Yep, the back of your neck pulls your had up. The front of your neck pulls your head down.

Wow, missed his arteries.... Luck bastard.

well, that and he has to wear his IZOD collars popped from now on.

No need to he put down. That is some cleaning and some sutures.

Correct.

DID ANYONE SEE THE BUG IN HIS NECK! WTF

Meh, clean it, give antibiotics. Observe.

Fellas, that is a nasty cut, but nothing that can't be managed in the United States, with a full recovery expected.

That dude might die in his country, but maybe not. Irrigate it very well. Connect some blood vessels and muscles, some nerves, suture the skin, a little rehab, done.

We don't have a history and we can't examine him so this is all educated opinions.  I think it's easy to forget how much muscle there is in the back of the neck.  The first picture is a cross-section at the level of the thyroid and is a good approximation of the level of injury.  The second picture shows the external jugular veins.

1) I don't think any major arteries or veins were punctured.  They lie too anterior to the wound(s), and he would likely have bled out quickly.

2) I don't see the subcutaneous emphysema.  We don't know what weapon caused the wound, so it is entirely possible that the top of the chest cavity was punctured and then air tracked up if a long enough knife was used.  

3)The splenius capitis and the splenius cervicis neck muscles are used to extend the head/neck and they are both likely severed all the way through.  This explains why he has to use his hand to keep the head from flopping forward.  

4) I also agree he seems to have something going on with the left side of the face, but I'm not sure what.  The wounds appear to be too posterior to have reached the vertebral artery, and the facial nerve lies anterior to the ear.





ETA:  Also what scottfire1957 said.

Thanks for your mention. I was a simple paramedic, back in the day.

Nothing immediately life threatening there.  You'd be surprised at the serious injuries that people can sustain with minimal blood loss.

Depending on the mechanism of injury, and assuming no arteries are cut the body can be pretty good at stopping that.

This is why you keep shooting a threat until they're horizontal and no longer a threat, not X number of rounds and stop.

I bet he learned to call the neighbor Mr. Sir from now on!

You guys are the tip of the spear.  If someone doesn't apply pressure in the field, patients don't make it to the hospital.