First Time Authors ProgramPenetrating Neck Injuries in ChildrenHanson, Carol A.L. MSN, RN; Smith, Jill Ann RNAuthor Information Carol Logan Hanson, MSN, RN, is Pediatric Trauma Coordinator; Jill Ann Smith, RN, CEN, is Pediatric Trauma Case Manager, Geisinger Health System, Danville, Pa. Corresponding author: Carol Logan Hanson, MSN, RN, Geisinger Health System, 100 N Academy Ave, Danville, PA 17822 (email: [email protected]). The data in this article were provided by the Pennsylvania Trauma Systems Foundation, Mechanicsburg, Pa. The foundation specifically disclaims responsibility for any analyses, interpretations, or conclusions. Journal of Trauma Nursing: January 2007 - Volume 14 - Issue 1 - p 12-16 doi: 10.1097/01.JTN.0000264138.25642.63 Buy CE Test Metrics Abstract Penetrating neck injuries are uncommon in children, and when they do occur, they can be a challenge to manage. Injuries can be cardiovascular, aerodigestive, and neurovascular. In the past, injuries were explored surgically to evaluate the extent of the injury; studies are now showing that observation and less invasive studies have a positive outcome for the patient. Immediate surgical intervention remains mandatory for the clinically unstable patient, whereas stable patients have studies done that pertain to their signs and symptoms, thus having a conservative nonoperative approach to care. © 2007 Lippincott Williams & Wilkins, Inc.