bradycardia | ||
**Neurogenic pulmonary edema | **Neurogenic pulmonary edema | ||
*Neurologic | *Neurologic | ||
**[[Spinal cord trauma]] | **[[Spinal cord trauma]] | ||
**Neurogenic shock | **[[Hangman's fracture]] uncommon | ||
*Cerebral anoxia | **[[Neurogenic shock]] | ||
*Delayed dementia, amnesia, psychosis | **Cerebral anoxia | ||
**Delayed dementia, amnesia, psychosis | |||
==Work up== | ==Work up== | ||
Revision as of 01:56, 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
- Hangman's fracture uncommon
- 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