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After Aaccident That Caused A Cartoid Artery Dissection Had LOC

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Posted on Mon, 13 May 2019
Question: after aaccident that caused a cartoid artery dissection had LOC BUT came to quick 3 hours b4 declineing in mental staus wemt to hospital..if he would have went to hospital sooner could he have been saved under supervision of medocal staff .
doctor
Answered by Dr. Bhagyesh V. Patel (1 hour later)
Brief Answer:
carotid dissection damage very quickly within minutes.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my clinical experience, the carotid artery dissection manifest with many of the
systemic output for cardiac, neuro and other systems in fraction of minutes.

* However, the question of possibility of survival through early hospital approach need
to know many substantial details as

- mode and impact of injury
- extent of internal hemorrhage
- at scene medical assistance if any
- co morbid conditions as pre existing cardiology or other systemic issues

Awaiting for your response.
Regards.

Dr Bhagyesh
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhagyesh V. Patel (19 minutes later)
He had no internal hemorrhage on first ct scan he fell outta a tree amd saftly harness caught his neck and whipped it back then he fell 6 to 8 feet out of tree he was 47 healthy no other injuries very active in daily life no drug use he had had a few drinks before the incident. Which i believe is why he fell
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Follow up: Dr. Bhagyesh V. Patel (1 minute later)
He had LOC for a minute but came to moments later and just complainee of neck pain
doctor
Answered by Dr. Bhagyesh V. Patel (7 minutes later)
Brief Answer:
follow up .

Detailed Answer:
Hi Jazsnie
Thanks for the details.

* As per this information, early hospital approach would must be of immense benefit in
terms of prompt evaluation, stable vital parameters, carotid doppler and earliest
preventive measures for possible clot or embolism which ultimately affect survival of the
patient.

Do feel free to discuss further regarding the same.
Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20405 Questions

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After Aaccident That Caused A Cartoid Artery Dissection Had LOC

Brief Answer: carotid dissection damage very quickly within minutes. Detailed Answer: Hello and welcome to Ask A Doctor services. I have read your query and here is my advise. * As per my clinical experience, the carotid artery dissection manifest with many of the systemic output for cardiac, neuro and other systems in fraction of minutes. * However, the question of possibility of survival through early hospital approach need to know many substantial details as - mode and impact of injury - extent of internal hemorrhage - at scene medical assistance if any - co morbid conditions as pre existing cardiology or other systemic issues Awaiting for your response. Regards. Dr Bhagyesh