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Flashcards in Neck Trauma Deck (12):
1

5 signs and symptoms Laryngotracheal injury

Stridor
Hoarseness
SubQ emphysema
Loss of anatomical landmarks
Dyspnea
Hemoptysis

2

Airway management of suspected LAryngotracheal injury

Intubate early for signs of edema or obstruction
Fiberoptic should be first line as can create false passage
Don't paralyze unless have double set up

3

Imaging modalities of choice in laryngotracheal injury

CT neck (less useful in peds as not calcified) and bronch for lower airway injury

4

Pharyngoesophageal injury usually from penetrating trauma, caustic/FB ingestion, forceful vomiting
1. Clinical sign and symptoms?
2. Feared complication?

Hematemesis
SubQ emphysema
Blood in saliva /NGT

Complication: mediastinitis

5

Pharyngoesophageal injuries imaging modalities and management

Plain X-ray for mediastinal air-- esophogram, endoscopy
Broad spectrum antibiotics, NPO, no NG tube blinding

6

11 risk factors for blunt cerebrovascular injury (vertebral or carotid)

Major TBI
clothesline
Near hanging
Basal skull fracture
Mandibular fracture
Occipital condyle fracture
C-spine fracture
Scalp degloving
Major thoracic injury
Seatbelt sign w swelling
Mid face displaced fracture

7

6 hard signs suggesting blunt cerebrovascular injury

Tia/stroke
Expanding hematoma
Bruit
Airway compromise
Horner syndrome
Active bleeding

8

What are the mechanisms of injury in blunt cerebrovascular trauma leading to thrombosis or embolism?

Dissection, intimal tear and pseudoaneurysm formation

9

8 hard signs of penetrating airway trauma

Focal neuro deficits
Expanding /pulsating hematoma
Severe Active bleed
Bubbling wound
Massive SubQ emphysema
Hematemesis
Shock
Airway compromise

10

Zone 1:
Landmarks
Structures
Imaging

Sternal notch (or clavicles) to cricoid
Trachea, esophagus, Lung apices,Carotids + vertebrals, Spinal cord, thyroid,
CTA, endoscopy/esophagram, bronch

11

Zone 2:
Landmarks
Structures
Imaging

Cricoid to angle of mandible
Larynx, trachea, esophagus, carotids, vertebral arteries, jugular veins
Surgery if hard signs, otherwise as per zone 1

12

Zone 3:
Landmarks
Structures
Imaging

Angle of mandible to base of skull
Pharynx, Jugular veins, Vertebral and carotids, Base of skull
CTA