Trauma

Question 1

What are the zones of the neck

Answer 1

Zone I - clavicle to cricoid
Zone II - cricoid to angle of mandible
Zone III - angle of mandible to skull base

Question 2

How do you manage trauma base on neck zones

Answer 2

Explore if unstable
Blunt: CT scan
Penetrating:
I angiogram, bronch, esophagoscopy, barium swallow
II Neck exploration
III Angio/laryngoscopy

Question 3

How do you treat fat embolism

Answer 3

IVF and vent if needed

Question 4

How do you treat tracheal injury?

Answer 4

1 layer absorbable suture w strap muscle buttress

Question 5

Whats a positive DPL

Answer 5

10 mL of blood, bile, or succus
Or
>100k rbc or >500 wbc