缺氧性脑损伤:非致命性亲密伴侣勒杀中一个微妙且常被忽视的发现。

IF 1.2 4区 医学 Q3 EMERGENCY MEDICINE
Sean Dugan, Michelle Patch, Taman Hoang, Jocelyn C Anderson
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引用次数: 0

摘要

背景:关于非致命性亲密伴侣勒死(NF-IPS)幸存患者缺氧性脑损伤的鉴定文献极少。一些患者在意识丧失后出现脑缺氧症状,而另一些患者则在失忆前出现脑缺氧症状,导致一些患者无法回忆起意识丧失(LOC)的情况:这项回顾性分析的目的是利用标准化临床评估工具,在报告 NF-IPS 的患者样本中描述缺氧性脑损伤症状的流行情况:沙斯塔社区法医护理小组的一名成员使用扼杀缺氧症状 TBI 评估 (SHASTA) 工具对报告了 267 起扼杀事件的 191 名患者进行了评估。样本中 98% 为女性,包括 18-68 岁的成年患者。检查记录根据是否存在缺氧和缺氧症状进行分类。本稿件采用了 STROBE 检查表:在 267 例绞死病例中,有 145 例(54.3%)报告了失忆症。其中,74 人报告了 LOC(51.0%),71 人不记得 LOC(49.0%):结论:在我们的样本中,49% 的失忆患者不记得失去过意识,这表明 LOC 并不是衡量 NF-IPS 患者缺氧情况的完美指标。医护人员在对 NF-IPS 患者进行检查时,应询问患者是否有缺氧和失忆的其他症状,SHASTA 工具可记录这些症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anoxic Brain Injury: A Subtle and Often Overlooked Finding in Non-Fatal Intimate Partner Strangulation.

Background: A paucity of literature exists dedicated to the identification of anoxic brain injury in patients that survive non-fatal intimate partner strangulation (NF-IPS). While some individuals report experiencing symptoms of brain hypoxia followed by a loss of consciousness, other individuals report symptoms of brain hypoxia prior to amnesia, rendering some unable to recall loss of consciousness (LOC).

Objective: Using a standardized clinical assessment tool, the purpose of this retrospective analysis is to describe anoxic brain injury symptom prevalence in a sample of patients reporting NF-IPS.

Methods: One hundred and ninety-one unique patients, reporting a total of 267 strangulation events, were assessed by a member of the Shasta Community Forensic Care Team utilizing the Strangulation Hypoxia Anoxia Symptom TBI Assessment (SHASTA) tool. The sample is 98% female and includes adult patients ages 18-68. Examination records were categorized based on the presence or absence of hypoxia and anoxia symptoms. This manuscript utilizes the STROBE checklist.

Results: Amnesia was reported in 145 of the 267 strangulations (54.3%). Of those, 74 reported LOC (51.0%) while 71 did not recall LOC (49.0%).

Conclusions: Within our sample, 49% of patients with amnesia did not recall losing consciousness, demonstrating that LOC is an imperfect measure of anoxia for patients following NF-IPS. Healthcare providers examining NF-IPS patients should inquire about additional symptoms of hypoxia and amnesia, which can be captured on the SHASTA tool.

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来源期刊
Journal of Emergency Medicine
Journal of Emergency Medicine 医学-急救医学
CiteScore
2.40
自引率
6.70%
发文量
339
审稿时长
2-4 weeks
期刊介绍: The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine
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