List Archives

Wed May 6 12:36:39 BST 2009

How about an image or two?  Before I respond to this very complex issue that has, to my knowledge, no real definitive answer in the surgical or neurosurgical literature, why did you scan the patient in the first place?  "Post-blunt trauma" is a pretty broad category....trauma where?  Was the c-spine injured?  Was the blunt trauma directly to the neck?  Was this a seatbelt across the neck?

And lastly - is the really an injury, to refer to a phrase coined by Ken Mattox, is this just VOMIT?

Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of khumar huseynova
Sent: Tuesday, May 05, 2009 4:53 PM
To: trauma-list at trauma.org
Subject: Blunt CCA injury ina stable YOUNG pt

24M w post-blunt trauma. Stable. Has intimal dissection of common carotid art w 50% lumen obstruction. Asymptomatic from injury currently. No other injuries. What would you do-anticoagulate w LOW-dose heparin; give ASA only; stent; or operate?
KH

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Blunt CCA injury ina stable YOUNG pt