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We go into one of the more complex injuries – blunt neck trauma.
Hosts:
Audrey Bree Tse, MD
Brian Gilberti, MD
Show Notes
Overview
- Blunt neck trauma comprises 5% of all neck trauma
- Mortality due to loss of airway more so than hemorrhage
Mechanism
- MVCs with cervical hyperextension, flexion, rotation during rapid deceleration, direct impact
- Strangulation: hanging, choking, clothesline injury (see section on strangulation in this chapter)
- Direct blows: assault, sports, falls
Initial Management/Primary Survey
- Airway
- Evaluate for airway distress (stridor, hoarseness, dysphonia, dyspnea) or impending airway compromise
- Early aggressive airway control: low threshold for intubation if unconscious patient, evidence of airway compromise including voice change, dyspnea, neurological changes, or pulmonary edema
- Assume a difficult airway
- Breathing
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- Supplemental oxygen
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