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Blunt Neck Trauma

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1. Blunt Versus Penetrating Neck Trauma: A Retrospective Cohort Study. (Abstract)

Blunt Versus Penetrating Neck Trauma: A Retrospective Cohort Study. Despite being common, neck injuries have received relatively little attention for important quality of care metrics. This study sought to determine the association between blunt and penetrating neck injuries on mortality and length of stay, and to identify additional patient and hospital-level characteristics that impact these outcomes.Retrospective cohort study utilizing the American College of Surgeons Trauma Quality (...) in those sustaining blunt neck injuries compared to penetrating injuries (4.9% vs. 6.0%, P < .01), while length of hospital stay was similar (median 9.9 vs. 10.2, P = 0.06). In adjusted analysis, blunt neck injuries were associated with a reduced odds of mortality during hospital admission (odds ratio: 0.66, 95% confidence intervals [0.564, 0.788]), as well as significant reductions in length of stay (rate ratio: 0.92, 95% confidence intervals [0.880, 0.954]).Blunt neck injuries are associated

2020 Laryngoscope

2. Blunt neck trauma at a level I trauma centre: six-year retrospective case note review. (Abstract)

Blunt neck trauma at a level I trauma centre: six-year retrospective case note review. Blunt neck trauma can cause serious morbidity and mortality rates of up to 40 per cent, but there is a paucity of literature on the topic.A retrospective case note review was performed for all blunt neck trauma cases managed at the Queen Elizabeth Hospital Birmingham between 1st January 2011 and 31st December 2017.Seventeen cases were managed, with no mortality and limited morbidity. Most patients were male (...) findings in 3 cases (60 per cent).Blunt neck trauma is uncommon but usually presents in polytrauma. Imaging has inaccuracies when compared with operative findings, regardless of radiological experience.

2019 Journal of Laryngology & Otology

3. Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones

Trauma Rep . Published online January 16, 2019:12-18. doi: 2. Bhattacharya P, Mandal M, Das S, Mukhopadhyay S, Basu S. Airway management of two patients with penetrating neck trauma. Indian J Anaesth . 2009;53(3):348-351. 3. Wu M, Tsai Y, Lin M, Hsu I, Fong Y. Complete laryngotracheal disruption caused by blunt injury. Ann Thorac Surg . 2004;77(4):1211-1215. doi: 4. ATLS Subcommittee., American College of Surgeons’ Committee on Trauma., International ATLS working group. Advanced trauma life support (...) Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones - CanadiEM Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones In , , by Will Wu September 15, 2020 Patient Presentation On a cold winter’s day in Winterfell, a middle-aged man by the name of Lord Baelish was stood in front of the Northern and Vale lords to answer for his crimes. His cunning and deceitful

2020 CandiEM

4. Evaluation of the Thoracic and Lumbar Spine in Blunt Trauma

Evaluation of the Thoracic and Lumbar Spine in Blunt Trauma Evaluation of the Thoracic and Lumbar Spine in Blunt Trauma | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Sections Education Fellowships Research Journal Club Events Open Search Vignette You’re working a shift at a level II trauma center in the community one rainy afternoon when EMS brings in Mr. Q a 62-year old man with hypertension and hyperlipidemia who (...) imaging choices, and a quick look online directs you to a Wondering what other literature there is, you begin to conduct a more thorough search…. PICO Question Population: Adult patients suffering blunt trauma Intervention: Aspects of history (e.g. mechanism of injury) and physical exam, plain radiography Comparison: CT scan, surgical findings, follow up Outcome: Need for surgical intervention or TLSO bracing Search Strategy A systematic review and meta-analysis, recently published by a collaboration

2019 Washington University Emergency Medicine Journal Club

5. A Case of Pneumomediastinum Due to Blunt Neck Trauma in a 23-Year-Old Male Rugby Player Full Text available with Trip Pro

A Case of Pneumomediastinum Due to Blunt Neck Trauma in a 23-Year-Old Male Rugby Player BACKGROUND Pneumomediastinum is an uncommon clinical condition that usually occurs spontaneously, or is caused by blunt thoracic or abdominal trauma. This report is of a rare case of pneumomediastinum caused by blunt neck trauma in an adult and describes the clinical and radiological features and the principles of clinical management. CASE REPORT A 23-year-old man presented with increased neck swelling (...) , dysphonia and pain on swallowing (odynophagia) after blunt neck trauma during a rugby game. Chest X-ray and computed tomography (CT) showed features that were consistent with pneumomediastinum, including extensive subcutaneous emphysema. The patient was intubated and monitored in the intensive care unit (ICU) and managed with early stabilization of the airway and with conservative methods. He had no complications on clinical follow-up following hospital discharge. CONCLUSIONS Although pneumomediastinum

2018 The American journal of case reports

6. Laryngeal laceration after blunt neck trauma in a football player Full Text available with Trip Pro

Laryngeal laceration after blunt neck trauma in a football player 29681963 2018 11 14 1731-5530 15 1 2018 Mar Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery Kardiochir Torakochirurgia Pol Laryngeal laceration after blunt neck trauma in a football player. 57-58 10.5114/kitp.2018.74677 Łochowski Mariusz P MP Regional Multidisciplinary Center of Oncology and Traumatology, Lodz, Poland. Rębowski Marek M Regional Multidisciplinary Center of Oncology

2018 Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery

7. Blunt Trauma Neck with Complete Tracheal Transection - A Diagnostic and Therapeutic Challenge to the Trauma Team Full Text available with Trip Pro

Blunt Trauma Neck with Complete Tracheal Transection - A Diagnostic and Therapeutic Challenge to the Trauma Team Survival following trachea-esophageal transection is uncommon. Establishing a secure airway has the highest priority in trauma management. Airway management is a unique and a defining element to the specialty of emergency medicine. There is no doubt regarding the significance of establishing a patent airway in the critically ill patient in the emergency department. Cannot intubate (...) and cannot ventilate situation is a nightmare to all emergency physicians. The most important take-home message from this case report is that every Emergency physician should have the ability to predict "difficult airway" and recognize "failed airway" very early and be skilled in performing rescue techniques when routine oral-tracheal intubation fails. Any delay at any step in the "failed airway" management algorithm may not save the critically ill dying patient. Here, we report a case of blunt trauma

2017 Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

8. Tracheal tear from blunt neck trauma in children: Diagnosis and management. (Abstract)

Tracheal tear from blunt neck trauma in children: Diagnosis and management. We describe the management of posterior trachea tears after blunt neck trauma in two children. The first, a 5 year-old boy who fell off his scooter, causing a 1.0cm tear in the membranous cervical trachea, was managed conservatively with 5 days of intubation. The second, a 12 year-old girl who fell on her bicycle, causing a 4.0cm tear in the membranous thoracic trachea, was repaired with thoracoscopic techniques

2017 International Journal of Pediatric Otorhinolaryngology

9. Thyroid gland hemorrhage after blunt neck trauma: case report and review of the literature. Full Text available with Trip Pro

Thyroid gland hemorrhage after blunt neck trauma: case report and review of the literature. Thyroid hemorrhage is considered to be an uncommon complication following blunt trauma to the neck. This condition is potentially life-threatening due to airway compression and may therefore require emergency airway management and surgical intervention in some cases.We present the case of a 52-year-old woman who experienced a traumatic thyroid gland rupture (right lobe) with subsequent active arterial (...) bleeding from branches of the inferior thyroid artery. On the same day, the patient presented to our emergency department with a painful swelling of the neck with an inspiratory stridor and hoarseness a few hours after a cycling accident. A right hemithyroidectomy was performed. The postoperative course was uneventful. We identified 33 additional cases published in English literature within the last 30 years, reporting blunt trauma to the neck with hemorrhagic complication of the thyroid gland. We

2017 BMC Surgery

10. Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment Full Text available with Trip Pro

Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment Blunt cerebrovascular injury (BCVI) to the carotid artery is a relatively rare injury that is difficult to identify even with imaging. Any symptoms or neurological deficits following blunt neck injury mandate evaluation and consideration of BCVI. In an effort to highlight this issue, we report the case of a 31-year-old male patient who presented with left-sided weakness consistent (...) with transient ischemic attack (TIA) and concussion. The patient's symptoms occurred within 24 hours of a blunt neck injury sustained by a knee strike during a basketball game. An initial computerized tomography (CT) scan of the brain was normal; a CT angiogram (CTA) of the neck and carotids did not reveal obstruction, dissection, stenosis, or abnormalities of the carotid or vertebral vessels and the patient was subsequently discharged. A magnetic resonance imaging (MRI) of the brain obtained four days after

2017 Case Reports in Emergency Medicine

11. Complete cricotracheal transection due to blunt neck trauma without significant symptoms Full Text available with Trip Pro

Complete cricotracheal transection due to blunt neck trauma without significant symptoms Laryngotracheal injuries are relatively rare but their mortality rate is fairly high. Complete disruption of trachea is extremely rare and a systematic approach is needed for early diagnosis and favourable outcome. The patients symptoms and physical signs do not necessarily correlate with the severity of the injuries and this case report highlights it. This is a case report of 25-year-old man who arrived (...) to the emergency department 8 h after a motor accident in which a rope was wrapped around his neck. Because of the good general and respiratory condition of the patient on admission, the pathognomonic signs of laryngeal injury were not noticed. A computed tomographic scan showed distortion of cricotracheal framework. Flexible bronchoscopy showed cricotracheal transaction. Immediately, the endotracheal tube was advanced distal to the transection site under bronchoscopic guide and then after neck exploration

2017 Journal of surgical case reports

12. Blunt Neck Trauma

Blunt Neck Trauma Blunt Neck Trauma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Blunt Neck Trauma Blunt Neck Trauma Aka: Blunt (...) Neck Trauma From Related Chapters II. Pathophysiology Anterior neck and throat is exposed to direct Mechanism Clothesline Injury Attempted Strangulation Sporting events or fights (e.g. punched in throat) s (e.g. steering wheel blunt injury) Potential Injuries Vascular Injury (esp. injury) See See Laryngeal Injury (e.g. ) Risk of airway compromise Injury (esp. anterior triangle injury) Risk of expanding hematoma with airway compression Higher risk if pre-existing or tumor, and in pediatric patients

2018 FP Notebook

13. Neck Vascular Injury in Blunt Force Trauma

Neck Vascular Injury in Blunt Force Trauma Neck Vascular Injury in Blunt Force Trauma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Neck Vascular Injury in Blunt Force Trauma Neck Vascular Injury in Blunt Force Trauma Aka: Neck Vascular Injury in Blunt Force Trauma , Carotid Dissection in Blunt Neck Trauma , Carotid Artery Injury in Blunt Neck Trauma , Traumatic Carotid Dissection From Related Chapters II. Epidemiology Traumatic Carotid Dissections are rare, but potentially devastating Traumatic Carotid Dissections are most common in children Children (esp. age <6 years old) account for 73% of Traumatic Carotid Dissections

2018 FP Notebook

14. Blunt Neck Trauma

Blunt Neck Trauma Blunt Neck Trauma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Blunt Neck Trauma Blunt Neck Trauma Aka: Blunt (...) Neck Trauma From Related Chapters II. Pathophysiology Anterior neck and throat is exposed to direct Mechanism Clothesline Injury Attempted Strangulation Sporting events or fights (e.g. punched in throat) s (e.g. steering wheel blunt injury) Potential Injuries Vascular Injury (esp. injury) See See Laryngeal Injury (e.g. ) Risk of airway compromise Injury (esp. anterior triangle injury) Risk of expanding hematoma with airway compression Higher risk if pre-existing or tumor, and in pediatric patients

2018 FP Notebook

15. Neck Vascular Injury in Blunt Force Trauma

Neck Vascular Injury in Blunt Force Trauma Neck Vascular Injury in Blunt Force Trauma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Neck Vascular Injury in Blunt Force Trauma Neck Vascular Injury in Blunt Force Trauma Aka: Neck Vascular Injury in Blunt Force Trauma , Carotid Dissection in Blunt Neck Trauma , Carotid Artery Injury in Blunt Neck Trauma , Traumatic Carotid Dissection From Related Chapters II. Epidemiology Traumatic Carotid Dissections are rare, but potentially devastating Traumatic Carotid Dissections are most common in children Children (esp. age <6 years old) account for 73% of Traumatic Carotid Dissections

2018 FP Notebook

16. Vertebral Artery Injury in Blunt Neck Trauma

Vertebral Artery Injury in Blunt Neck Trauma Vertebral Artery Injury in Blunt Neck Trauma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Vertebral Artery Injury in Blunt Neck Trauma Vertebral Artery Injury in Blunt Neck Trauma Aka: Vertebral Artery Injury in Blunt Neck Trauma From Related Chapters II. Epidemiology may be as high as 22% of blunt neck injuries (70% when C-Spine is present) III. Risk Factors IV. Mechanism l (especially C1-C3) Neck rotation or distraction Neck hyperflexion or hyperextension Facet dislocation Foramen transversarium V. Symptoms Asymptomatic initially in many cases (despite occult life threatening

2018 FP Notebook

17. Deconstructing Dissections: A Case Report and Review of Blunt Cerebrovascular Injury of the Neck Full Text available with Trip Pro

Deconstructing Dissections: A Case Report and Review of Blunt Cerebrovascular Injury of the Neck Blunt cerebrovascular injury (BCVI) is a term encompassing traumatic carotid and vertebral artery dissection or disruption. While the reported incidence appears to be increasing as diagnostic modalities improve, these injuries are often diagnosed only after patients have developed acute neurologic symptoms. These injuries often result in severe permanent neurologic disability or death. The gold (...) intravascular catheter directed tissue plasminogen activator with carotid stent placement. Nonetheless, the patient goes on to require intubation and, ultimately, a tracheostomy and transfer to an inpatient rehabilitation setting due to continued hemiparesis. This case highlights the need for increased awareness of a potentially debilitating, life-threatening disease process. A high index of suspicion is required among emergency medicine physicians for early diagnosis and treatment of trauma patients

2018 Case Reports in Emergency Medicine

18. CRACKCast E044 – Neck Trauma

CRACKCast E044 – Neck Trauma CRACKCast E044 - Neck Trauma - CanadiEM CRACKCast E044 – Neck Trauma In , by Adam Thomas October 10, 2016 This episode of CRACKCast covers Rosen’s Chapter 044, Neck Trauma. Continuing in our trauma series, this episode tackles the challenging issue of neck trauma and injuries, and explores the anatomy and relevant considerations in the diagnosis and management of both blunt and penetrating neck injuries. Shownotes – Rosen’s in Perspective Wide range of complications (...) from minor wounds to severe hemorrhage, neurologic injury, to airway compromise Apparently stable patients can harbour life threatening injuries Three mechanisms of neck trauma: Blunt Penetrating Strangulation / near hanging Four anatomic injury areas: Laryngotracheal – airway Pharynx oesophageal – digestive tract Vascular system Neurologic system Principles of Disease Penetrating trauma : Aetiologies: GSW’s: High velocity: rifles > 2000 ft/s Have very predictable direct pathways through tissue

2016 CandiEM

19. Is CT thorax necessary to exclude significant injury in paediatric patients with blunt chest trauma?

Trust Date Submitted: 24th June 2015 Date Completed: 29th July 2015 Last Modified: 29th July 2015 Status: Green (complete) Three Part Question In [paediatric patients with blunt chest trauma] is [CT thorax] necessary to [exclude significant injury]? Clinical Scenario A 6-year-old child was brought to hospital as a major trauma having been hit by a reversing car. The actual incident was not witnessed but the tyre tracks across the child's chest and the petechiae on his face and neck give credence (...) Is CT thorax necessary to exclude significant injury in paediatric patients with blunt chest trauma? BestBets: Is CT thorax necessary to exclude significant injury in paediatric patients with blunt chest trauma? Is CT thorax necessary to exclude significant injury in paediatric patients with blunt chest trauma? Report By: Craig Ferguson - Consultant in Emergency Medicine Search checked by Katharine de la Morandiere - Consultant in Emergency Medicine Institution: Central Manchester Foundation

2015 BestBETS

20. Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient

, Tepas JJ, Rowe K, Abboud J. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan? J Trauma. 2003; 55: 222–227. Demetriades D, Charalambides K, Chahwan S, Hanpeter D, Alo K, Velmahos G, Murray J, Asensio J.. Nonskeletal cervical spine injuries: epidemiology and diagnostic pitfalls. J Trauma. 2000; 48: 724–727. Patton JH, Kralovich KA, Cuschieri J, Gasparri M. Clearing the cervical spine in victims of blunt assault to the head and neck: what is necessary (...) Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient - Practice Management Guideline Search » Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient Published 2015 Citation: Authors Patel, Mayur B. MD, MPH; Humble, Stephen S.; Cullinane, Daniel C. MD; Day, Matthew A. MD; Jawa, Randeep S. MD; Devin, Clinton J. MD; Delozier, Margaret S.; Smith, Lou M. MD; Smith, Miya A.; Capella

2015 Eastern Association for the Surgery of Trauma

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