.trauma-neck – emupdates

November 23, 2009

Foley Catheter Balloon Tamponade for Life-threatening Hemorrhage in Penetrating Neck Trauma

1. Stick a foley into a bleeding wound, try to follow tract.
2. Inflate with 5cc water or until resistance felt.
3. Clamp foley or tie it on itself to prevent blood from flowing down lumen.
4. Suture skin around foley.
5. Call a surgeon.

World J Surg (2006) 30: 1265

September 23, 2009

1170. Potential sources of neuro deficit in neck trauma // Complete vs. incomplete hanging // How does hanging cause injury? Judicial vs. incomplete vs. in-hospital

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September 23, 2009

1169. Most common mechanism of vertebrobasilar artery injury // Approach to possible vessel injury in stable, minimally symptomatic neck trauma patient // Trauma patient with neuro deficit and normal CT scan should suggest // Management options in blunt neck trauma

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September 23, 2009

1168. Significance of the cricoid cartilege // Laryngotracheal injury: primary, secondary signs, dx // Optimal management of tracheal transection

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September 23, 2009

1167. Most frequently missed neck injury // Primary signs of esophageal injury // Secondary signs // Diagnostic approach to esophageal injury // Initial management

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September 23, 2009

1166. Complications assoc with blind nasotracheal intubation // Contraindications // BiPAP in pulmonary edema starting settings // Disposition of neck trauma patients

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September 23, 2009

1165. Signs and symptoms of arterial air embolism // Problem with NGT placement in neck trauma // RSI with neck trauma? Contraindicaitons, approach to urgent and potentially difficult airway

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September 23, 2009

1164. Is the physical exam reliable to detect significant neck injury in a stable patient? // Dangers of BVM neck injured patient // Profound shock unresponsive to IVF or arrest in a neck-injured patient raises what diagnosis? Rx?

1164. Is the physical exam reliable to detect significant neck injury in a stable patient? // Dangers of BVM neck injured patient // Profound shock unresponsive to IVF or arrest in a neck-injured patient raises what diagnosis? Rx?

air embolus air embolism

September 23, 2009

1163. Marker for need for investigations, surgery, or observation in penetrating neck injury // Hard signs for penetrating neck injury // Soft signs

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September 23, 2009

1162. Two neck triangles and their importance // Structures at risk in penetrating neck trauma and top three most injured // Structures uniquely at risk in zones I and III

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