BEST EVIDENCE TOPIC REPORTS
BET 5 STEROIDS IN ATTEMPTED HANGING
| The first 150 words of the full text of this article appear below. |
Report by Rachel Jenner
Search checked by Dr Paul de Keyser Specialised Registrar Paediatrics London
Institution: Manchester Royal Infirmary, Manchester, UK
A short-cut review was carried out to establish whether the prophylactic administration of steroids improves neurological outcome in an unconscious patient who has survived attempted hanging. A total of 527 papers were found using the reported search. None presented any evidence to answer the clinical question. It is concluded that there is no evidence available to guide this decision and that local expert advice should be followed.
A 12-year-old boy is brought in to the emergency department unconscious following an attempted hanging. Computed tomography scan of his brain and cervical spine are normal. There is no clinical evidence of a spinal cord injury. You wonder if giving steroids will improve his neurological outcome
In [an unconscious patient who has survived an attempted hanging] does [the prophylactic administration of steroids]
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