{"title":"成功管理一个完全上吊的案例:生命不会因选择而结束","authors":"Vishal Mangal, Vivek Kumar, Khushboo, K. Kaur","doi":"10.4103/jmms.jmms_178_22","DOIUrl":null,"url":null,"abstract":"Suicide is an act of intentionally taking one's own life. In India, hanging remains the most common means of committing suicide. Complete hanging is when no body part touches the ground or any surface. Poor prognosis is associated with a Glasgow coma scale <8, systolic blood pressure <90 mmHg, head imaging consistent with anoxic brain injury, and hanging time longer than 5 min. In suicidal hanging, death is mainly due to hypoxia, asphyxia, or both. Currently, there are no standardized protocols for the management of hanging patients. We present a case of a 31-year-old female who was brought to our hospital after 20 min of bringing her down following complete hanging in a critical condition. She was successfully managed with mechanical ventilation, inotropes, and supportive care. She was discharged on the 7th day in walking condition without any neurological deficit.","PeriodicalId":41773,"journal":{"name":"Journal of Marine Medical Society","volume":null,"pages":null},"PeriodicalIF":0.1000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Successful management of a case of complete hanging: Life does not end by choice\",\"authors\":\"Vishal Mangal, Vivek Kumar, Khushboo, K. Kaur\",\"doi\":\"10.4103/jmms.jmms_178_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Suicide is an act of intentionally taking one's own life. In India, hanging remains the most common means of committing suicide. Complete hanging is when no body part touches the ground or any surface. Poor prognosis is associated with a Glasgow coma scale <8, systolic blood pressure <90 mmHg, head imaging consistent with anoxic brain injury, and hanging time longer than 5 min. In suicidal hanging, death is mainly due to hypoxia, asphyxia, or both. Currently, there are no standardized protocols for the management of hanging patients. We present a case of a 31-year-old female who was brought to our hospital after 20 min of bringing her down following complete hanging in a critical condition. She was successfully managed with mechanical ventilation, inotropes, and supportive care. She was discharged on the 7th day in walking condition without any neurological deficit.\",\"PeriodicalId\":41773,\"journal\":{\"name\":\"Journal of Marine Medical Society\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.1000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Marine Medical Society\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jmms.jmms_178_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Marine Medical Society","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jmms.jmms_178_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Successful management of a case of complete hanging: Life does not end by choice
Suicide is an act of intentionally taking one's own life. In India, hanging remains the most common means of committing suicide. Complete hanging is when no body part touches the ground or any surface. Poor prognosis is associated with a Glasgow coma scale <8, systolic blood pressure <90 mmHg, head imaging consistent with anoxic brain injury, and hanging time longer than 5 min. In suicidal hanging, death is mainly due to hypoxia, asphyxia, or both. Currently, there are no standardized protocols for the management of hanging patients. We present a case of a 31-year-old female who was brought to our hospital after 20 min of bringing her down following complete hanging in a critical condition. She was successfully managed with mechanical ventilation, inotropes, and supportive care. She was discharged on the 7th day in walking condition without any neurological deficit.
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