Episode 152.0 – Penetrating Neck Trauma - a podcast by Core EM

This week, we discuss penetrating neck trauma and some pearls and pitfalls in management.







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Tags: Neck Trauma, Trauma











Show Notes

REBEL EM: Penetrating Neck Injuries











Zone 1





Zone 2





Zone 3









Anatomic Landmarks





Clavicle/Sternum to Cricoid Cartilage





Cricoid Cartilage to the Angle of the Mandible





Superior to the Angle of the Mandible









Anatomic Structures in Zone





Proximal Common Carotid Artery





Carotid Artery





Vertebral Artery











Subclavian Artery





Vertebral Artery





Distal Carotid Artery











Vertebral Artery





Jugular Vein





Distal Jugular Vein











Lung Apices





Pharynx





Salivary and Parotid Glands











Trachea





Trachea





Cranial Nerves IX – XII











Thyroid





Esophagus





Spinal Cord











Esophagus





Larynx













Thoracic Duct





Vagus Nerve













Spinal Cord





Recurrent Laryngeal Nerve















Spinal Cord











Hard + Soft Signs of Major Aerodigestive or Neurovascular Injury









Hard Signs





Soft Signs









Airway Compromise





Hemoptysis









Expanding or Pulsatile Hematoma





Oropharyngeal Blood









Active, Brisk Bleeding





Dyspnea









Hemorrhagic Shock





Dysphagia









Hematemesis





Dysphonia









Neurologic Deficit





Nonexpanding Hematoma









Massive Subcutaneous Emphysema





Chest Tube Air Leak









Air Bubbling Through Wound





Subcutaneous or Mediastinal Air











Vascular Bruit or Thrill











Crepitus









WTA Management Algorithm for Penetrating Neck Injury (Sperry 2013)

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