blunt carotid injury advice

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sure wish we had a CTA a ct to look at
 
sal
 
In a message dated 7/2/2008 3:38:54 A.M. Eastern Standard Time,  
danielsimonster at gmail.com writes:

32 YO  MVA victim, was  intubated and ventilated on site for a GCS of 7  and
maxilo-facial injury. He was evacuated to a local hospital where a  Rt
chest-tube was inserted for pneumothorax. Brain CT showed sub  arachnoid
hemorrhage with some small contusions , a C1 fracture was found  as well. He
was then transferred to a Level 1 Trauma Center. On admission  he had a GCS
of 5 (t) with right hemiparesis. Neck CT -angio  showed  dissection of the
left internal carotid artery. What  shall we do  now?
thanks
Daniel Simon


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