Background: Selective neck exploration and CT angiography (CTA) in penetrating neck trauma have been well described in adults. However, data in the pediatric population is sparse. The extent to which these practices have been adopted in pediatric patients is unknown. Methods: Retrospective, single-center cohort study of pediatric penetrating neck trauma for the years 2001 to 2014 in a dedicated children's hospital/level I pediatric trauma center. Clinical data, sensitivity and specificity of hard signs (active hemorrhage, airway compromise, expanding hematoma, crepitus, etc.) and soft signs of injury (bruit, voice change, stridor, laceration
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