Podcast #191: Blunt Cervical Trauma
Show: Emergency Medical Minute
Author: Chris Holmes M.D.
Educational Pearls:
- Mechanism of injury involves hyperextension/hyperflexion
- Pathophysiology: inside of the arteries in the neck becomes disrupted, similar to a dissection. This is thrombogenic and leads to cerebral infarction
- Neurologic deficit is common.
- Other risk factors include facial fracture and cervical-spine fracture.
- Treat with anticoagulation - aspirin or other antiplatelet agents are appropriate.
- Increase clinical suspicion when patient presents with neurological deficit and has a negative CT.
References: https://www.east.org/education/practice-management-guidelines/blunt-cerebrovascular-injury
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