Educational Pearls Strangulation is common in cases of domestic violence and sexual assault, and it is associated with higher mortality People who have been strangled have a higher rate of stroke due to vascular damage to carotid artery Only 50% of people who die from strangulation show external signs of trauma CTA should be done in all those who experience LOC or incontinence from strangulation   50-60sec of strangulation is all that is required to produce LOC References: http://epmonthly.com/article/clinical-focus-strangulation-and-hanging-injuries/