Hernández-Velázquez EU, Loyola-García U, Betancourt-Ángeles M, Gómez-Ríos N, Pérez-Guadarrama OA, Albores-Figueroa R, Corona-Esquivel E

Language: Spanish
References: 16
Page: 138-142
PDF size: 96.61 Kb.

ABSTRACT

Objective: To demonstrate the diagnostic and therapeutic approach for the emergency treatment of neck penetrating injuries due to firearm bullets.
Setting: Centro Médico del Instituto de Seguridad Social del Estado de México.
Design: Case presentation.
Case description: Man of 48 years of age with antecedents of penetrating injury to the neck by a firearm, entrance orifice in the chin without exit orifice, compromising the upper airway. The patient was, subjected to the advanced trauma life support (ATLS) protocol, with temporal control of the airway, performing an elective orotracheal intubation, with support from the anesthesia service and performing surgical treatment immediately. Injuries were identified and repaired with damage control exerted surgically.
Conclusion: Identifying rapidly and efficiently the injuries that affect the upper airway and, hence, life itself, as well as performing timely damage control is important in the daily activities of the general surgeon, Therefore, it is necessary to have an adequate knowledge of the neck’s anatomy in its three zones, as well as to master the surgical techniques used in these cases.

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