Point of Care Ultrasound in Suicidal Hanging Scenario- A Case Report

Abstract

In the emergency department, swift and comprehensive management is crucial for a patient with a history of suicidal hanging due to the potential life-threatening consequences. Upon arrival exhibiting signs of unconsciousness and gasping respirations, the individual indicates severe hypoxia and impending respiratory failure. Immediate assessment is essential to address hanging-related injuries and potential increased intracranial pressure (ICP). The initial focus includes securing the airway, ensuring oxygenation, and providing circulatory support. Point-of-care ultrasound (POCUS) emerges as a vital tool for rapid identification of structural brain abnormalities, aiding in the assessment of raised ICP. Addressing raised ICP involves integrating therapeutic interventions guided by POCUS findings, including measures to reduce cerebral edema, optimize perfusion, and prevent secondary brain injury. POCUS's portability and immediacy seamlessly integrate into emergency resuscitation, providing valuable insights for tailored therapeutic strategies. Emphasizing a rapid and multidisciplinary approach is essential for optimal patient outcomes.