A 27-year-old woman is brought to your tertiary ED by ambulance with a penetrating wound to the neck after being assaulted with a kitchen knife. She has a hoarse voice and appears confused, with no visible blood in the oropharynx. Her GCS is 13, HR 100 bpm, BP 95/60 mmHg and SaO2 95% on room air.
State six (6) points about your initial management of this patient.
(Marked out of 6.0)
/ 6
She reports left-eye visual disturbance with paraesthesia and weakness in her right arm. Injury to which structure is most likely?
(Marked out of 1.0)
/ 1
List three (3) other signs that would indicate urgent operative intervention.
(Marked out of 3.0)
/ 3
Her airway is secured and she remains stable after initial resuscitation. While preparing for operative intervention, what is your imaging of choice?
(Marked out of 1.0)
/ 1
Injury to which structure is the leading cause of delayed mortality in penetrating neck injury?
(Marked out of 1.0)
/ 1
Total Score: 0 / 12
Percentage: 0%
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