MedBugs: SAQ #446

Case: Penetrating neck trauma with aerodigestive injury

A 17-year-old man has presented to your rural ED following a quadbike accident where he impacted a wire fence and sustained blunt trauma to his neck.

1. List (5) features on clinical examination that would be suggestive of aerodigestive tract injury. (5 marks) 5 marks

2. List (4) features on clinical examination that would be suggestive of vascular injury. (4 marks) 4 marks

Your assessment is concerning for an airway injury. The patient’s vital signs are : HR 149 BP 100/60 RR 30 Sats 94% 15L/min O2 via NRB You determine the patient requires intubation.You determine the patient requires intubation.

3. List (6) potential difficulties that might arise during the peri-intubation period. State how you will manage each issue. (6 marks) 6 marks

4. List (3) investigations that will help delineate the extent of his injuries. Explain the utility of each. (3 marks) 3 marks

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Case: Penetrating neck trauma with aerodigestive injury

1. List (5) features on clinical examination that would be suggestive of aerodigestive tract injury. (5 marks) 5 marks

2. List (4) features on clinical examination that would be suggestive of vascular injury. (4 marks) 4 marks

3. List (6) potential difficulties that might arise during the peri-intubation period. State how you will manage each issue. (6 marks) 6 marks

4. List (3) investigations that will help delineate the extent of his injuries. Explain the utility of each. (3 marks) 3 marks

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