Abstract
Feldman et al reviewed 233 cases of childhood strangulation to define causes, clinical course, prognosis for neurologic recovery, and methods of prevention from strangulation Cribs, ropes, and cords were leading causes of childhood strangulation in accidental or suicidal injury. All age groups were affected. Pacifier cords, low hanging cradle gyms, and toy cords caused strangulations during infancy. Toddlers to early school-aged children strangled on window cords, plant holders, electric car windows, high chairs, and looped rope swings. Jackets, ponchos, and scarves caused accidental mechanical suffocation by entanglement with unsafe playground equipment. Strangulations in older children resulted from rope loops, cords, belts, neckties, and rope or chain swings. Most accidents were the result of unsafe play, attention-seeking activities, suicidal attempts, or partial asphyxiation during autoerotic stimulation.
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