To those who are interested in my guidemaps,
I have posted a new EM guidemap on the subject of "penetrating neck
injuries" on my educational website at:-
Penetrating neck trauma is a complex subject and there is a wide
variation in clinical practice - from routine mandatory surgical
exploration of all penetrating neck wounds to a super-selective approach
based on extensive diagnostic testing.
From an EP's point-of-view, the major issues are:-
Who needs to be intubated and when/how should they be intubated?
What are the optimal approaches to airway management if intubation
When is immediate surgery indicated?
When is angiography indicated?
When is panendoscopy indicated to rule-out aero-digestive injury?
Should there be a different diagnostic approach depending on the zone of
I am definitely no "expert" on the subject and I have simply tried to
develop a reasonably rational approach to a complex clinical problem.
Please feel free to offer any criticism or commentary that will make my
guidemap more accurate and more evidence-based. I am always willing to
learn how to improve my clinical approach to difficult ED
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: