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06.01.2014
Hanging

45

 

 

 

First aid

Literature

 

 

 

 

 

First aid

Emergency care should begin with the cessation of compressive effects loop on the neck. For this loop is cut by preserving the site, which is particularly important when the criminal hanging. If the patient is in the loop for a long time, then removing it impractical. It should be borne in mind that incomplete hanging is described successful resuscitation of patients after 5 minutes of the hanging. After extraction from the loop to immediately implement the immobilization of the cervical spine Philadelphia collar and bus Kendrick's. At the same time to assess the condition of the patient's vital functions and in their failure or failure to make their emergency compensation according to the algorithm ABC (see article “Clinical death”). It should be noted that the restoration of the airway in casualties as a result of hanging by intubation may be difficult because of laryngeal edema or fracture of cartilage. In this case it is expedient to perform conicotomia or tracheostomy.

In the absence of signs of biological death should begin cardiopulmonary resuscitation. An obligatory condition is to check the patency of the upper respiratory tract. If necessary, intubation or conicotomia with the transition to mechanical ventilation.

If patient have any seizures intravenous 2 mL 0.5% solution seduksena (relaniuma), 10 ml of 20% sodium oxybutyrate. In order to eliminate acidosis introducing drip or bolus 200 ml of 4% solution of sodium bicarbonate. To improve cerebral blood flow and preventing hypercoagulable troksevazin use heparin or intravenous drip or bolus conventional doses. When intensive care is necessary to use decongestants drugs, particularly glucocorticoids (30-60 mg prednisolone), saluretics (40-60 mg of furosemide), 5-10 ml 2.4% solution of aminophylline. It should be remembered that the injured, after removing it from the state of clinical death is possible regurgitation. To prevent its use Sellika reception - the right thumb can easily jam in the cricoid cartilage with a small displacement of its backward and sideways.

Injured in the hanging must be hospitalized in general hospitals. In the case of hanging to suicide should be possible to consult a psychiatrist and psychiatric care.

Affected by the hanging must be hospitalized in the intensive care unit and intensive care.

 

 

Used literature

  1. Aufderheide T.P., Aprahamian C., Mateer J.R. Emergency airway management in hanging victims // Ann. Emerg. Med. — 1994. — Vol. 24(5). — P. 879-884.

  2. Behrendt N., Buhl N., Seidl S. The lethal paraphiliac syndrome: accidental autoerotic deaths in four women and a review of the literature // Int. J. Legal. Med. — 2002. — Vol. 116(3). — P. 148-152.

  3. Betz P., Eisenmenger W. Frequency of throat-skeleton fractures in hanging // Am. J. Forensic Med. Pathol. — 1996. — Vol. 17. — P. 191-193.

  4. Levine E., Taub P. Hyoid Bone Fractures // The Mount Sinai Journal оf Medicine. — 2006. — Vol. 73(7). — P. 1014-1018.

  5. Fischman C.M., Goldstein M.S., Gardner L.B. Suicidal hanging. An association with the adult respiratory distress syndrome // Chest. — 1977. — 71(2). — P. 225-227.

  6. 6. Green H., James R.A., Gilbert J.D., Byard R.W. Fractures of the hyoid bone and laryngeal cartilages in suicidal hanging // J. Clin. Forensic Med. — 2000. — Vol. 7. — P. 123-126.

  7. Gunnell D., Bennewith O., Hawton K., Simkin S., Kapur N. The epidemiology and prevention of suicide by hanging: a systematic review // International Journal of Epidemiology. — 2005. — Vol. 34. — P. 433-442.

  8. Kleinsasser N.H., Priemer F.G., Schulze W., Kleinsasser O.F. External trauma to the larynx: classification, diagnosis, therapy // Eur. Arch. Otorhinolaryngol. — 2000. — 257(8). — 439-44.

  9. http://urgent.mif-ua.com

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