Laxton Steven J, Yutzy Jordan, Whiting Tanner, Pflederer Joe, Dovgalyuk Jacqueline, Fredericks Nina, Bruno Eric
Department of Emergency Medicine, University of Tennessee Health Science Center (UTHSC) - Nashville/Ascension Saint Thomas Rutherford, Murfreesboro, USA.
Department of Obstetrics and Gynaecology, University of Tennessee Health Science Center (UTHSC) - Nashville/Ascension Saint Thomas Rutherford, Murfreesboro, USA.
Cureus. 2025 May 29;17(5):e85041. doi: 10.7759/cureus.85041. eCollection 2025 May.
Penetrating trauma to the neck poses a critical challenge in the emergency department. These wounds have the potential to lead to rapid blood loss, hemorrhagic shock, and an increase in mortality. Large academic tertiary centers typically have vast resources and consultants to allow for rapid assessment and treatment of penetrating neck trauma. In community emergency departments, this is not typically the case, as surgical backup is usually not readily available and lacks the additional subspecialty coverage to aid in the management of the trauma patient. This situation often necessitates innovative methods of achieving hemostasis in certain life-threatening situations. This report explores a novel approach, termed the "slash pack," as a potential solution for managing such traumatic injuries. The report discusses two cases in which penetrating neck trauma was successfully managed with the slash pack technique in a community hospital for stabilization prior to the transfer of the patients to the regional tertiary trauma center. Both patients were stabilized and transferred to a level 1 trauma center for definitive care with complete resolution and no further sequelae from injury.
颈部穿透伤在急诊科是一项严峻挑战。这些伤口有可能导致快速失血、失血性休克并增加死亡率。大型学术性三级医疗中心通常拥有大量资源和会诊专家，以便对颈部穿透伤进行快速评估和治疗。在社区急诊科，情况通常并非如此，因为通常没有现成的外科支援，且缺乏额外的专科覆盖来协助处理创伤患者。这种情况往往需要在某些危及生命的情况下采用创新的止血方法。本报告探讨了一种名为“斜切包”的新方法，作为处理此类创伤性损伤的潜在解决方案。报告讨论了两例在社区医院中通过斜切包技术成功处理颈部穿透伤的病例，以便在将患者转送至地区三级创伤中心之前实现稳定。两名患者均实现稳定，并被转至一级创伤中心接受确定性治疗，最终完全康复，且未留下进一步的损伤后遗症。
