Category: First Aid

Strangling and Hanging

Fatal Strangling typically occurs in cases of violence, accidents, and as the auxiliary lethal mechanism in Hangings in the event the neck is often broken. Strangling in babies and children are accidents. However, deliberate hanging as a form of suicide is also a possibility in adults too. Death occurs because constriction of blood vessels in the neck stops oxygen reaching the brain, rather than because the airway is block.

Signs and symptoms of Strangling and Hanging

  • Numerous tiny haemorrhages above the constriction line, including the whites of the eyes.
  • Bruising, scratches and swelling around the neck – even finger marks maybe obvious.
  • If the casualty is still conscious, their neck will be very tender.
  • Very noisy breathing, due to the swelling around the airway, as well as a muffled voice and cough

First Aid Steps:

  • You need to act swiftly in an accident of hanging or strangling as the combination of a compressed airway and a possible neck injury can lead to remove the constriction, restore breathing and summon the emergency services.
  • If the casualty is still hanging, try to support their body as you lift them down.
  • Cut off the rope or constricting object as quickly as you can.
  • Lay them flat and assess their ABC, Be aware that there may be spinal injury at the neck, and so you must not over-flax the neck during any resuscitation efforts.
  • If they are breathing, place them in the recovery position while protecting their spine. You can then go for help.

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