The accidental self-strangulation of a child of 3 years is described. This is an unusual occurrence and has, in this case, resulted from a particular group of circumstances. The features of the case are presented and asphyxial deaths in youg children are reviewed. The dangers of loose wires, cords or other potential ligatures in or adjacent to sleeping or play areas is emphasized. That a relatively small amount of force is required to asphyxiate a child appears to be confirmed by this case.
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