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Gunshot Wound to the Left Neck

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Surgery

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Abstract

A 30-year-old male presents to the ED with a single gunshot wound (GSW) to the left neck. The patient is hemodynamically stable, with a blood pressure of 120/70 mmHg, heart rate of 100/min, respiratory rate of 16/min, and a Glasgow Coma Scale of 15. He denies any weakness or numbness in his arms or legs. There is no stridor or odynophagia. He is able to speak and states that his voice sounds normal to him. On physical examination, he is awake and alert. There is a single entry wound in the left mid-neck between the cricoid cartilage and the angle of the mandible with no bleeding. There is a moderate but nonexpanding hematoma overlying the injury with no exit wound seen. There is no palpable crepitus or audible bruit. Neurological examination is normal.

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Suggested Reading

  • Bell RB, Osborn T, Dierks EJ, et al. Management of penetrating neck injuries: a new paradigm for civilian trauma. J Oral Maxillofac Surg. 2007;65:691.

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    Article  CAS  PubMed  Google Scholar 

  • Van Waes OJ, Cheriex KC, Navsaria PH, et al. Management of penetrating neck injuries. Br J Surg. 2012;99 Suppl 1:149.

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Authors and Affiliations

  1. Emergency Medicine, Los Angeles County – University of Southern California (LAC + USC), 1200 N. State Street, Room 1005, Los Angeles, CA, 90033, USA

    Erik Akopian MD

  2. Department of Surgery, Harbor-UCLA Medical Center, 1000 W. Carson Street, Torrance, CA, 90509, USA

    Christian de Virgilio MD

  3. Department of Surgery, Harbor-UCLA Medical Center, 1000 W. Carson Street, Box 42, Torrance, CA, 90509, USA

    Dennis Y. Kim MD

Authors
  1. Erik Akopian MD
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  2. Christian de Virgilio MD
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  3. Dennis Y. Kim MD
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Corresponding author

Correspondence to Erik Akopian MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Harbor-UCLA Medical Center, Torrance, California, USA

    Christian de Virgilio

  2. General Surgery, Harbor-UCLA Medical Center, Torrance, California, USA

    Paul N. Frank

  3. Department of Surgery, University of California, Irvine, Orange, California, USA

    Areg Grigorian

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© 2015 Springer Science+Business Media New York

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Akopian, E., de Virgilio, C., Kim, D.Y. (2015). Gunshot Wound to the Left Neck. In: de Virgilio, C., Frank, P., Grigorian, A. (eds) Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1726-6_44

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  • DOI: https://doi.org/10.1007/978-1-4939-1726-6_44

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1725-9

  • Online ISBN: 978-1-4939-1726-6

  • eBook Packages: MedicineMedicine (R0)

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