TY - JOUR
T1 - Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia
AU - Deasy, Conor
AU - Bray, Janet E
AU - Smith, Karen Louise
AU - Bernard, Stephen Anthony
AU - Cameron, Peter
PY - 2013
Y1 - 2013
N2 - Introduction Hanging is an infrequent but devastating
cause of out-of-hospital cardiac arrest (OHCA). We
determine the characteristics and outcomes of hangingassociated OHCA in Melbourne Australia.
Methods A 10-year retrospective case review of all
adult hangings (aged 16 years) associated with OHCA,
was conducted using data from the Victorian Ambulance
Cardiac Arrest Registry.
Results Between 2000 and 2009, the emergency
medical service (EMS) attended 33 178 adult OHCAs of
which 1321 (4 ) had hanging as the aetiology. The
median age (IQR) of hanging-associated OHCA cases
was 39 (29e51) years and 1162 were men (88 ). The
?rst recorded rhythm by EMS was asystole seen in 1276
(75.5 ) patients, pulseless electrical activity (PEA) in 38
(13.4 ) cases and ventricular ?brillation in 7 cases
(0.5 ). EMS attempted resuscitation in 208 (15.7 )
patients of whom 61 (29.3 ) achieved return of
spontaneous circulation (ROSC) and were transported,
and 7 (3.3 ) survived to hospital discharge. Hangingassociated OHCAs were younger (median (IQR) 38
(29e51) years versus 74 (61e82) years, p
AB - Introduction Hanging is an infrequent but devastating
cause of out-of-hospital cardiac arrest (OHCA). We
determine the characteristics and outcomes of hangingassociated OHCA in Melbourne Australia.
Methods A 10-year retrospective case review of all
adult hangings (aged 16 years) associated with OHCA,
was conducted using data from the Victorian Ambulance
Cardiac Arrest Registry.
Results Between 2000 and 2009, the emergency
medical service (EMS) attended 33 178 adult OHCAs of
which 1321 (4 ) had hanging as the aetiology. The
median age (IQR) of hanging-associated OHCA cases
was 39 (29e51) years and 1162 were men (88 ). The
?rst recorded rhythm by EMS was asystole seen in 1276
(75.5 ) patients, pulseless electrical activity (PEA) in 38
(13.4 ) cases and ventricular ?brillation in 7 cases
(0.5 ). EMS attempted resuscitation in 208 (15.7 )
patients of whom 61 (29.3 ) achieved return of
spontaneous circulation (ROSC) and were transported,
and 7 (3.3 ) survived to hospital discharge. Hangingassociated OHCAs were younger (median (IQR) 38
(29e51) years versus 74 (61e82) years, p
UR - http://emj.bmj.com/content/early/2012/03/15/emermed-2011-201035.full.pdf+html
U2 - 10.1136/emermed-2011-201035
DO - 10.1136/emermed-2011-201035
M3 - Article
SN - 1472-0205
VL - 30
SP - 38
EP - 42
JO - Emergency Medicine Journal
JF - Emergency Medicine Journal
IS - 1
ER -