Background: No guidelines exist for the evaluation of patients after near hanging. Most patients receive a comprehensive workup, regardless of exam. We hypothesize that patients with a normal neurologic exam, without major signs or symptoms suggestive of injury, require no additional workup. Methods: We reviewed medical charts of adult trauma patients who presented to a Level I Trauma Center between 1995 and 2013 after an isolated near hanging episode. Demographics, Glasgow Coma Score (GCS), imaging, and management were collected. Patients were stratified by neurologic exam into normal (GCS = 15) and abnormal (GCS
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