Neck Trauma

Summary: The hardest question… Should you get a CTA? Blunt Trauma of Neck * Obtain CTA if…* Patient has neurologic deficit* Numbness* Weakness* Visual changes* Patient sustained forceful impact to the neck* Patient has fracture* Basilar skull* Facial bones* Cervical spine Penetrating Trauma of the Neck * Go to OR if patient is unstable* Go to OR if patient has HARD signs* HARD Bruit Mnemonic* Hemoptysis/Hematemesis/Hypotension* Arterial bleeding* Rapidly expanding hematoma* Deficit (neurologic/pulse)* Bruit* Otherwise obtain CTA of the neck Additional Reading * Neck Trauma: A Practice Update <a href="http://www.emdocs.net/neck-trauma-practice-update/#:~:text=Vascular%20assessment%20using%20CTA%20should%20be%20obtained%20even,they%20ought%20to%20be%20investigated%20and%20ruled%20out.">(emDOCs)</a>

Neck Trauma

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