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During an attempted hanging, patients present severe neurological distress that can lead to major neuropsychiatric sequelae. These sequelae are notably due to significant cerebral edema related to hanging. Hyperbaric Oxygen therapy is known to reduce cerebral edema and improve cerebral perfusion. The main objective of the study is to evaluate in patients who have attempted hanging without presenting cardio-respiratory arrest, the effect of one Hyperbaric Oxygen therapy session in addition to standard intensive care management on a potential reduction in short-term neurological sequelae. Patients will benefit from either standard management or standard management associated with one Hyperbaric Oxygen therapy session
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| - Oxygèn | Experimental | Patients will receive standard intensive care management and an oxygen therapy session within 8 hours |
|
| - Control group | No Intervention | Patients will receive standard intensive care management only. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OXYGENE MEDICINAL LIQUIDE AIR PRODUCTS MEDICAL | Drug | In addition to standard intensive care management, patients will receive a hyperbaric oxygen therapy session within eight hours of admission to intensive care (the hyperbaric oxygen therapy session lasts two hours and must be completed eight hours after the hanging attempt). |
| Measure | Description | Time Frame |
|---|---|---|
| Montreal Cognitive Assessment Score | The score can be interpreted as follows: ≥ 26/30 = no neurocognitive impairment 18-25/30 = mild impairment 10-17 = moderate impairment Less than 10 = severe impairment | 72 hours plus or minus 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Montreal Cognitive Assessment Score | The score can be interpreted as follows: ≥ 26/30 = no neurocognitive impairment 18-25/30 = mild impairment 10-17 = moderate impairment Less than 10 = severe impairment | Montreal Cognitive Assessment Score at 6 months |
| Duration of mechanical ventilation |
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Inclusion Criteria:
Patients who present, following an attempted hanging, neurological distress defined by the presence of one or more of the following criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D013405 | Suicide |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Participants will be monitored for duration of mechanical ventilation Participants will be monitored for duration of mechanical ventilation, an expected average of 24 hours |
| Duration of hospital stay | Participants will be monitored for duration of hospital stay, an expected average of 4 days. |
| Number of adverse events | Number of adverse effects during hospitalization, an expected average of 4 days. |