Suicidal cut throat injury

When they occur, a multi disciplinary approach is required in the effective management of affected patients. On atypical suicidal cut throat injuries, journal of. The wound usually begins higher on the neck on the side opposite to where it terminates since the deceased was a right handed person, the suicide cut throat typically started from upper third of the left side of the neck and be ended at a point lower than the. Very deep cut throat injury caused by knife extending up to cervical vertebrae and not associated with tentative cuts or tailing of wound has not been reported in the literature as per the best of our knowledge while suicidal cut throat injury extending up to cervical vertebrae using electric circular saw is reported. Cut throat injuries are a unique form of trauma that is potentially devastating and associated with substantial emotional, physical and financial burden on community and hospital resources. We present a case of 32 year old male, suffering from psychiatric illness brought dead to tertiary care hospital with suicidal cut throat injury and not associated with tentative cuts and tailing of. The injury had occurred an hour ago he came to the emergency room. We present a case of a homicidal cutthroat injury but with hesitation cuts and tailing over the neck, unlike the classical description of homicidal cutthroat injury. Absence of hesitation cuts in a suicidal cut throat with a horizontally placed incised wound, to our knowledge has not been reported in the literature before. Rao bk, singh vk, ray s, mehra m 2004 airway management in trauma.

The rarity of the case is the reason for presenting this case report. Successful management of suicidal cut throat injury with. Case report a 23 year old asian male was brought to the emergency of cmh quetta with history of suicidal cut throat. Clint malarchuk suffered one of the most gruesome injuries ever seen in professional sport. In cases of attempted suicide, hesitant marks are a common finding. The management of these injuries requires a multidisciplinary approach. Journal of universal college of medical sciences 3. The horizontal wound measured about 12x4 cm, and was over the infrahyoid area above the true vocal cords. The patient was aggressive, pale and had difficulty in breathing. Cut throat injuriesa retrospective study at a tertiary.

Bhandarkar, ajay m shetty, anurag j shetty, mahabalesh 20091101 00. The incidence and pattern of suicide vary from country to country. He was conscious but unable to verbally communicate. On atypical suicidal cut throat injuries on atypical suicidal cut throat injuries pintore, giulia. The suicidal cut throat wound is similar to the homicidal cut throat from behind. A cutthroat injury said to have been selfinflicted source. The wound usually begins higher on the neck on the side opposite to where it terminates 6.

A total of 51 cases of cut throat injury were included in the study. Clint malarchuk almost bled to death when his throat was. Self inflicted cut throat injury a series of 2 cases. Cut throat extending up to the vertebrae is suggestive of homicidal injury while its absence is indicative of suicidal injury. He was born in grande prairie, alberta, raised in edmonton, alberta, and lives in alberta and nevada. Primary tracheal reconstruction in cut throat injury of a. Here we present a case of young individual presenting in ent department combined military hospital cmh quetta with a suicidal cut throat injury, using a long bladed knife. Cut throat and cut stab wounds are effective in homicidal attacks with sharp objects, e. Here, we present a case of homicidal cut throat injury to the airway leading to aspiration and hypoxia.

Significant bleeding is usually the result of damage to arteries. Atypical suicidal cut throat injury a case report atypical suicidal cut throat injury a case report shetty, b. Suicide is one of the 10 leading causes of death in the world and cut throat injuries cti are fairly common due to suicide. On the flip side, many people who selfharm view hurting themselves as a way of coping with life.

Anesthetic management of a case of suicidal cut throat injury. Cutthroat and cutstab wounds are effective in homicidal attacks with sharp objects, e. This paper presents our experiences with managing three unemployed adult nigerian males two of hausa ethnicity and one from the tiv ethnic group presenting with cut throat injuries following suicidal attempts. Suicide by cutting might involve bleeding, infarction, sepsis, or drowning from a lung contusion. These injuries could be accidental, homicidal or suicidal and the use of a sharp weapon is the least frequent suicidal method in most cases reported.

Cut throat injuries at a university teaching hospital in. Initial cuts may be shallow, referred to as hesitation wounds or tentative wounds. A case of atypical homicidal cutthroat injury ajay. Patients may present with acute blood loss due to injury to major vessels, airway compromise, and aspiration. Management of homicidal cut throat open airway injury. Cut throat injuries causes profound morbidity due to prolonged hospitalization, high cost of health care, loss of productivity and reduced quality of life and above all death 1, 2. Case report, case study by journal of evolution of medical and dental sciences. The ice hockey goaltender had his throat cut by a stray skate and three pints of. Homicidal cutthroat injuries by definition are injuries over the front of neck by sharp instruments using a long blade with a murderous intent. Risk factors are mental illness, socio demographic status, familial and situational.

Suicidal cut throat injuries are either unreported or fortunately rare in our country. Accidental,homicidal and suicidal wounds wound medical. An atypical case of suicidal cut throat injury sciencedirect. We hereby present a case of suicidal cut throat injury in a psychiatric patient with right internal jugular, tracheal and esophageal transection. In case of cut throat injury there is high chance of injury to blood vessels. Case report a 16 year old male was brought to our hospital with selfinflicted cut throat. Cut throat injuries are potentially life threatening due to the peculiarity of the structures traversing this region of the body. The forensic pathologist has a very challenging and important task when commenting on the manner of infliction of such wounds when such a case is presented with no proper history or witnesses. We present to you a rare case of suicidal cut throat injury in a 38 year old male with depressive type of schizoaffective disorder not associated with hesitant marks at babcock university teaching hospital, a private tertiary hospital in south west nigeria. This type of cut throat injury will definitely put the pathologist in a difficult situation to determine the manner of death. This requires the close collaboration of the otorhinolaryngologist, the anaesthesiologist and the psychiatrist. Fatalities resulting from sharp force injuries may be of accidental, homicidal or suicidal origin. Cut throat injuries from deliberate self harm and homicide in sokoto, nigeria the act of terminating human life may be suicidal or homicidal, involving violent or non violent methods. The underlying mindset between someone who is suicidal and someone who selfharms is very different.

Health, general blood transfusion usage injuries care and treatment suicidal behavior analysis diagnosis wounds and injuries. Copy of suicidal cut injury, throat and hand retteri. Since the deceased was a right handed person, the suicide cut throat should typically start from upper third of the left side of the neck and be ended at a point lower. Suicidal cut throat injury was the most common mode of injury. Suicidal cut throat patient, thyroid cartilage totally injured. He has been a coach for four nhl teams and two minor league teams, most recently the calgary flames. While cutting is relatively common it only makes up 1% of deaths by suicide in the united states. Psychiatric illness, psychological stress and poverty are some of the associated factors of suicidal cut throat injury. Cutthroat wounds are a wellrecognized method of homicide, are less commonly used in suicides and are rarely accidental. Clint malarchuk born may 1, 1961 is a canadian retired professional ice hockey goaltender who played in the national hockey league nhl between 1981 and 1992. Cultural, religious and social value plays a vital role.

We are a community of more than 103,000 authors and editors from 3,291 institutions spanning 160 countries, including nobel prize winners and some of. This requires the close collaboration of the otolaryngologist, the anesthetist and the psychiatrist. The aim of the present study is to evaluate the pattern of injury, its management and associated psychiatric illness in suicidal cti. Three types of cut throat injuries are suicidal, homicidal and accidental. Suicide is one of the leading causes of death in the world. There is a dearth of literature on the subject of suicidal cut throat injuries in nigeria. Introduction uicide is one of the leading causes of death in the.

Selfinflicted cut throat and stab wounds are uncommon but. The incidence of suicidal cut throat injuries in our country may be fortunately rare or the cases are unreported in literature. Management of atypical suicidal cut throat injury in a. Case report a 27yearold male patient came to the emergency room with the homicidal cut throat. Cut throat injuries are uncommon mode of committing suicides in indian subcontinent. Cutthroat definition of cutthroat by the free dictionary. Cut throat injury is incised injury over the neck, inflicted by sharp elements such as razor, knives, broken bottle pieces, glasses etc, which may be homicidal or suicidal or accidental. In the case of a suicidal cutthroat, it is not uncommon to find hesitation cuts but in a homicidal cutthroat, it is uncommon. These injuries are usually superficial with multiple hesitation marks.

Management of suicidal cut throat injuries in a developing nation. Neck being relatively unprotected anatomic region is a common site for injuries that are potentially dangerous and require immediate management. Committing suicide by cutting their throat without hesitation marks is a very rare occurrence. A prospective study from august 2011 to april 20 was carried out in the. Death occurs due to 1 profuse haemorrhage 2 air embolism 3 inhalation of. Penetrating neck injury constitutes 5% 10% of all trauma cases. A study on behavior and management of suicidal cut throat. Cut throat as a violent method in terminating human life is discussed. Other predictors listed are familial troubles and poverty. Management of suicidal cut throat injuries in a developing. Case report open access management of suicidal cut throat. Three patients died due to severe haemorrhage andor aspiration.

An atypical case of suicidal cut throat injury topic of. Pdf atypical suicidal cut throat injury a case report. Understanding suicide and selfharm psychology today. Separate proforma was prepared to collect the patients data. Ramesh p, raj lt, ramesh b, suman t, bishow t 2015 management of cut throat injury. Suicide is a known worldwide leading cause of death with psychiatric illnesses listed among the strongest predictors.