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A3-CORD curriculum > Neck Trauma > Flashcards

Neck Trauma Flashcards

1
Q

Match: inspiratory and expiratory stridor, with supraglottic and subglottic?

A
  • Supraglottic = inspiratory

- Subglottic = expiratory

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2
Q

Pts with a c-spine fracture should always be assessed for what other injury?

A

noncontiguous vertebral fracture

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3
Q

What are the nexus criteria? (5)

A
  • Alert, not intoxicated
  • No neck pain
  • No Midline TTP
  • No distracting injury
  • No sensory/motor complaints
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4
Q

What are zones I-III of the neck?

A 
I = below cricoid cartilage
II = from abvoe to angle of the mandible
III = Above angle of the mandible
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5
Q

What is the appropriate diagnostic workup for penetrating trauma to each of the three zones of the neck?

A 
I = Angiography, EGD
II = explore, observe, CTA
III = Angiography
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6
Q

Which zone of the neck has the highest mortality associated with it?

A

Zone 1

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7
Q

What are the three major functions of the larynx that need to be assessed with neck trauma?

A

Speech
Airway
Swallowing

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8
Q

What are some s/sx that a patient has laryngeal trauma?

A
  • muffled voice
  • stridor
  • Drooling
  • SQ air
  • hematoma
  • cartilaginous step off
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9
Q

What are the labs that may be helpful in the trauma pt? (4)

A
  • CBC
  • BMP
  • PT/INR
  • ABG
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10
Q

What is the best diagnostic tool to assess the larynx for injury?

A

CT angio

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11
Q

If the platysma has been penetrated, what basic imaging should be performed?

A

CXR

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12
Q

When is a cervical CT indicated for neck trauma?

A

Nexus criteria not met

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13
Q

What are s/sx of vascular injuries to the neck?

A

pulse deficit
GI blood
SQ air
Hoarseness

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14
Q

What is the diagnostic test for vascular injuries to the neck?

A

Angiography

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15
Q

Why are LMAs contraindicated in the treatment of neck trauma?

A

May just blow air through laryngeal defects

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16
Q

True or false: if the platysma is violated, you should probe the ensure major structures are not violated

A

False

17
Q

Where should foreign bodies be removed at (ED or OR)?

A

OR

18
Q

If intubation fails in a neck trauma, what is the next step to secure an airway?

A

Cricothyroidotomy

19
Q

What is the disposition for all patients with known laryngotracheal injury?

A

at least obs for 24-48 hours

20
Q

When can a backboard be removed in a patient with a known cervical spine injury?

A

Once in facility with definitive care

21
Q

Cervical spinal injuries above what level may cause respiratory compromise?

A

C6

22
Q

What must be done in patients who are intoxicated or altered with possible spinal cord trauma?

A

Frequent reassessments

A3-CORD curriculum (23 decks)

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