Hanging.pptx by dr vasanthakumar intesivist

hanging ppt

1. Hanging Dr.Vasantha kumar.V MBBS,MD,DNB,IDCCM,ECFMG

2. Name : Mrs.Usha rani Age : 47 Sex : Female Occupation : Homemaker Demography

3. Patient came with alleged H/O hanging (Partial hanging using Rope) on 5/12/2023 around 11 AM at her residency. (Duration unknown) H/O LOC + K/C/O ? Depressive disorder/ ? PTSD for the past 1 year on irregular medication. H/O attempted hanging- January 2023 (Treated in Tiruvarur Medical College) Past Surgical History – Left Knee Surgery 1 year back. History

4. Patient initially treated in Tiruvarur Medical College where she was intubated in view of low GCS. Outside Treatment

5. Patient was on mechanical ventilation All relevant investigations done and initial treatment given . Patient shifted to ICU for further management. Treatment in ER

6.   Psychiatry opinion was taken in view of suicide attempt 2nd time by hanging and orders followed. Patient was started on antibiotics, phenothiazines , SSRI's, antimanic drugs, atypical antipsychotics, tricyclic antidepressants and conventional antipsychotics. Patient became hemodynamically stable on 07/12/2023 ( Day 3) post hanging and therefore patient was shifted to ward for obeservation . Patient was kept on observation in ward for 24 hrs and didn't have any uneventful events. Patient was hemomodynamically stable and HENCE discharged. Course in ICU

7. THANK YOU