![]() ![]() Penetrating injuries to the neck pose a unique challenge to clinicians, especially within the resource-limited pre-hospital environment. Penetrating neck injury (PNI) is defined as any trauma to the neck that violates the platysma muscle layer. From this we plan to instigate a Delphi process to develop a consensus statement on the pre-hospital management of this challenging presentation. Based on the available reviewed evidence, we have proposed a management algorithm for this cohort of patients. The available research is discussed in sections based on the commonly used trauma management acronym ‘cABCD’ (catastrophic haemorrhage, Airway, Breathing, Circulation, Disability) to facilitate a systematic approach and clinical evaluation familiar to clinicians. A systematic scoping review of the literature was conducted to evaluate the current available research pertaining to managing this injury profile, prior to the patient arriving in the emergency department. ![]() These injuries are particularly difficult to manage in the resource poor, often austere and/or remote, pre-hospital environment. Respiratory, vascular, gastro-oesophageal and neurological structures may all be involved, either in isolation or combination. Injuries to this area, whilst low in incidence, are potentially devastating. Penetrating injuries to the neck pose a unique challenge to clinicians due to the proximity of multiple significant anatomical structures with little protective soft tissue coverage. ![]()
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