TRAUMA-NECK

Question 1

Expanding hematomas in which zone of the neck do not require pre-op angio?

Answer 1

Zone II – can be directly approached distally and proximally.

Question 2

Blunt carotid injury grade I

Answer 2

<25% of lumen is narrowed. Give anti platelet rx and observe with followup CT.

Question 3

Blunt carotid injury grade II

Answer 3

> 25% of lumen is narrowed with either dissection or intramural hematoma. Surgical repair if accessible; otherwise, give anti platelet rx.

Question 4

Blunt carotid injury grade III

Answer 4

Pseudo aneurysm; repair with surgery or endovascularly.

Question 5

Blunt carotid injury grade IV

Answer 5

Occlusion. Repair with surgery if accessible; otherwise, give anticoag.

Question 6

Blunt carotid injury grade V

Answer 6

Transection. Repair if accessible or ligate.