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Penetrating neck injury — RCPSC EM MCQ

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HardTraumaPenetrating neck injuryRCPSC EM

A 21-year-old man is stabbed in the neck anterior to the sternocleidomastoid. He is haemodynamically stable but has haemoptysis and a bubbling wound. No expanding haematoma is present and voice is hoarse. What is the most appropriate next step?

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Correct answer: A — CT angiography of neck and chest with aerodigestive evaluation and trauma consultation

Stable penetrating neck trauma with soft signs such as haemoptysis, hoarseness or bubbling wound requires CT angiography and targeted aerodigestive evaluation rather than blind exploration or simple closure.

Reference: Canadian trauma systems guidance; ATLS