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Excessive manipulation and inadequate immobilization of neck injured patients may cause additional neurologic damage and worsen the patient’s outcome. Handling patients with neck trauma is of great importance. Gunshot or stab injuries are the most common cause of penetrating laryngeal trauma. Motor vehicle collisions (MVCs) are the most common cause of blunt laryngeal trauma and these often occurs in the setting of multi-system trauma. Blunt trauma is more common than penetrating trauma. It is classified as either blunt or penetrating, according to the mechanism of injury. Additionally, spinal injuries must always be considered in patients with multiple injuries, either blunt or penetrating.Īcute laryngeal trauma is a rare and potentially lethal injury. The airway, vascular system, neurological system, and gastrointestinal tract are all found in this small area and can all be involved in a seemingly innocuous injury. Neck trauma poses a challenge to emergency providers secondary to the large amount vital structures that occupy a very small amount of real estate. Define the role of diagnostic tests in assessing neck trauma.Review Principles of ATLS as they pertain to neck trauma.Describe the approach to Cervical Spine Trauma.Describe the approach to penetrating neck trauma.Describe the approach to blunt neck trauma.Upon finishing this module, the student will be able to: See you soon!”Īs you walk to the trauma bay, you start going over in your head the management of neck trauma and preparing your airway equipment… His blood pressure is 80/40 and O2 sat is 88%. The patient has gurgling, spontaneous respirations and there are bubbles coming out of his anterior neck wounds. The EMS provider sounds anxious on the phone and states, “We are 4 minutes out with a gun shot wound to the neck. You are working in the Emergency Department when you take an EMS report. MD, Kaiser Permanente Central Valley Modesto & Chris Fowler, DO, University of Arkansas for Medical Sciences. Kman, MD OSU Wexner Medical Center Department of Emergency MedicineĮditor: Nur-Ain Nadir. SAEMF/CDEM Innovations in Undergraduate Emergency Medicine Education GrantĬareer Development and Mentorship CommitteeĬDEM Medical Education Fellow Travel ScholarshipĪuthor: Nicholas E. Virtual Rotation and Educational ResourcesĮMF/SAEMF Medical Student Research Training Grant Visit us on Twitter LinkedIn Facebook YouTube Instagram