During the primary survey life-threatening or limb-threatening conditions are identified and management is instituted simultaneously. Priorities for the care of Adult, Pediatrics & Pregnancy women are all the same. You should do Rapid sequential way to assess the patients in 10 seconds Treat as you find life threatening condition and Repeat if at any time unstable Vital signs should be repeated...

Injury to the spinal accessory nerve can be a disabling disorder. Patients with a spinal accessory nerve injury may have pain, paresthesias, and motor weakness that may result in scapular winging. The nerve can be injured by open, penetrating, or closed trauma; however, the most common cause is iatrogenic. This is most commonly encountered after procedures in the posterior triangle of the neck ...

PURPOSE To determine whether color Doppler sonography can be a sensitive alternative to screening arteriography for identifying arterial injury in patients with penetrating traumatic neck injuries. METHODS Fifty-two patients admitted to our trauma center with penetrating neck injuries (gunshot wounds and lacerations) were examined prospectively with color Doppler sonography, and findings were...

BACKGROUND The most appropriate management of penetrating neck injury (PNI) remains controversial. This study was conducted to determine the accuracy and safety of physical examination as the basis of selective observational management of PNI at our institution. METHODS The study was conducted between 1991 and 2006. Patients whose injuries penetrated platysma were included. Following resuscit...

Although penetrating neck injuries (PNIs) represent a small subset of patients presenting to the emergency department (ED), they can result in significant morbidity and mortality. The approach to airway management in PNI varies widely according to clinical presentation and local practice, such that global management statements are lacking. Although rapid sequence intubation (RSI) may be safe in...

It is well known that blunt neck trauma, when compared to a penetrating injury in the same anatomical area, is very rare. We report a case of an 81-year-old Caucasian woman with a blunt life-threatening neck trauma due to a bully goat. Although rare, direct evaluation should always be done in these cases because any misinterpretation may result in unfavorable outcomes. We have to highlight that...

Sharp trauma is an injury resulting in wounds on the surface of body by sharp objects. comprosised three forms wounds, namely incised (vulnus scissum), stab punctum), and chopped caesum). Cardiac damage caused to heart which not congenital or degenerative nature but impact/physical collision from outside can reduce change consciousness lead cognitive abilities, physical function, death. In this...

Abstract Penetrating carotid injuries occur infrequently in the UK. Without surgical intervention, mortality rates are close to 100%. Whilst vessel repair is optimal choice, zone III neck or haemodynamic instability particular often require ligation, which carries higher rates, increased risk of stroke and poorer outcomes overall. We present a young patient who sustained gunshot wound neck. Eme...

The larynx and surrounding soft tissues are vulnerable to injury during athletics despite protective equipment and rule modifications. Laryngeal injuries are uncommon but potentially fatal conditions that pose risks to the voice, airway, and esophagus of athletes who sustain blunt or penetrating neck trauma. Common symptoms and signs of laryngeal trauma include hoarseness, dyspnea, hemoptysis, ...

T raumatic extracranial carotid lesions can result from blunt, penetrating, or iatrogenic injuries. Blunt cerebrovascular injuries are found in up to 0.1% of all patients hospitalized for trauma in the United States, but the incidence can be as high as 2.7% in patients with an Injury Severity Score > 16.1 Of note, blunt lesions are associated with neurologic morbidity up to 80% and mortality as...