Pediatric Trauma: Module 3

Assessing the Neck


  • Only 1-2% of pediatric trauma results in spical cord injury.
    • 60% affect the high cervical spine.
  • Evaluate the anterior neck for:
    • Ecchymosis, contusions, lacerations.
    • Expanding hematoma.
    • Subcutaneous emphysema.
    • Jugular venous distension.
    • Tracheal deviation.
  • Palpate the cervical spine while maintaining in-line estabilization for:
    • Point tenderness.
    • Coma.
    • Step offs, deformity.
    • Crepitations.
  • Recall that children can have spinal cord injury without signs of fracture or dislocation
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