Neck Trauma

Question 1

Signs contributing to possible neck trauma include:

Answer 1

• Expanding Hematoma
• Deteriorating Vital Signs
• Clear signs of Esophageal or Tracheal Injury (Coughing/Spitting Up Blood)

Question 2

Management of GSW to Upper Zone of Neck

Answer 2

• Arteriographic Dx and Management

Question 3

Management of GSW to Base of the Neck

Answer 3

• Ateriography
• Esophagogram (Water-soluble, followed by barium if negative)
• Esophagoscopy
• Bronchoscopy
• Surgery

Question 4

If the patient is asymptomatic with stab wounds in upper or middle zone neck, what should you do?

Answer 4

Safely observed

Question 5

When do you do a CT Scan for Neck Trauma?

Answer 5

Compromise of Cervical Spine.

• Neurological Deficits
• Pain to Local Palpation over the Cervical Spine