Hard signs neck trauma4/17/2024 ![]() Management Penetrating neck injury Review Trauma. Todays podcast review Chapter 37 in Rosens 9th Edition and gives you the tools you will need to manage your next case of neck trauma in the ED. CRACKCast E226 Facial Trauma - June 10, 2021. CRACKCast E228 Neck Trauma - August 6, 2021. We present an evidence-based, algorithmic and practical guide for clinicians to use when assessing and managing penetrating neck injury. CRACKCast E231- Genitourinary System - April 1, 2022. Conclusions The 'no zonal approach' to penetrating neck trauma is a selective approach with superior patient outcomes in comparison with traditional management principles. Patients whose condition is stable who lack hard signs should undergo multidetector helical computed tomography with angiography for evaluation of the injury, regardless of the zone of injury. Patients whose condition is unstable should undergo immediate operative exploration. Results After initial resuscitation with Advanced Trauma Life Support principles, penetrating neck injury management depends on whether the patient is stable or unstable on clinical evaluation. All other articles which had clear relevance concerning the epidemiology, clinical features and surgical management of penetrating neck injuries were included. Role of computed tomography angiography in the management of Zone II penetrating neck trauma in patients with clinical hard signs. Articles with only limited relevance to the review were subsequently discarded. Schroll R, Fontenot T, Lipcsey M, Heaney JB, Marr A, Meade P, et al. 1 PNT constitutes 5-10 of all trauma admissions in North America and South Africa. Methods A comprehensive MEDLINE (PubMed) literature search was conducted using the search terms 'penetrating neck injury', 'penetrating neck trauma', 'management', 'guidelines' and approach. Penetrating neck trauma (PNT) describes a penetrating injury that breaches platysma. Penetrating neck injury represents 5 10 of all trauma cases.1 It is important for clinicians to be familiar with man-agement principles, as mortality rates can be as high as 10.2 This can prove difficult however, as there are no international consensus guidelines and recent improvements in imaging modalities have altered the way in which. A literature review was completed to provide clinicians with a current practice guideline for evaluation and management of penetrating neck injuries. Recent improvements in imaging modalities have altered the way in which penetrating neck injuries are now best approached with a more conservative stance. ![]() ![]() There are no international consensus guidelines on penetrating neck injury management and published reviews tend to focus on traditional zonal approaches. doi:10.1371/ Penetrating neck injury is a relatively uncommon trauma presentation with the potential for significant morbidity and possible mortality. Mild traumatic brain injury (mTBI) and chronic cognitive impairment: A scoping review. McInnes K, Friesen CL, Mackenzie DE, Westwood DA, Boe SG. Discussing sexual health after traumatic brain injury: an unmet need!. Interventions for managing skeletal muscle spasticity following traumatic brain injury. ![]() Traumatic brain injury-induced sleep disorders. Assessing connectivity related injury burden in diffuse traumatic brain injury. Traumatic alterations in consciousness: traumatic brain injury. Traumatic brain injury: current treatment strategies and future endeavors. Galgano M, Toshkezi G, Qiu X, Russell T, Chin L, Zhao LR. ![]()
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