A 45-year-old male from a rural area with multiple familial problems was brought to our emergency department by the local police with alleged history of self-inflicted cut throat injury within an hour of the incident. His clothes were blood stained. The patient was calm, conscious and cooperative. His B.P. was 90/60 and pulse 110/min at the time of examination. He was not in respiratory distress on sitting up, but he became dyspnoeic on lying down. He was given intravenous fluids and I/V antibiotics on admission and blood transfusion was started.