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Emerg. Med. Clin. North Am. · Feb 2023
ReviewProtect That Neck! Management of Blunt and Penetrating Neck Trauma.
- Matt Piaseczny, Julie La, Tim Chaplin, and Chris Evans.
- Department of Emergency Medicine, Victory 3. 76 Stuart St, Kingston, Ontario K7L 2V7, Canada. Electronic address: 13mp25@queensu.ca.
- Emerg. Med. Clin. North Am. 2023 Feb 1; 41 (1): 354935-49.
AbstractBlunt and penetrating vascular injuries to the neck represent a significant burden of mortality and disability among trauma patients. Blunt cerebrovascular injury can present with signs of stroke either immediately or in a delayed fashion. Most injuries are detected with computed tomography angiogram and managed by antiplatelet agents or unfractionated heparin. In contrast, for patients presenting with penetrating neck injuries, assessment for hard signs of vascular and aerodigestive injury should be done and prompt emergent surgical consultation if present. Overall management priorities for penetrating neck injuries focus on airway management, hemorrhage control, and damage control resuscitation before definitive surgical repair.Copyright © 2022 Elsevier Inc. All rights reserved.
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