Accidental self-strangulation in a child

Kumar, K. Jagadish; Jain, Mitun; Chavan, Abhishek; Rani, Smitha

doi:10.4103/1817-1745.92864

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…[ 2 5 ] A similar case of accidental partial hanging has been reported with the saree hammock and the child had seizures and neurological deficits which was unlike in our case, wherein such complications were not present. [ 3 ] However, our case did not have seizures, fracture of vertebra, or spinal cord injury. In a 10-year retrospective study done by Davies et al ., of 41 children, the ultimate outcome was highly predicted by whether the patient was found with a palpable pulse resulting in complete recovery and which is the same scenario with our patient.…”

Section: Discussionmentioning

confidence: 74%

“…Accidental strangulation is a potentially fatal injury in children, and various case reports are now increasingly found. [ 1 3 ] In a recent study of 28 cases of pediatric and adolescent strangulation from India, 7% of cases were accidental. [ 5 ] In a study by Feldman and Simms, 8.6% cases of accidental strangulation were reported due to clothing entanglement.…”

Section: Discussionmentioning

confidence: 99%

“…Few similar incidents have occurred while children play with this hammock. [ 2 3 ] In rural parts of Karnataka, hammocks are routinely used as a cradle which is potentially dangerous, and we are reporting this case in a view to educate and enlighten the public about the hazards of using homemade hammocks.…”

Section: Introductionmentioning

confidence: 99%

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Accidental Strangulation While Playing with Hammock in a Child

Anitha

Jagadishkumar

Nanda

et al. 2018

Journal of Neurosciences in Rural Practice

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In children, strangulation is a fatal injury due to asphyxia, a terminal event of partial or complete hanging. Homemade hammocks are routinely used as a cradle which is potentially dangerous. We are hereby reporting a 12-year-old female with accidental strangulation occurring as a result of swinging on a hammock made of saree and also in a view to educate the public about the hazards of using homemade hammocks.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

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Accidental Strangulation While Playing with Hammock in a Child

Anitha

Jagadishkumar

Nanda

et al. 2018

Journal of Neurosciences in Rural Practice

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“…During the physical examination, it was observed that he had ligature marks (usually seen in hanging cases). 5,[9][10][11] It was reported by Uzun et al 21 that there was no fracture among strangulation victims murdered whose ages ranged from 0 to 10 years. The cord of the pacifier was hooked on the washing machine handle, and it was wrapped around the baby's neck like a necklace, and the baby had struggled with it.…”

Section: Discussionmentioning

confidence: 99%

Accidental Deaths by Hanging Among Children in Istanbul, Turkey

Kumral¹,

Özdeş²,

Avşar³

et al. 2014

American Journal of Forensic Medicine &Amp; Pathology

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Hanging is a type of strangulation by means of rope or any other similar material. This kind of ligature strangulation occurs by weight of the body dragging due to gravity and applying force to the neck. Hanging almost never occurs by accident, but occurs mostly as a way to commit suicide.A total number of 82,871 autopsies were performed in the Council of Forensic Medicine of the Republic of Turkey Ministry of Justice (Istanbul) between 1979 and 2012, and 4500 (5.43%) of these deaths occurred as a result of hanging. Thirteen of these reported cases have been observed and resulted in death occurring by accident. Seven of these victims were males, and 6 of them were females. Examination of their ages revealed that 3 of these victims were aged 1 year, and 3 victims were aged 6 years. The oldest victim was aged 13 years, and the youngest one was aged 1 year. It has been recorded that 8 of the deaths occurred with rope, 2 with sweater, 2 with scarf, 1 with belt, and 1 with tights. Investigation of the incidents revealed that 3 of the cases occurred by tangling in a rope swing and 2 with a head scarf. Ligature marks on the neck from aforementioned materials and ecchymosis on soft tissue were observed on all of the victims, and the thyroid cartilages and cervical vertebrae were intact. No substance was found in the toxicological analysis performed on all victims.In conclusion, our study showed that although accidental death by hanging took place rarely in these ages, all of the victims were between the ages of 1 and 13 years who recently started walking and entering their teenage years. It is important not to leave the children at home or in the playgrounds alone for a long time (unsupervised at home or in the playgrounds). Precautionary measures must be taken against danger, and the design of materials manufactured for this age group must be reconsidered.

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“…After suffocation, there is a reduction in cerebral oxygenation, promoting varying degrees of edema, hemorrhage and ischemia. ( 5 ) In cases of strangulation, the comparison between adults and children shows that they have a lower risk of laryngeal and bone fractures due to elasticity but are more susceptible to airway edema. ( 5 , 6 )…”

Section: Introductionmentioning

confidence: 99%

Accidental strangulation in children by the automatic closing of a car window

Serena

Piva

Andreolio

et al. 2018

Revista Brasileira De Terapia Intensiva

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Among the main causes of death in our country are car accidents, drowning and accidental burns. Strangulation is a potentially fatal injury and an important cause of homicide and suicide among adults and adolescents. In children, its occurrence is usually accidental. However, in recent years, several cases of accidental strangulation in children around the world have been reported. A 2-year-old male patient was strangled in a car window. The patient was admitted to the pediatric intensive care unit with a Glasgow Coma Scale score of 8 and presented with progressive worsening of respiratory dysfunction and torpor. The patient also presented acute respiratory distress syndrome, acute pulmonary edema and shock. He was managed with protective mechanical ventilation, vasoactive drugs and antibiotic therapy. He was discharged from the intensive care unit without neurological or pulmonary sequelae. After 12 days of hospitalization, he was discharged from the hospital, and his state was very good. The incidence of automobile window strangulation is rare but of high morbidity and mortality due to the resulting choking mechanism. Fortunately, newer cars have devices that stop the automatic closing of the windows if resistance is encountered. However, considering the severity of complications strangulated patients experience, the intensive neuro-ventilatory and hemodynamic management of the pathologies involved is important to reduce morbidity and mortality, as is the need to implement new campaigns for the education of parents and caregivers of children, aiming to avoid easily preventable accidents and to optimize safety mechanisms in cars with electric windows.

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Accidental self-strangulation in a child

Cited by 7 publications

References 8 publications

Accidental Strangulation While Playing with Hammock in a Child

Accidental Strangulation While Playing with Hammock in a Child

Accidental Deaths by Hanging Among Children in Istanbul, Turkey

Accidental strangulation in children by the automatic closing of a car window

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