Hard signs of neck trauma4/14/2024 ![]() ![]() Pneumomediastinum / pleural effusion / hydrothorax / subcutaneousĮmphysema in the event of oesophageal perforation Minor signs should still lead to very careful observation. Patient with an apparently stable airway, in the first few hours, may abnormal neurological examination of limbs.Unrestrained passenger hitting neck onto dashboard With sash of seatbelt lying across the neck rapid deceleration of restrained passenger, especially.(garrotting) type injury in either setting Striking neck onto the edge of a low tableįrom bicycles and striking neck on the handle-bars With resultant stroke, neurological injury to the brachial plexus or Neck can lead to laryngeal injury and airway compromise, vascular injury Nature of the injury, and the regions of the body injured can be difficultĪs the injury may be unwitnessed or “hidden” within the multi-trauma History – any direct blow/trauma to the neck or Arteries - carotid arteries, vertebral arteries, brachiocephalic arteryīrachial plexus, cranial nerves, peripheral nerves.Initial assessment following an ATLS protocol.ĭuring the assessment of the neck, consider the four types of vital With neck trauma have commonly been involved in a multi-system trauma requiring To non-accidental injury (strangulation) or hanging. Blunt injuries to the neck may also occur due Motorcyclists (clothes-line or garrotting type injuries). Secondary to motor vehicle accidents, especially if unrestrained, or Injuries after falls onto objects in their environment (e.g. Wounds, stab wounds, or debris, such as glass or shrapnel, secondary toĮxperimentation with flammable/explosive materials. Penetrating neck injuries in the older child may include those from gunshot Neck trauma may be blunt, penetrating or a combination of both. Number of vital structures, that if injured can rapidly lead to a loss of life. Short necks, and the relative protection afforded by the mandible and cervical Traumatic neck injuries are rare in children due to their comparatively Immediate assistance from anaesthetic and ENT Require intubation should be considered to have a difficult airway. Even minor signs should still lead to very ![]() Airway, in the first few hours, may deteriorate quickly due to oedema. ![]()
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