Management of penetrating neck injuries

Abstract

FCBT was useful in patients with PNI and active bleeding. Stable patients should undergo additional investigation based on clinical findings only.

Stabbing Injury of the Forearm: A Case Report

“…Foreign body penetrations are common injuries and may occur in almost any part of the body [1,2]. Penetrating trauma of upper extremities are considered as difficult injuries to manage because vascular and nerve injuries are serious and may lead to catastrophic damages impairing the patient outcome [4,5].…”

“…Foreign body penetrations are common injuries and may occur in almost any part of the body [1,2]. Nearly half of the penetrating traumas are penetrating injuries to the extremities.…”

Penetrating nontorso trauma: the head and the neck

“…Balloon tamponade can be particularly expedient at arresting hemorrhage in the neck and has been advocated as a definitive treatment for venous injuries in some centres. 1,9,10 Clinically significant cervical spine injuries caused as a result of penetrating trauma are rare. If a patient arrives with an intact neurologic examination despite GSW or stab wounds to the neck, the incidence of a cervical spine injury that requires a therapeutic intervention is minute.…”

Management of penetrating injuries of the upper extremities

“…The accuracy of the physical examination to detect vascular injury is very high in patients after penetrating trauma. [6,[8][9][10] Hard signs of a vascular injury (Table 1) mandate emergent surgical exploration, or, when the patient is hemodynamically stable, endovascular treatment could be considered. [7,11] Diagnostic CTA is indicated in hemodynamically stable patients with clinical signs of vascular injury (Table 1).…”

“…Similar to the case with penetrating trauma in other body regions, a selective non-operative management (SNOM) protocol should be used in PUET. [2,8,9] Without signs of vascular impairment in PUET, a conservative observational strategy is likely. [8] The present study was undertaken to assess SNOM in PUET in a tertiary referral trauma center (Groote Schuur Hospital, Cape Town), to which over 800 patients with penetrating trauma of the extremities present each year.…”