(Click the link to comment and to vote – voting not working through email, sorry!)
You are seeing a 3 year old who sustained a 2cm laceration to the neck from a jagged edge on a piece of metal play equipment at a local park.
(Click the link to comment and to vote – voting not working through email, sorry!)
You are seeing a 3 year old who sustained a 2cm laceration to the neck from a jagged edge on a piece of metal play equipment at a local park.
Loading ...© 2024 PEM Source — Powered by WordPress
Theme by Anders Noren — Up ↑
April 14, 2021 at 9:39 pm
A) The emergency physician should use violation of the platysma muscle to define a penetrating neck injury requiring work-up and surgical consult
The platysma is a thin muscle layer just below the skin that covers the entire anterolateral neck. Violation of the platysma defines penetrating neck injury (vs. superficial skin laceration). Patients with platysma violation should be seen by a surgeon and undergo work-up as recommended. The traditional zones may not be applicable to children, who have shorter necks and larger heads. The initial study of choice for suspected vascular injury is CT angiogram. Penetrating neck injuries are much more common in adults. Any impaled foreign body should only be removed by a surgeon, preferably in the O.R.