Neck Trauma

EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD

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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 (emDOCs)