SUMMARY ATLS EXAMINATION
ATLS Chapters 1-3
Question Answer
Patients with a GSC of less than ___ usually
require intubation. 8
The "A" in ABCD stands for _______. Airway maintenance with CERVICAL
SPINE PROTECTION
Y
...
SUMMARY ATLS EXAMINATION
ATLS Chapters 1-3
Question Answer
Patients with a GSC of less than ___ usually
require intubation. 8
The "A" in ABCD stands for _______. Airway maintenance with CERVICAL
SPINE PROTECTION
You should assume that any patient in a
multisystem trauma with an altered level of
consciousness or blunt injury above the clavicle
has what type of injury?
Cervical spine injury
Flail chest is invariably accompanied by ______
which can interfere with blood oxygenation.
pulmonary contusion - do NOT over fluid
resuscitate these patients!
Hypotension is caused by _____ until proven
otherwise. hypovolemia
When you don't have/can't get a blood pressure,
what are three things to look for when evaluating
perfusion.
1. Level of consciousness (brain perfusion),
2. Skin color (ashen face/grey extremities)
3. Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to ______
to compensate for blood loss. increase heart rate
Resuscitation fluids should be warmed 39
degrees Celsius (102.2 F). Can you use a
microwave to do this?
YES - for CRYSTALLOID ONLY (but
NOT for blood products).
Urinary catheters are good for assessing renal
perfusion and volume status. List 5 signs of
urethral injury that might prevent you from
inserting one.
Blood at urethral meatus, perineal
ecchymosis, blood in scrotum, highriding/non-palpable prostate, pelvic fracture
Which arm should you NOT put a pulse-ox on? The arm with a blood pressure cuff on it
Name two anatomical things that can interfere
with doing a FAST scan. Obesity & intraluminal bowel gas
When should radiographs be obtained? During the SECONDARY survey.
How do you get an ample patient history?
A=Allergies, M=Medications,
P=PMH/Pregnancy, L=Last meal,
E=Events/Environment of injury
Why might you want a Bair Hugger for a patient
who smells of alcohol? Vasodilation can lead to hypothermia
What things are you looking for when you do a
DRE in a trauma?
Blood, high-riding prostate (in males), and
sphincter tone
What should you do for every female patient?
Pregnancy test (females of childbearing
age)
Adult patients should maintain UOP of at least Adults 0.5 mL/kg/hr, Kids 1.0 ml/kg/hr
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