Friday, 3 December 2021

Study of Pathophysiology and Management of Partial Hanging | Chapter 9 | Recent Developments in Medicine and Medical Research Vol. 13

 Background: Every year, a considerable number of people are killed in car accidents and suicides. Each untimely death, whether caused by an accident or by suicide, is a personal tragedy that takes the life of an individual and has a long-term impact on the lives of their family, friends, and communities. In India, around 100,000 people commit suicide each year. The National Crime Records Bureau (NCRB) of the Ministry of Home Affairs of the Government of India collects data on suicides from police records. In 2019, 1, 39,123 suicides were reported across the country [1]. This is 3.4 percent more than the number of suicides in 2018. Suicide can be accomplished in a variety of ways. Suicide methods range from the simple and successful (e.g., poisoning, jumping) to the more agonising (e.g., self-inflicted injuries, hanging, etc.). Hanging (53.6 percent), poisoning (25.8%), drowning (5.2 percent), and fire/self-immolation (3.8 percent) were the most popular methods of suicide. The number of people who are hanged for committing suicide is on the rise. This is a retrospective study conducted at KDN Gohil Hospital in Navsari (Gujarat) to determine the result of suicidal attempts and to assess how these patients are managed. This tiny study aims to compare the mortality rate and management protocol of this little trial to that of other larger studies.

Objectives: The study's goal is to explain the pathophysiology of partial hanging and suggest how such cases should be handled. Hanging is becoming more common, yet there is little information on how to manage it. This page attempts to review the literature on the subject, and the writers provide their own research.

Patients with a history of hanging or unintentional strangling who were brought to the hospital after being liberated from the strangulating agent were included in this study. A retrospective investigation was conducted into many elements of the agents utilised for hanging, as well as the patients' distinctive results and management regimen.

The data were examined in terms of survival rate and complication occurrence. There were 44 patients in total, 37 of whom survived and 7 of whom died. The cervical spine was not injured in any way. A laryngeal injury resulted in laryngeal stenosis in one case.

Conclusion: Suicidal hanging and judicial hanging are not the same thing. The suicidal hanging survival rate is usually high if the patient is brought to the hospital alive. Early endotracheal intubation, hypotension control, ventilator support, and anti-edema drugs are the key management procedures.

Author(S) Details

Janakrai N. Parekh
Department of Surgery, GMERS Civil Hospital Valsad, Gujarat-396001, India.

Chetan Tandel
Department of Surgery, GMERS Civil Hospital Valsad, Gujarat-396001, India.

View Book:- https://stm.bookpi.org/RDMMR-V13/article/view/5030

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