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Penetrating neck injury — DIPIMC MCQ

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ModeratePre-Hospital TraumaPenetrating neck injuryDIPIMCDipIMC

A young man has a stab wound to the right side of the neck with active venous oozing and a small expanding haematoma. He is talking and protecting his airway. What is the most appropriate immediate management?

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

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Correct answer: D — Apply direct pressure, give oxygen and transport urgently

Penetrating neck wounds are managed with direct external pressure, supplemental oxygen, close airway monitoring for an expanding haematoma, and urgent transfer, because airway compromise can develop rapidly. Probing the wound or blind clamping can dislodge clot and cause torrential bleeding or air embolism. A circumferential neck bandage risks airway and venous obstruction. Pearl: an expanding neck haematoma is a sign of impending airway loss and prompts early definitive airway planning.

Reference: JRCALC Clinical Guidelines; Faculty of Pre-Hospital Care (RCSEd)