Strangulation and Suffocation

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Questions • What were you wearing at the time of the incident? • Have you changed your clothes? • Thrown them away? • Put them in the washing machine? • Put them in laundry basket? • Where are they now? • Normalize the conduct • Sometimes victims who have been strangled report they have urinated or defecated. Did that happen to you? • I have worked with many victims who have been strangled. I have learned that it is common for them to urinate or defecate during the incident? Did that happen to you? 50
Did the victim suffer a possible concussion? www.cdc.gov • A blow or jolt to the head can cause a type of mild brain injury called a concussion. • Sometimes whiplash can cause a concussion. • The signs can be subtle <strong>and</strong> missed. 51
Page 1 and 2: Strangulation and Suffocation NAPSA
Page 3 and 4: Disclaimers • Dr. Hawley has no c
Page 5 and 6: Definition • Strangulation is a f
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: Symptom Questions • Did you urina
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

Strangulation and Suffocation

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