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Near-hanging — DIPIMC MCQ

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ModerateEnvironmental MedicineNear-hangingDIPIMCDipIMC

A person is found hanging by a ligature and is cut down. They are now breathing with a palpable pulse but have reduced consciousness, and there is a ligature mark on the neck.

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DMaintain the airway with cervical spine precautions and transport for assessment.

After near-hanging, the airway is managed with cervical spine precautions and oxygen, with vigilance for delayed laryngeal oedema and neurological injury, and all such patients are transferred for assessment. A tightly fitted collar can worsen venous congestion and is balanced against airway needs. Apparent initial stability does not exclude later airway compromise.

Reference: JRCALC Clinical Guidelines