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Neck injury is likely. Minimize neck movement during rescue and CPR.
Call 112. Remove pressure from neck if hanging. CPR if not breathing. Do not twist neck.
Step 1: Call 112 immediately
Step 2: If hanging and person is still suspended — support weight and cut/remove ligature with help if trained rescuers not yet arrived
Step 3: If not breathing — start CPR
Step 4: Do not move neck unnecessarily
Step 5: Preserve scene if assault — do not wash neck marks before medical exam if safe
DEVELOPMENT FIXTURE — Do NOT assume they are fine because they can speak.
DEVELOPMENT FIXTURE — Do NOT massage or heat the neck.
DEVELOPMENT FIXTURE — Do NOT let them walk away without ambulance evaluation.
All strangulation and hanging survivors need emergency care — internal neck injury may have no visible marks.