BACKGROUND Penetrating neck injury is an important trauma subset but is relatively rare, especially when involving the posterior cervical column. Rupture of the neck restraints, including the interspinous and flavum ligaments, can create serious cervical instability that requires special consideration when managing the airway. However, no detailed information regarding airway management in pati...

Clin. Pract. (2014) 11(2), 149–153 ISSN 2044-9038 part of Penetrating trauma to the neck, laryngeal fracture and foreign-body aspiration are three injuries that, individually, infrequently occur in adults. Reports of penetrating neck injuries and foreign-body aspiration presenting simultaneously, have been described in the literature. The authors present the previously unreported case of a pene...

The newer approach to management of penetrating neck injuries (PNI) involves the No Zone approach: comprehensive physical examination combined with CT angiography for triage to effectively identify or exclude vascular and aerodigestive injury. This approach, however, has a low negative exploration rate; there is risk of missing occult injuries especially Zone I and III PNI. We report a case of ...

Impalement injury is the subset of penetrating trauma, defined as fixed, elongated objects penetrate and remain in the human body cavity or region by relatively low velocity. We report an unusual case of facial and neck impalement where two dirty rusted iron bars penetrated forehead bilaterally and exited neck and ear respectively without causing major organ injuries. After thorough radiologic ...

conclusions we can conclude that the surveillance presented to our injured group probably had some defects that need to be revised in therapeutic services to enhance survival requirements. objectives the aim of this study was to evaluate the outcome of trauma cases using the trauma score and the injury severity score (triss) model and then comparing this with the results of a major trauma outco...

BACKGROUND Although gunshot injuries are the most common penetrating anterior neck injuries in the developed world, this finding is not the case in the developing world, where knives, spears, arrows, and machetes are the preferred weapons, particularly in tribal societies. AIM To present the case report of a patient with arrow shot injury to the anterior neck. METHOD A 48 year old cattle re...

The management of penetrating neck injuries has changed tremendously in the last 20 years. During the 1960s and 1970s the golden rule for such injuries was mandatory neck exploration. This policy became generally accepted because of the anatomical proximity of the neck to important structures, the potential of disastrous consequences, and previous military experience. However, experience in the...

BACKGROUND Spine immobilization in trauma has remained an integral part of most emergency medical services (EMS) protocols despite a lack of evidence for efficacy and concern for associated complications, especially in penetrating trauma patients. We reviewed the published evidence on the topic of prehospital spine immobilization or spinal motion restriction in adult patients with penetrating t...

Introduction: There are significant gender differences in the epidemiology and presentation of cardiovascular diseases (CVDs), physiological aspects of CVDs, response to diagnostic tests or interventions, and prevalence or incidence of the associated risk factors. Considering the independent influence of gender on early dire consequences of such diseases, this study was conducted to investigate...

A retrospective review was made of 139 clinically stable patients who had sustained penetrating trauma to the face and neck. The study was done to learn more about the indications for angiography and the impact of angiography upon patient management. Some relationship between the physical examination and the angiographic findings was found. In the presence of any one of four physical signs or s...