Q&A: Stabbed in the Neck

What are the chances of survival if you get stabbed in the neck? For instance, by a six-inch knife? Where is the worst spot to take a wound like that, and where does it offer the highest chance of survival?

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The chances of survival are not great.

So, normally, the rule of thumb is: Three inches of penetration anywhere on the body is enough to kill. The thought process is that, if you’re going that deep, you’re going to hit something that’s either necessary, or that will cause the victim to bleed to death. When we’re talking about the neck, everything is a lot closer to the surface.

You need your spinal column. That’s pretty well armored, but it’s still vulnerable. Hit it with enough force, and you can knock the third or fourth vertebra out of position, severing the spinal chord, and killing them on the spot. Run a blade horizontally between those two, and you should be able to do the same with slightly more finesse (for whatever that’s worth.)

You need your arteries. That’s the carotid which is mirrored on each side. Sever either, and your life will be over in minutes.

There’s the trachea and larynx. You need those to breathe. They’re protected by a layer of cartilage, but that’s it. If it gets carved up, you’ll asphyxiate. This is survivable with immediate medical attention. But, this is well beyond normal first aid training. You someone with actual medical training on site.

There’s the upper esophagus which is important, though not immediately life threatening, but that’s shielded between the trachea and vertebrae.

There’s no place to get stabbed in the neck that isn’t immediately life threatening, everything’s either muscle or vitally important to your survival. Six inches of penetration will go all the way through, probably damaging multiple vitals.

Stabbing someone in the neck is a fantastic way to kill them. You’re almost guaranteed to hit something that will quickly end their life.

The most survivable neck injuries would be superficial slashes that don’t actually get deep enough to damage anything important.

Damage to the trachea is survivable if they can get immediate medical attention. But, again, you need a paramedic or doctor right there. This isn’t a case where, “I passed my first aid cert,” will cut it.

The worst, is a toss up. Anything that severs the carotid will kill them. Someone who knows what they’re doing could execute this pretty efficiently. They just need to drive a blade through the artery and open it up.

Running a blade into the spinal chord will also get the job done. That requires more precision, but this isn’t better. And if they’re striking from behind, aiming for the base of the skull is going to be easier and more reliable.

These are both really lethal outcomes, but realistically, if you’re running a six inch blade through someone’s neck, they’re dead.

-Starke

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