Documentation of Strangulation Form - PDF 2025

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Signs and Symptoms of Strangulation memory loss or confusion, may not remember parts of assault or strangulation. small red or purple dots on your face, scalp, eyes, ears, or nose (this is called petechiae) burst blood vessels in your eye. changes in your voice and difficulty speaking, swallowing, or breathing.
Difficult and/or painful breathing (especially after choking/strangulation) Uncontrollable vomiting. Shaking or twitching (seizures) Confusion or uncontrollable agitation. Drowsy or cannot wake up. Excruciating headaches. Slurred speech, weakness, numbness. Decreased coordination or problems using arms or legs.
The strangulation assessment card is a quick reference tool to help professionals conduct the initial assessment of a victim that has recently been strangled. The front page of this tool identifies what signs to look for, what symptoms the victim may be experiencing, and when to transport a victim to the hospital.
Strangulation is a form of asphyxia produced by a constant application of pressure to the neck. The three forms of strangulation are: hanging, ligature, and manual.
Symptoms of Strangulation Voice changes - raspy and/or hoarse voice, coughing, unable to speak, complete loss of voice. Swallowing changes - trouble swallowing, painful swallowing, neck pain, nausea/vomiting, drooling. Breathing changes - difficulty breathing, hyperventilation, unable to breathe.
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Consider imaging for forensic purposes. MRI is more sensitive in detecting soft tissue injury and bruising if performed within a week of the strangulation incident. Consider review by ENT for flexible nasal endoscopy to identify injury to the larynx and airway. Ensure other injuries are assessed as required.
In addition to the blunt force injuries of the neck, strangulation produces evidence of regional venous obstruction in the neck, recognized as pinpoint hemorrhages (petechiae) in the skin, conjunctiva of the eyes, and deep internal organs of the head and neck, geographically located above the point of constriction in
Visible injuries on the neck and mastoid: Ligature marks/edema/abrasions (scratches and scrapes)/erythema/contusions. Petechiae: Eyelids/peri-orbital region/face/scalp/neck/ears/soft palate/under tongue. Subconjunctival/Scleral hemorrhage/Scleral edema (eyes)

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