1. Suicidal hanging patient with complete tracheal rupture
- Author
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Taek Jung Park, Young Min Oh, Hyun Ho Jeong, Yeon Young Kyong, Se Min Choi, Joo Suk Oh, and Kyoung Ho Choi
- Subjects
medicine.medical_specialty ,business.industry ,Tracheal rupture ,medicine.medical_treatment ,030208 emergency & critical care medicine ,respiratory system ,030204 cardiovascular system & hematology ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,Emergency Medicine ,Medicine ,Airway management ,business - Abstract
In attempted suicide, laryngotracheal rupture caused by hanging leads to rapid death at the scene or before arrival at hospital. The case presented here describes a patient with complete tracheal rupture from an attempted suicidal hanging who was successfully resuscitated. Pre-hospital providers transferred the patient to hospital without being aware of the possibility of airway damage. Cardiac arrest occurred shortly after arrival at hospital. During the cardiopulmonary resuscitation, endotracheal intubation was performed, and fortunately, the tracheal tube was located just below the ruptured trachea and thus enabled ventilation. For patients suspected of having airway damage at the pre-hospital stage, awareness of the patient’s condition and adequate airway management are important. The management of laryngotracheal rupture which suggests that for patients not adequately ventilated, immediate treatment with flexible fiberoptic intubation or tracheostomy is needed to secure the airway. Equipment and personnel at the receiving hospital need to be prepared for immediate treatment.
- Published
- 2018