When treating a laceration to the left lateral neck caused by a broken bottle, what should you do?

Applying an occlusive dressing is the most appropriate action when treating a laceration to the left lateral neck, especially in cases involving deeper wounds that may expose the airway or major blood vessels. An occlusive dressing creates a seal over the wound, which helps to prevent air from entering, reducing the risk of air embolism and controlling bleeding. It also protects the wound from contamination, which is critical in a neck injury where infection can lead to serious complications.

While using a pressure bandage might be appropriate for controlling bleeding in some situations, it may not provide the same level of protection against air entering the wound as an occlusive dressing does. Suturing the wound immediately is generally not advisable pre-hospital, especially in the context of a penetrating injury to the neck, where airway concerns take precedence and professional medical assistance is required. Cleaning the wound with antiseptic before definitive care is typically not recommended in such emergencies, as it could further irritate the tissue or prevent proper assessment.

In this context, the choice of an occlusive dressing is crucial for managing a potentially life-threatening injury effectively.