Neck

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Check-list for secondary survey

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The examination of the neck in the secondary trauma survey should cover the:

always assume a cervical fracture until clinical and imaging evidence to the contrary

inspect and palpate with in-line immobilisation in a neutral position

consider plane films and further imaging, eg CT scanning, on the guidance of a radiologist

trachea; confirm that central; deviation may indicate mediastinal shift secondary to (haemo-)pneumothorax

neck veins; engorged veins may indicate cardiac tamponade

skin; penetrating injuries deep to platysma require operative investigation or imaging with angiography

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Neck

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