Suicidal hanging patient with complete tracheal rupture

In attempted suicide, laryngotracheal rupture caused by hanging leads to rapid death at the scene or before arrival at hospital. The case presented here describes a patient with complete tracheal rupture from an attempted suicidal hanging who was successfully resuscitated. Pre-hospital providers tra...

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Bibliographic Details
Published in:Hong Kong journal of emergency medicine 2019-03, Vol.26 (2), p.124-126
Main Authors: Jeong, Hyun Ho, Choi, Kyoung Ho, Oh, Young Min, Kyong, Yeon Young, Choi, Se Min, Oh, Joo Suk, Park, Taek Jung
Format: Article
Language:English
Subjects:
Airway (Medicine)
Airway management
Cardiopulmonary resuscitation
Care
CPR
Emergency medical services
Intubation
neck injuries
Ostomy
Patients
pre‐hospital emergency care
Suicide victims
Suicides & suicide attempts
Trachea
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Summary:In attempted suicide, laryngotracheal rupture caused by hanging leads to rapid death at the scene or before arrival at hospital. The case presented here describes a patient with complete tracheal rupture from an attempted suicidal hanging who was successfully resuscitated. Pre-hospital providers transferred the patient to hospital without being aware of the possibility of airway damage. Cardiac arrest occurred shortly after arrival at hospital. During the cardiopulmonary resuscitation, endotracheal intubation was performed, and fortunately, the tracheal tube was located just below the ruptured trachea and thus enabled ventilation. For patients suspected of having airway damage at the pre-hospital stage, awareness of the patient's condition and adequate airway management are important. The management of laryngotracheal rupture which suggests that for patients not adequately ventilated, immediate treatment with flexible fiberoptic intubation or tracheostomy is needed to secure the airway. Equipment and personnel at the receiving hospital need to be prepared for immediate treatment.
ISSN:1024-9079
2309-5407
DOI:10.1177/1024907918762870