TY - JOUR PY - 2014// TI - Clinical experience of therapeutic hypothermia in cases of near-hanging and recovered from cardiac arrest due to hanging JO - Hong Kong journal of emergency medicine A1 - Lee, Y.H. A1 - Ahn, H.C. A1 - Sohn, Y.D. A1 - Ahn, J.Y. A1 - Park, S.M. A1 - Hong, C.K. A1 - Hwang, S.Y. A1 - Na, J.U. A1 - Shin, D.H. A1 - Jo, I.J. A1 - Song, K.J. A1 - Sim, M.S. SP - 316 EP - 321 VL - 21 IS - 5 N2 - 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. © 2014 Medcom Limited. All rights reserved.

Language: en

LA - en SN - 1024-9079 UR - http://dx.doi.org/10.1177/102490791402100506 ID - ref1 ER -