SAQ 1080 – Penetrating neck trauma with possible spinal injury

A 62-year-old man is assaulted during a home invasion. He has been stabbed in the right anterior neck and pushed down stairs. He is combative with GCS 10, HR 125, BP 105/65, a right parietal swelling and a right anterior neck wound with extensive haemorrhage.

List five immediate management priorities.

(Marked out of 5.0)

/ 5

List three potentially harmful effects of applying a hard cervical collar in this case.

(Marked out of 3.0)

/ 3

List four clinical features suggesting a critical vascular injury.

(Marked out of 4.0)

/ 4

Name two acute spinal cord syndromes and give two findings for each.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; table-layout: fixed; max-width: 100%; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Cord syndrome</th> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Findings</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 4

Total Score: 0 / 16

Percentage: 0%