title: Cervical tracheal transection after scarf entanglement in a go-kart engine.
abstract: BACKGROUND
  Tracheal disruption secondary to blunt force occurs infrequently. Most individuals suffering such an injury die before arriving at a hospital. Diagnosis for those who do present alive is often delayed, as signs and symptoms typically do not match the severity of injury.
  
  
  OBJECTIVE
  The objectives of this case report are to present a unique mechanism for tracheal disruption and to discuss our management strategy.
  
  
  METHODS
  We describe an 18-year-old man who suffered tracheal disruption after entanglement of his scarf in a go-kart engine. His initial workup was conducted by emergency physicians and included computed tomographic evaluation of the neck. After diagnosis, the patient was transported to an operating suite. Awake tracheostomy was performed in this controlled environment to secure the airway, after which the trachea was repaired via primary anastomosis.
  
  
  CONCLUSIONS
  Prompt recognition and appropriate intervention are critical in the care of patients with suspected tracheal transection to prevent mortality.
authors.affiliation: Department of Surgery, Orlando Health, Orlando, Florida 32806, USA.
authors.forename: Aaron D
authors.initials: AD
authors.lastname: Seims
authors.forename: Thomas D
authors.initials: TD
authors.lastname: Shellenberger
authors.forename: Gary A
authors.initials: GA
authors.lastname: Parrish
authors.forename: Matthew W
authors.initials: MW
authors.lastname: Lube
mesh_terms: D000059:Accidents; D000293:Adolescent; D006801:Humans; D061224:Laryngeal Nerve Injuries / Q000209:etiology; D008297:Male; D011859:Radiography; D014132:Trachea / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014139:Tracheostomy; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*