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Had a case last PM that I was wondering how the list would manage in the ED?
 
 
14 yr old with a BB GSW with entrance wound to the left anterior triangle of
the neck? No exit wound. Hematoma at entrance site present. No respiratory
difficulty, stableVSS & no dysphonia, dysphagia, neurologic deficit,
parasthesias or neck crepitus. Alert and awake. Radiographs reveal bullet to
be in the prevertebral soft tissue at the level of C3-C4.
 
Would you do full spinal precautions?
Would you do a prophylactic RSI in the ED on arrival prior to surgical
evaluation/OR exploration?
 
Jay Pershad
Jay Pershad, M.D.
"We care for wee folks"
 
 
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