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If a patient was actually found hanging and lowered, the first item would be to check for noticeable lowered body temp, lividity (blood pooling at lowest points), and rigor mortis. If those are absent, the next step would be to use a laryngoscope and attempt intubation. That means a device to open and visualize the throat and attempt to insert a 'breathing tube'. If the larynx is crushed and unable to do that, an ekg (heart activity) should be done. If the known facts of time are sufficient to indicate a period exceeding 10 or more minutes has elapsed since the hanging, resuscitation would not be indicated. Even with a checklist of events, it still is a judgement call, which any paramedic knows they must be confident enough to support upon inquiry. With enough experience you make a choice knowing all possible efforts are useless. A quality EMT will always put that decision in the highest priority, it is a human life who frequently has loved ones that will be greatly affected by that decision. Sometimes all you can do is just not enough.
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[–] cynicaloldfart 0 points 4 points 4 points (+4|-0) ago
If a patient was actually found hanging and lowered, the first item would be to check for noticeable lowered body temp, lividity (blood pooling at lowest points), and rigor mortis. If those are absent, the next step would be to use a laryngoscope and attempt intubation. That means a device to open and visualize the throat and attempt to insert a 'breathing tube'. If the larynx is crushed and unable to do that, an ekg (heart activity) should be done. If the known facts of time are sufficient to indicate a period exceeding 10 or more minutes has elapsed since the hanging, resuscitation would not be indicated. Even with a checklist of events, it still is a judgement call, which any paramedic knows they must be confident enough to support upon inquiry. With enough experience you make a choice knowing all possible efforts are useless. A quality EMT will always put that decision in the highest priority, it is a human life who frequently has loved ones that will be greatly affected by that decision. Sometimes all you can do is just not enough.