Trauma SAQ 1

Trauma SAQ 1

A 15 year old male has been brought in to the resuscitation room of a trauma centre by ambulance. He has a large wound to his neck, and no other obvious injuries. He is awake and alert.

NeckLAc

Observations

P100

BP 100/70

RR 22

Sats 99% RA

 

Question 1

Which zone of the neck does this injury involve? (1)

 

Question 2

Can you define the boundaries of this zone? (2)

 

Question 3

List 4 HARD clinical signs that would mandate immediate transfer to the operating theatre for urgent mandatory exploration? (4)

 

Question 4

Assuming that there are no hard signs present and he is stable, what would be the ideal next radiological investigation of choice in this case? (1)

 

Additional Resources on Penetrating Neck Trauma

Clinicalmonster.com

EM Crit Podcast

East.org Guideline

Becky’s Revision Notes

 

 

 

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