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Blunt Neck Trauma

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21. Laryngeal Injury and Pneumomediastinum Due to Minor Blunt Neck Trauma: Case Report. (Abstract)

Laryngeal Injury and Pneumomediastinum Due to Minor Blunt Neck Trauma: Case Report. Serious isolated laryngeal injuries are uncommon in children.We describe the case of an 8-year-old boy with laryngeal injury and pneumomediastinum due to minor blunt neck trauma. He presented to the emergency department complaining of odynophagia and hoarseness, but without respiratory distress. Emphysema was seen between the trachea and vertebral body on initial cervical spine x-ray study, and flexible (...) laryngoscopy revealed erythema and mild edema of both the right vocal cord and the arytenoid region. He recovered with conservative management only. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: We conclude that it is important to recognize subtle evidence of laryngeal injury secondary to blunt neck trauma to ensure early diagnosis. Initial cervical spine x-ray assessment should exclude both cervical spine fracture and local emphysema after blunt neck trauma. If patients with blunt neck trauma have

2016 Journal of Emergency Medicine

22. Pediatric Blunt Neck Trauma Causing Esophageal and Complete Tracheal Transection. (Abstract)

Pediatric Blunt Neck Trauma Causing Esophageal and Complete Tracheal Transection. Blunt injuries to the cervical trachea remain rare but present unique and challenging clinical scenarios for prehospital providers. These injuries depend on prehospital providers either definitively securing the injured airway or bridging the patient to a treatment facility that can mobilize the necessary resources.The case presented here involves a clothesline injury to a pediatric patient that resulted (...) fiberoptic intubation or proceeding directly to tracheostomy, these techniques are not available in the prehospital environment. This case also highlights the inherent issues with proceeding to cricothyroidotomy in patients with tracheal trauma and should give all providers pause before considering this management technique.Ultimately, a systematic approach to all airways will ensure that prehospital providers are best prepared for even the most challenging scenarios.

2016 Prehospital emergency care

23. Surgical Management of Life-Threatening Thyroid Haematoma following Occult Blunt Neck Trauma Full Text available with Trip Pro

Surgical Management of Life-Threatening Thyroid Haematoma following Occult Blunt Neck Trauma A 42-year-old man arrived at the emergency department in severe respiratory distress, requiring immediate intubation and ventilation. An emergency computed tomography (CT) neck scan identified a substantial haematoma within a multinodular goitre, necessitating an emergency total thyroidectomy. It was later discovered that the patient had been the victim of an assault involving blunt trauma (...) to the anterior neck. Five days postoperatively the patient was extubated and was well enough to self-discharge the following day. Pathology revealed the lesion to be a ruptured follicular adenoma within his multinodular goitre. Signs of this rare but life-threatening condition may be subtle on initial presentation, particularly if the patient is obtunded. Patients with suspected blunt neck trauma should be observed for signs of respiratory distress. If this develops, the patient should be intubated

2016 Case reports in endocrinology

24. Thyroid gland rupture caused by blunt trauma to the neck Full Text available with Trip Pro

Thyroid gland rupture caused by blunt trauma to the neck Thyroid rupture following blunt trauma is extremely rare, and neck pain without swelling may be the only presenting symptom. However, hemorrhage and hematoma subsequently causes severe tracheal compression and respiratory distress.A 71-year-old Japanese woman visited our emergency room with a complaint of increasing right-sided neck pain at the thyroid cartilage level after she tripped and accidentally hit her neck against a pole 3 h back (...) rupture caused by blunt neck trauma have been reported in patients with normal thyroid glands and neck pain without swelling may be the only presenting symptom. When suspected, CT should be performed to confirm the diagnosis determine the optimal treatment.

2016 BMC research notes

25. Occult Spinal Cord Injury after Blunt Force Trauma in a Patient with Achondroplasia: A Case Report and Review of Trauma Management Strategy. (Abstract)

Occult Spinal Cord Injury after Blunt Force Trauma in a Patient with Achondroplasia: A Case Report and Review of Trauma Management Strategy. Achondroplastic dwarfism is associated with anatomic abnormalities that can predispose to occult injury and challenges in trauma management. Airway anatomy is problematic due to macrocephaly, midface hypoplasia, and a narrow nasopharynx. Manipulation of the neck is very dangerous due to the high likelihood of preexisting cervicomedullary stenosis (...) . Restrictive lung disease and obstructive sleep apnea may complicate respiratory status. Peripheral and central venous access can be difficult to obtain. Orthopedic and metabolic comorbidities can lead to a prolonged hospital course.A 17-year-old male patient with achondroplasia presented to the Emergency Department after a high-speed motor vehicle collision. Despite a negative computed tomography scan of the cervical spine and absence of neck pain, a magnetic resonance imaging evaluation was obtained due

2017 Journal of Emergency Medicine

26. Bilateral vertebral artery transection following blunt trauma Full Text available with Trip Pro

Bilateral vertebral artery transection following blunt trauma Blunt vertebral artery injury (BVI) is a potentially catastrophic event associated with a variety of trauma mechanisms, particularly in the setting of cervical spine injury. Early detection and treatment of BVI and blunt carotid artery injury (BCI) - collectively termed blunt cerebrovascular injuries (BCVI) - is a known determinant of favorable outcomes, except in the case of complete transection injuries. The limited existing (...) of the anterior neck, and no purposeful movements noted of the lower extremities. Shortly thereafter, the patient showed a sudden decline in mental status and became hemodynamically unstable. Focused Assessment with Sonography for Trauma was positive, and after remaining unstable despite resuscitation efforts, the patient was brought emergently to the operating room.Following exploratory laparotomy for bleeding control and washout of the open fracture, CT angiogram of the head and neck was obtained

2018 International journal of surgery case reports

27. One-year and three-year mortality prediction in adult major blunt trauma survivors: a National Retrospective Cohort Analysis. Full Text available with Trip Pro

blunt trauma survivors, 247 (7.2%) died within 1 year, and 551 (16.1%) died within 3 years of injury. Age (OR 1.06, 95% CI 1.05-1.07, p < 0.001), male gender (OR 1.53, 95% CI 1.12-2.10, p < 0.01), low fall from 0.5 m or less (OR 3.48, 95% CI 2.06-5.87, p < 0.001), Charlson comorbidity index of 2 or more (OR 2.26, 95% CI 1.38-3.70, p < 0.01), diabetes (OR 1.31, 95% CI 1.68-2.52, p = 0.04), cancer (OR 1.76, 95% CI 0.94-3.32, p = 0.08), head and neck AIS 3 or more (OR 1.79, 95% CI 1.13-2.84, p = 0.01 (...) One-year and three-year mortality prediction in adult major blunt trauma survivors: a National Retrospective Cohort Analysis. Survivors of trauma are at increased risk of dying after discharge. Studies have found that age, head injury, injury severity, falls and co-morbidities predict long-term mortality. The objective of our study was to build a nomogram predictor of 1-year and 3-year mortality for major blunt trauma adult survivors of the index hospitalization.Using data from the Singapore

2018 Scandinavian journal of trauma, resuscitation and emergency medicine

28. Low Yield of Paired Head and Cervical Spine Computed Tomography in Blunt Trauma Evaluation. (Abstract)

Low Yield of Paired Head and Cervical Spine Computed Tomography in Blunt Trauma Evaluation. With increased computed tomography (CT) utilization, clinicians may simultaneously order head and neck CT scans, even when injury is suspected only in one region.We sought to determine: 1) the frequency of simultaneous ordering of a head CT scan when a neck CT scan is ordered; 2) the yields of simultaneously ordered head and neck CT scans for clinically significant injury (CSI); and 3) whether injury (...) in one region is associated with a higher rate of injury in the other.This was a retrospective study of all adult patients who received neck CT scans (and simultaneously ordered head CT scans) as part of their blunt trauma evaluation at an urban level 1 trauma center in 2013. An expert panel determined CSI of head and neck injuries. We defined yield as number of patients with injury/number of patients who had a CT scan.Of 3223 patients who met inclusion criteria, 2888 (89.6%) had simultaneously

2018 Journal of Emergency Medicine

29. Blunt rupture of the thoracic duct after severe thoracic trauma Full Text available with Trip Pro

Blunt rupture of the thoracic duct after severe thoracic trauma A 53-year-old man was admitted to our trauma center after sustaining thoracoabdominal injuries, secondary to a rear-end motor vehicle collision. As he stepped out of his vehicle, he was struck by a tractor trailer at 55 mph. The following were the initial vital signs on his arrival: heart rate 140 beats/min, blood pressure 142/80 mm Hg, respiratory rate 28 breaths/min, temperature 36.8°C, and oxygen saturation 93%. The Glasgow Coma (...) Scale score was 15 and the Injury Severity Score was 59. He was evaluated and resuscitated per the advanced trauma life support protocols. The focused assessment with sonography for trauma examination was negative. Initial findings included bilateral chest wall and thoracic spine tenderness, subcutaneous emphysema in the chest and neck, and an unstable pelvis. He required bilateral chest tubes and a pelvic binder. CT imaging revealed a left temporal epidural hematoma, multiple facial fractures

2018 Trauma Surgery & Acute Care Open

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

Thyroid gland rupture after blunt neck trauma: A case report and review of the literature Soft tissue injuries are relatively common after blunt neck trauma, because of its complex anatomy, many vital structures can be compromised. Isolated trauma to the thyroid is highly uncommon and there are few cases reported in the literature.A 19 year-old female patient with no known pathologies who sustained direct blunt trauma to the right frontal half of the neck after falling down from a stair case (...) . She arrived at the ER with moderate neck swelling and pain. There were no visible hematomas and no respiratory compromise was noted. Contrast enhanced CT-scan showed rupture and hematoma of the right thyroid lobe; she underwent surgical exploration with hemi thyroidectomy and recovered uneventfully.Despite soft tissue injuries are relatively common after blunt neck trauma, isolated thyroid gland injury is extremely rare and is present in about 1-2% of the cases and in most of the cases

2015 International journal of surgery case reports

31. ACR–ASNR–SPR Practice Parameter for the Performance of Computed Tomography (CT) of the Extracranial Head and Neck

it is not possible to detect all abnormalities using CT, adherence to the following parameters will increase the probability of their detection. II. INDICATIONS A. Indications for CT of the soft tissues of the extracranial head and neck include, but are not limited to [1-37]: 1. Congenital anomalies 2. Benign and malignant neoplasms 3. Infections and inflammatory processes 4. Trauma 5. Vascular malformations 6. Evaluation of palpable masses 7. Radiation therapy treatment planning 8. Follow-up after surgery (...) 9. Radiation therapy treatment planning 10. Foreign body 11. Diplopia 12. Loss of vision 13. Complications of sinusitis and sinus surgeries PRACTICE PARAMETER CT_Extracranial Head and Neck / 3 14. Preoperative and intraoperative planning and/or guidance 15. Vascular malformations D. Indications for CT of the temporal bone include, but are not limited to [35,57,58]: 1. Conductive or sensorineural hearing loss 2. Benign and malignant neoplasms 3. Trauma 4. Acute or chronic otomastoid inflammatory

2019 American Society of Neuroradiology

32. Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma Full Text available with Trip Pro

/blunt trauma in zone II of the neck, giving emphasis on the anticoagulant and endovascular treatment. (...) Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma Neck trauma is the leading cause of death mainly in younger persons posing to surgeons the dilemma whether to proceed with reconstruction of vascular injuries either in the presence of coma or in severe neurological deficit. Vascular injuries in zone II predominate over the other injuries located in zones I/III of the neck. Conventional open repair of carotid injuries with primary closure or interposition

2017 Frontiers in surgery

33. Neck Trauma: ENT Prospects Full Text available with Trip Pro

socioeconomic status. Most common age group presenting with neck trauma was between 22 and 40 years. 7 case were homicidal, 5 cases were suicidal and 4 were of accidental injury. Most cases reached hospital within 2-6 h of injury except 3 cases which took more than 8 h. Bleeding from wound site was most common symptom at presentation. Most injuries in 13 out of 17 cases were at thyroid cartilage level. Penetrating neck trauma was most common followed by blunt neck trauma. Most cases required emergency (...) Neck Trauma: ENT Prospects Neck trauma is a very important surgical emergency faced by ENT surgeons in day to day practice. They are potentially life threatening conditions due to the presence of many vital structures in this area. Timely presentation to the referral centre and proper multidisciplinary approach towards management plays a pivotal role in the healing pattern of the wound and prevention of serious complication like shock, sepsis, laryngeal stenosis or fistula formation

2017 Indian Journal of Otolaryngology and Head & Neck Surgery

34. Management of Blunt Force Bladder Injuries

, January 9–13, 2018, in Orlando, Florida. Address for reprints: Lawrence L. Yeung, MD, 1600 SW Archer Rd, Box 100247, Gainesville, FL 32610; email: . Supplemental digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML text of this article on the journal’s Web site ( ). Abstract BACKGROUND The diagnostic evaluation and clinical management of bladder injuries caused by blunt force trauma are variable. We aim (...) on four PICO questions concerning the evaluation and management of blunt force bladder injuries. Blunt external trauma, from either a direct blow to the abdomen or shearing forces from a pelvic fracture, accounts for the majority of bladder injuries presenting in emergency rooms. Bladder injuries are associated with multiple organ injuries making mortality rates associated with bladder injuries as high as 22%. Overall, roughly 60% of injuries are extraperitoneal, 30% intraperitoneal, and 10% occur

2019 Eastern Association for the Surgery of Trauma

35. Management of right main bronchial rupture with a double lumen endotracheal tube in a patient with blunt chest trauma Full Text available with Trip Pro

Management of right main bronchial rupture with a double lumen endotracheal tube in a patient with blunt chest trauma Tracheobronchial disruption is one of the most severe injuries caused by blunt chest trauma. It may cause airway obstruction and resulting life-threatening respiratory deficiency. However, the clinical presentations are variable and frequently difficult to diagnose. We report a case of a previously healthy 16-year-old man with complete right main bronchial transection sustained (...) after a vehicular accident, who had progressive dyspnea, subcutaneous emphysema in the neck and anterior chest wall, and bilateral tension pneumothorax. Prompt chest tube drainage for suspected bilateral tension pneumothorax and a tracheal intubation were performed. Shortly after the positive pressure ventilation, severe subcutaneous emphysema developed and he was at risk for developing shock. Additional chest tubes were inserted. An emergency bronchoscopy showed rupture of the right main bronchus

2017 Clinical and experimental emergency medicine

36. Low Yield of Clinically Significant Injury With Head-To-Pelvis Computed Tomography in Blunt Trauma Evaluation. (Abstract)

Low Yield of Clinically Significant Injury With Head-To-Pelvis Computed Tomography in Blunt Trauma Evaluation. Many trauma centers have adopted routine head-to-pelvis computed tomography (CT) imaging for the evaluation of adults with blunt trauma.We sought to determine the yields of detecting clinically significant injuries (CSIs) with CT in >1 anatomic region.We conducted this observational cohort study of all trauma activation patients >14 years of age who received CT imaging during blunt (...) trauma evaluation at a Level 1 trauma center from April to October 2014. Expert panels determined the clinical significance of head, neck, chest, abdomen, and pelvis injuries seen on CT. We calculated yields of CSI, defined as the number of patients with CSI divided by the total number of patients who underwent CT imaging. The 3 specified anatomic regions considered were head/neck, chest, and abdomen/pelvis.The median age of 1236 patients who had CT was 48 years; 69% were male; 51.2% were admitted

2017 Journal of Emergency Medicine

37. Diffuse Subcutaneous Emphysema and Pneumomediastinum Secondary to a Minor Blunt Chest Trauma Full Text available with Trip Pro

Diffuse Subcutaneous Emphysema and Pneumomediastinum Secondary to a Minor Blunt Chest Trauma Full medical evaluation is paramount for all trauma patients. Minor traumas are often overlooked, as they are thought to bear low injury potential. In this case report, we describe the case of a 48-year-old man presenting to our Emergency Department with mild to moderate right-sided shoulder and scapular pain following a fall from his own height ten days previously. Clinical and paraclinical (...) investigations (CT) revealed diffuse right shoulder pain, with crepitations on palpation of the neck, right shoulder, and right lateral chest wall. Computed tomography (CT) demonstrated right-sided costal fractures (ribs 7 to 9), with diffuse subcutaneous emphysema and pneumomediastinum due to laceration of the visceral and parietal pleura and the adjacent lung parenchyma. In addition, a small ipsilateral pneumothorax was found. Surprisingly, the clinical status was only minimally affected by mild

2017 Case Reports in Emergency Medicine

38. Blunt laryngeal trauma secondary to sporting injuries. (Abstract)

Blunt laryngeal trauma secondary to sporting injuries. Laryngeal injury after blunt trauma is uncommon, but can cause catastrophic airway obstruction and significant morbidity in voice and airway function. This paper aims to discuss a case series of sports-related blunt laryngeal trauma patients and describe the results of a thorough literature review.Retrospective case-based analysis of laryngeal trauma referrals over six years to a tertiary laryngology centre.Twenty-eight patients were (...) identified; 13 (46 per cent) sustained sports-related trauma. Most were young males, presenting with dysphonia, some with airway compromise (62 per cent). Nine patients were diagnosed with a laryngeal fracture. Four patients were managed conservatively and nine underwent surgery. Post-treatment, the majority of patients achieved good voice outcomes (83 per cent) and all had normal airway function.Sports-related neck trauma can cause significant injury to the laryngeal framework and endolaryngeal soft

2017 Journal of Laryngology & Otology

39. Appropriate Use Criteria: Imaging of the Head & Neck

trigeminal neuralgia: a blinded case-control study and meta-analysis. Pain. 2014; 155(8):1464-1471. 9. Arab AF, Ahmed ME, Ahmed AE, et al. Accuracy of Canadian CT head rule in predicting positive findings on CT of the head of patients after mild head injury in a large trauma centre in Saudi Arabia. Neuroradiol J. 2015 Dec;28(6):591-7. 10. Baugh RF, Basura GJ, Ishii LE, et al. Clinical practice guideline: Bell’s palsy. Otolaryngol Head Neck Surg. 2013 Nov;149(3 Suppl):S1-S27. 11. Beck J, Raabe A, Szelenyi (...) . Diagnostic yield of computed tomography angiography and magnetic resonance angiography in patients with catheter angiography-negative subarachnoid hemorrhage. J Neurosurg. 2012Aug;117(2):309-15. 29. Delgado Almandoz JE, Kelly HR, Schaefer PW, Lev MH, Gonzalez RG, Romero JM. Prevalence of traumatic dural venous sinus thrombosis in high-risk acute blunt head trauma patients evaluated with multidetector CT venography. Radiology. 2010;255(2):570-577. 30. Detsky ME, McDonald DR, Baerlocher MO, Tomlinson G

2018 AIM Specialty Health

40. Pediatric Blunt Abdominal Trauma

Pediatric Blunt Abdominal Trauma Pediatric Blunt Abdominal 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 Pediatric Blunt (...) Abdominal Trauma Pediatric Blunt Abdominal Trauma Aka: Pediatric Blunt Abdominal Trauma , Blunt Abdominal Injury in Children , Pediatric Abdominal Trauma From Related Chapters II. Precautions See Children hide hemodynamic instability from Children compensate even with until they precipitously, hemodynamically collapse Children are higher risk for serious injury following blunt Compact torso with large organ to body mass ratios (concentrated in a tight ) Large organs not fully protected by rib margin

2018 FP Notebook

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