Snapshot A 27-year-old male is brought in to the ED after being found down in front of his apartment. The neighbors report that the patient was a stabbing victim, and a small knife was found on the left neck by EMS and left in place. En route, the patient’s blood pressure is 91/53 mmHg, pulse is 110/min, respirations are 21/min, and oxygen saturation is 95% on room air with GCS of 15. On exam, there is a small knife on the lateral left neck above the sternal notch with a large hematoma that feels pulsatile. There are decreased breath sounds on the left apical lung. There are also multiple stab wounds and lacerations on his back. Introduction Neck trauma can be described neck zones login to view 3 more bullets Mechanism of injury can determine zones and layers of neck involved Presentation Airway injury login to view 8 more bullets Pharynx/esophageal injury login to view 1 more bullet Vascular injury login to view 2 more bullets Nerve injury login to view 2 more bullets Management General approach login to view 17 more bullets