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.
2
Q
Blunt carotid injury grade I
A
<25% of lumen is narrowed. Give anti platelet rx and observe with followup CT.
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.
4
Q
Blunt carotid injury grade III
A
Pseudo aneurysm; repair with surgery or endovascularly.
5
Q
Blunt carotid injury grade IV
A
Occlusion. Repair with surgery if accessible; otherwise, give anticoag.
6
Q
Blunt carotid injury grade V
A
Transection. Repair if accessible or ligate.