Entrapment of Clothing in a Soybean Milling Machine Causes Accidental Strangulation & Cervical Nerve Root Injury

Case Reports in Emergency Medicine
29 Mar, 2019 ,

The clothing of a 45-yr-old man became entrapped by the mixing rotator while he was operating a soybean milling machine. His clothing tightened around his neck and chest, causing strangulation and a loss of consciousness. All radiological studies were negative. He was admitted for observation. After the patient’s creatine phosphokinase level peaked and his focal neurological signs improved, he was discharged on foot on the 6th hospital day. 

Source
Full content

The patient was a forty-five-year-old man who worked at a soybean paste making factory. He had no specific past or family history. While working with a soybean milling machine, his clothing became entrapped by the mixing rotator. His clothing was wound around the rotator and tightened around his neck and chest, causing strangulation and a loss of consciousness. He was rescued by coworkers and transported to our hospital by a physician staffed helicopter. Upon arrival, his vital signs were as follows: Glasgow Coma Scale, E4V4M6; blood pressure, 128/80 mmHg; pulse rate, 78 beats per minute; respiratory rated, 16 breaths per minute, peripheral oxygen saturation on 10 liters of oxygen per minute with a reservoir mask, 100%; and temperature, 35.8°C. A physiological examination revealed multiple petechiae on his face and strangulation marks with subcutaneous hemorrhage on his neck and upper trunk. In addition, he had motor weakness of the right upper extremity and bilateral paresthesia from C5 to Th1. Chest roentgenography, electrocardiography, whole body computed tomography, and cervical magnetic resonance imaging revealed no specific findings. The results of blood biochemical analyses on arrival revealed leukocytosis (16,800/μL) and rhabdomyolysis (creatine phosphokinase, 723 IU/L). He was admitted for observation. After the patient’s creatine phosphokinase level peaked and his focal neurological signs improved, he was discharged on foot on the 6th hospital day.