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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905 EISSN: 1680-6905
Vol. 15, No. 3, 2015, pp. 1038-1040
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Bioline Code: hs15142
Full paper language: English
Document type: Case Report
Document available free of charge
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African Health Sciences, Vol. 15, No. 3, 2015, pp. 1038-1040
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A case report on near manual strangulation and glasgow coma scale.
Meel, Banwari L.
Abstract
Background: Glasgow Coma Scale (GCS) is considered as a gold standard in estimating the prognosis of the comatose
patient. The management of the patient relies heavily on this scale. The mechanism of injury must also be included in scoring
of the GCS. Survival from strangulation is uncommon, and if it occurs, it is often associated with various complications
such as neurological consequences.
Objective: To highlight a poor correlation with low GCS and ultimate outcome in cases of manual strangulation.
Case report: This is a case report of young female adult who was raped and manually strangulated by a colleague during a
training course for traditional healers. She was admitted with very low (3/15) Glasgow Coma Scale (GCS) and presumed to
have a poor prognosis. She was rigorously ventilated in Intensive Care Unit (ICU), and was discharged from hospital after a
week without any complications. The neck and genital injuries are described. This report discusses.
Conclusion: A low Glasgow Coma Scale is not a predictive of poor prognosis in cases of manual strangulation.
Keywords
strangulation, Glasgow coma scale, prognosis and resuscitation
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