Neck Trauma

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 9 October 2016

⏱️ 9 minutes

🔗️ Recording | iTunes | RSS

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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 […]

Transcript

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0:00.0	Hello, med students. My name is Zach Olson, and thank you for downloading this episode of the EM Clerkship Podcast.
0:10.6	Today we are continuing our trauma series. We've covered head, we've covered face, we've covered C-spine.
0:20.0	Here's our next case.
0:21.6	Hey, Dr. Rolson.
0:27.6	We have a 34-year-old male.
0:29.6	It's an inmate at the county jail.
0:31.6	He was assaulted while he was on the bench press.
0:34.6	Two other inmates approached him from the inside, slammed the bar down onto his collarbone and his neck area.
0:42.4	So the jail was concerned that he might have some sort of like collarbone or fracture, soft tissue injury to the neck.
0:49.7	He's been uncooperative the whole time.
0:51.3	We opted to keep him restrained.
0:52.7	The deputies are going to stay here with him. And we haven't been able tooperative the whole time. We opted to keep him restrained. The deputies are gonna stay here with him.
0:56.0	And we haven't been able to get much
0:57.5	except our glucose was 112, no other vitals.
1:01.7	And we haven't noticed him having any trouble breathing,
1:04.3	but he hasn't said anything to us at all.
1:06.3	So, yeah.
1:08.8	Can we get the keys?
1:10.1	We're gonna move them over.'re going to move them over.
1:11.6	Thank you.
1:12.6	Neck injury.
1:17.6	Not C-spine, but anterior, soft tissue, neck injury.
	...

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