Penetrating Trauma Causes Types Diagnosis Treatment Prognosis Background. penetrating neck injury describes trauma to the neck that has breached the platysma muscle. 6 the most common mechanism of injury worldwide is a stab wound from violent assault, followed by gunshot wounds, self harm, road traffic accidents and other high velocity objects. 5, 7 the neck is a complex anatomical region containing important vascular, aerodigestive and neurological. Penetrating neck injuries (pnis) refer to neck injuries resulting from gunshot wounds, stab wounds, or penetrating debris (eg, glass or shrapnel) that penetrate the platysma. pni can cause life threatening injuries to the aerodigestive and neurovascular systems. the initial evaluation and management of pnis is reviewed here.
Penetrating Neck Injuries Rebel Em Emergency Medicine Blog Learn about the anatomy, epidemiology, zones, hard and soft signs, and management of penetrating neck injuries. find out how to diagnose and treat airway, vascular, and esophageal injuries with case examples and references. Penetrating neck injuries. background: patients with penetrating neck trauma can present with a variety of injury patterns including hemorrhagic shock, airway obstruction and neurologic injury. serious injuries may not be clinically obvious making diagnosis and prompt treatment challenging. due to the large number of critical structures in the. Risk of significant injury to vital structures in the neck is dependent upon the penetrating object. for gunshot wounds, approximately 50% (higher with high velocity weapons) of victims have significant injuries, whereas this risk may be only 10 20% with stab wounds. the management of injuries to the neck that penetrate the platysma is. For penetrating neck injuries, it is helpful to have knowledge of the anatomical zones of injury first described by monson and colleagues in 1969 (fig. 1, table 1). 5 these zones identify underlying structures that can be potentially damaged. whilst this schematic is useful, it is important to recognise that projectiles are capable of.
Penetrating Neck Injury Deranged Physiology Risk of significant injury to vital structures in the neck is dependent upon the penetrating object. for gunshot wounds, approximately 50% (higher with high velocity weapons) of victims have significant injuries, whereas this risk may be only 10 20% with stab wounds. the management of injuries to the neck that penetrate the platysma is. For penetrating neck injuries, it is helpful to have knowledge of the anatomical zones of injury first described by monson and colleagues in 1969 (fig. 1, table 1). 5 these zones identify underlying structures that can be potentially damaged. whilst this schematic is useful, it is important to recognise that projectiles are capable of. The mortality rate for penetrating neck injuries is as high as 10%. the most common cause of death from penetrating neck trauma is a vascular injury. the area of highest risk is injuries at the base of the neck, in zone 1. the leading causes of delayed mortality are due to esophageal injuries, which may not be apparent on initial presentation. In penetrating neck injuries, computed tomography (ct) angiography of the neck is the preferred imaging procedure to evaluate the extent of injury. catheter based arteriography is useful for further evaluation and an x ray barium swallow single contrast may be considered in conjunction with direct visualization techniques if there remains a.
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