TRAUMA-NECK Flashcards

1
Q

Expanding hematomas in which zone of the neck do not require pre-op angio?

A

Zone II – can be directly approached distally and proximally.

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2
Q

Blunt carotid injury grade I

A

<25% of lumen is narrowed. Give anti platelet rx and observe with followup CT.

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3
Q

Blunt carotid injury grade II

A

> 25% of lumen is narrowed with either dissection or intramural hematoma. Surgical repair if accessible; otherwise, give anti platelet rx.

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4
Q

Blunt carotid injury grade III

A

Pseudo aneurysm; repair with surgery or endovascularly.

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5
Q

Blunt carotid injury grade IV

A

Occlusion. Repair with surgery if accessible; otherwise, give anticoag.

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6
Q

Blunt carotid injury grade V

A

Transection. Repair if accessible or ligate.

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