Penetrating Neck Injuries Overview

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12 Questions

What percentage of patients with hard signs of injury are associated with major injury?

90%

In patients with penetrating neck injury, what should be the first focus during initial assessment?

Airway patency

What can cause dynamic airway compromise in patients with expanding hematomas?

Hemoptysis

Why should bag valve mask (BVM) ventilation be minimized in patients with a partial tracheal transection?

To minimize secondary injury

What is a potential complication of paralysis in patients experiencing airway obstruction?

Worsened airway distortion

What should be done if laryngoscopy or endotracheal tube placement fails in a patient with a penetrating neck injury?

Front of neck access (i.e., cricothyroidotomy)

Which zone of the neck is most likely to require angiography to delineate vascular injury?

Both Zone I and Zone III

Which of the following anatomical structures is NOT found in Zone II of the neck?

Subclavian artery

Which anatomical feature increases the likelihood of deep structure injury in penetrating neck trauma?

Violation of the platysma muscle

Which of the following anatomical structures is found in Zone III of the neck?

Cranial nerves IX-XII

Which statement regarding the anatomical continuity between the neck and the anterior mediastinum is correct?

The anatomical continuity is limited to the fascial layers.

Which of the following statements regarding the mortality rate associated with penetrating neck injuries is correct?

Approximately 80% of mortality is secondary to cerebral infarction, and 20% is due to uncontrolled hemorrhage.

Explore the background, challenges, and epidemiology of penetrating neck injuries. Learn about the importance of understanding neck anatomy for proper evaluation and management of patients with neck trauma.

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