Neck Trauma (Blunt)


Background

  1. More common than penetrating trauma
  2. Causes
  3. Injuries

Pathophysiology

  1. Vascular injury mechanisms
  2. Laryngeal/ tracheal injuries
  3. Strangulation

Diagnostics

  1. History
  2. Physical exam
  3. Diagnostic testing
  4. Diagnostic imaging
  5. Other tests

Prehospital Care

  1. Direct transport to closest trauma facility
  2. Clear airway of secretions, foreign bodies
  3. Supplemental O2
  4. Breathing
  5. Neck wounds
      • Vaseline or impregnated gauze
  6. IV access
  7. C-Spine immobilization if significant blunt trauma

Acute Treatment

  1. Best to have a comprehensive, clear plan
  2. ABC's as per ATLS protocol
  3. Airway
  4. Intubation
  1. Breathing
  2. Circulation
  3. Cardiac arrest in penetrating neck trauma patients
  4. Antibiotics

Disposition

  1. Admit
  2. Discharge (suggest trauma consult if any question)