Management of the Homicidal Cut Throat: An Open Airway Injury

Abstract

Homicidal cut-throat injuries by definition are injuries over the front of neck by sharp instruments using a long blade with a murderous intent. Neck being relatively unprotected anatomic region is a common site for injuries that are potentially dangerous and require immediate management. Patients may present with acute blood loss due to injury to major vessels, airway compromise, and aspiration. Early intervention could save patient’s life in majority of cases. Management of cut throat injuries requires a multidisciplinary approach. The role of an anesthesiologist is to establish an airway by endotracheal intubation or tracheostomy before wound exploration and repair of transected tissues.