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Penetrating neck injury — DipIMC MCQ

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ModerateTraumaPenetrating neck injuryDipIMC

A 29-year-old man has a knife wound to zone II of the neck. He is sitting upright, speaking in short phrases, has expanding swelling and venous bleeding controlled with direct pressure; SpO2 is 94% on oxygen. What is the most appropriate immediate action?

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

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Correct answer: DApply direct pressure while preparing urgent transfer with airway pre-alert

Penetrating neck trauma with expanding swelling is time-critical and requires haemorrhage control, airway anticipation and urgent pre-alerted transfer. Probing the wound and removing pressure can worsen bleeding. Circumferential neck dressings can obstruct venous return and airway.

Reference: ATACC; JRCALC Guidelines