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Penetrating Neck Trauma Zone II — FRCA Final MCQ

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HardTrauma & Emergency AnaesthesiaPenetrating Neck Trauma Zone IIFRCA Final

Zone II neck stab: expanding haematoma with stridor, stable vitals. Next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Intubation in ED then CT angiography

Expanding haematoma + stridor = compromised airway + likely vascular injury. Priority: secure airway (intubation, ideally in theatre with surgical backup). Expanding haematoma distorts anatomy making intubation progressively harder. After airway: CTA delineates injury.

Reference: RCEM/Vascular Society – 2023 – Penetrating neck trauma