SAQ 399 – Trauma – penetrating neck injury and threatened airway

A 25-year-old man is brought to your tertiary ED after being stabbed in the neck with a kitchen knife. He is initially awake, alert, and has normal vital signs. The injury is shown below. During assessment he becomes increasingly breathless with dysphonia. He remains GCS 15 and haemodynamically stable, but you recognise progressive airway obstruction risk and the need for a definitive airway.

Describe how the three neck zones are divided.

(Marked out of 3.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Zone</th> <th>Description/landmarks</th> </tr> </thead> <tbody> <tr> <td>Zone 1</td> <td></td> </tr> <tr> <td>Zone 2</td> <td></td> </tr> <tr> <td>Zone 3</td> <td></td> </tr> </tbody> </table> <p>

/ 3

Name two (2) structures in each neck zone that could be injured.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Zone</th> <th>Structures</th> </tr> </thead> <tbody> <tr> <td>Zone 1</td> <td></td> </tr> <tr> <td>Zone 2</td> <td></td> </tr> <tr> <td>Zone 3</td> <td></td> </tr> </tbody> </table> <p>

/ 6

Name five (5) hard signs of major aerodigestive or neurovascular injury.

(Marked out of 5.0)

/ 5

Outline your next five (5) management steps.

(Marked out of 5.0)

/ 5

Total Score: 0 / 19

Percentage: 0%