Clinical experience of therapeutic hypothermia in cases of near-hanging and recovered from cardiac arrest due to hanging
- Authors
- Lee, YH[Lee, Y. H.]; Ahn, HC[Ahn, H. C.]; Sohn, YD[Sohn, Y. D.]; Ahn, JY[Ahn, J. Y.]; Park, SM[Park, S. M.]; Hong, CK[Hong, C. K.]; Hwang, SY[Hwang, S. Y.]; Na, JU[Na, J. U.]; Shin, DH[Shin, D. H.]; Jo, IJ[Jo, I. J.]; Song, KJ[Song, K. J.]; Sim, MS[Sim, M. S.]
- Issue Date
- Sep-2014
- Publisher
- MEDCOM LTD
- Keywords
- Asphyxia; cardiopulmonary resuscitation; induced hypothermia; suicide; treatment outcome
- Citation
- HONG KONG JOURNAL OF EMERGENCY MEDICINE, v.21, no.5, pp.316 - 321
- Indexed
- SCIE
SCOPUS
- Journal Title
- HONG KONG JOURNAL OF EMERGENCY MEDICINE
- Volume
- 21
- Number
- 5
- Start Page
- 316
- End Page
- 321
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/51839
- ISSN
- 1024-9079
- Abstract
- Objective: There is no specific treatment for comatose patients after near-hanging or in those who recover from cardiac arrest (CA) caused by hanging. Since 2009, we have used therapeutic hypothermia (TH) to treat all comatose survivors of near-hanging and in patients who recovered from CA caused by hanging. The purpose of this study was to describe the outcomes in comatose patients after near-hanging. Design: Case series. Setting: Emergency departments of two regional hospitals. Methods: We collected patient data from the Samsung Medical Center hypothermia database between November 2009 and November 2011. We included all patients presented with near-hanging or CA caused by hanging; who remained comatose and received TH after resuscitation for analysis. Clinical characteristics and outcome of patients were presented. Results: During the study period, 26 patients were admitted to the emergency department after near-hanging or CA caused by hanging; 21 patients were enrolled in this study. Twelve patients with CA and 9 comatose patients without CA were treated with TH. Only 1 patient with CA had a good neurological outcome. By contrast, all near-hanging patients without CA had a good neurological outcome. Conclusions: TH can be an effective therapeutic modality in cases of near-hanging without CA. However, the effectiveness of TH is questionable in patients who survive from CA caused by hanging.
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Collections - Medicine > Department of Medicine > 1. Journal Articles
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