Strangulation and Suffocation

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Strangulation and Suffocation • Strangulation and suffocation remarkably frequent • 1 in 9 violent deaths • Often overlooked because signs and symptoms subtle • Common in domestic violence and family violence contexts • Lethality marker • Occurs across lifespan (c) Dean Hawley and Candace Heisler, 2012 4
Definition • Strangulation is a form of asphyxia characterized by closure of the blood vessels and air passages of the neck as a result of external pressure on the neck (c) Dean Hawley and Candace Heisler, 2012 5
Page 1 and 2: Strangulation and Suffocation NAPSA
Page 3: Disclaimers • Dr. Hawley has no c
Page 7 and 8: Suffocation • Covering the mouth
Page 9 and 10: Arrests and Arraignments Involving
Page 11 and 12: Ligatures • Examples: flexible co
Page 13 and 14: First Responders • SD Study of 30
Page 15 and 16: Strangulation Signs and Symptoms
Page 17 and 18: The Medical Process • Temporary o
Page 19 and 20: “Point Of No Return” • Asphyx
Page 21 and 22: Force Required • The amount of fo
Page 23 and 24: •Petechia, alone, in the absence
Page 25 and 26: The Absence of Petechiae • Stroke
Page 27 and 28: Strangulation is a Lethality Indica
Page 29 and 30: States Enacting Laws re Strangulati
Page 31 and 32: Corroboration • Anything brought
Page 33 and 34: How- mechanics What they saw- visua
Page 35 and 36: Ask and Document • How long? - To
Page 37 and 38: How Painful - Chart? • Use this c
Page 39 and 40: Video Clips • Many digital camera
Page 41 and 42: Manual Strangulation • Ask victim
Page 43 and 44: Ligature strangulation • Any obje
Page 45 and 46: If Victim Reports Any Symptoms, Imm
Page 47 and 48: Any voice changes? • Tape record
Page 49 and 50: Symptom Questions • Did you urina
Page 51 and 52: Did the victim suffer a possible co
Page 53 and 54: What Did You See? • “I saw ange
Page 55 and 56:
How Did It End? - I escaped. - I pa
Page 57 and 58:
If Victim is Able • Ask victim to
Page 59 and 60:
• Obtain copy of paramedic’s ca
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Strangulation and Suffocation

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