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Hanging and near hanging in children: injury patterns and a clinical approach to early management
  1. Tim J van Hasselt1,
  2. Stuart Hartshorn2
  1. 1 Department of Paediatrics, West Midlands Deanery, Birmingham, UK
  2. 2 Emergency Department, Birmingham Children’s Hospital, Birmingham, UK
  1. Correspondence to Dr Stuart Hartshorn, Emergency Department, Birmingham Children’s Hospital, Birmingham B4 6NH, UK; stuart.hartshorn{at}


Near hanging refers to survival following suspension by the neck. This is a devastating injury which can lead to mortality or serious long-term morbidity. Children and young people present to emergency departments following accidental or deliberate near hanging. This article describes the patterns of injury, the initial management and important prognostic factors.

  • injury prevention
  • paediatric practice
  • mortality

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  • Contributors TJvH drafted the initial manuscript and drafted revisions. SH significantly contributed to the revision and development of the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Commissioned; externally peer reviewed.