ATLS study cards Questions and Answers with complete solutions Graded A+
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1. Glasgow
Coma
Scale:
2. Chance fracture: Transverse fracture through vertebra.
In children usually associated with enterc disruption
...
ATLS study cards Questions and Answers with complete solutions Graded A+
1 / 21
1. Glasgow
Coma
Scale:
2. Chance fracture: Transverse fracture through vertebra.
In children usually associated with enterc disruption. Seen in motor vehicle accidents involving only lap belt.
May be associated with retroperitoneal and Abdominal visceral injuries.
3. Anterior hip dislocation: Flexed, abducted, externally rotated.
4. Burst fracture: Associated with vertebral-axial compression injuries
5. Posterior hip dislocation: Flexed, aDDucted, internally rotated
6. Anterior shoulder dislocation: Squared off appearance
7. Posterior shoulder dislocation: Lock in internal rotation.
8. Ankle dislocation: Most are Externally rotated, with a prominent medial malleolus.
9. FULL thickness (3rd degree) burn: Dark or white and leathery. Translucent
white as well. Painless and generally "dry" Does not blanch with pressure. Very
little swelling of burned tissue.
10. Principle Life saving measures for patients with burn injuries include: -
-Establishing airway control
-Stopping the burning. process
-Intravenous access
11. Factors that increase the risk for upper AIRWAY OBSTRUCTION in burns
include:: -Burns to the head and face
-Burn size and depth
-Burns inside the mouth
12. Partial thickness burn: Red remodeled appearance with associated swelling
and blister formation. May have weeping or wet appearance and is painfully
hypersensitive even to air current.
13. Signs and symptoms and history that suggest INHALATION INJURY
include:: These patients should be intubated. Inhalation injury is an indication for
transfer to a burn center.
14. Rule of nines - adult: The palm represents 1% of the body total surface area.ATLS study cards Questions and Answers with complete solutions Graded A+
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15. Symptoms of carbon monoxide poisoning and respective levels: PaO2
does not reliably predict carbon monoxide poisoning because a CO partial pressure of only 1 mmm Hg results in a hemoglobin CO level of 40% or greater.
16. Carbon monoxide has how many times greater affinity for hemoglobin
than oxygen: 240 times.
It displaces the oxyhemoglobin desaturated curve to the LEFT.
17. Two criteria required for the diagnosis of smoke inhalation injury: -Exposure to a combustible agent
-Signs of exposure to smoke in the lower airway, below the vocal cords, by
bronchoscopy.
18. Performing this action will help reduce neck and chest wall edema in
patients with burn and inhalation injury.: Elevation of the head and chest by
30 degrees.
19. IV fluid administration formula for burn victims: Indicated in burns involving
over 20% of the body surface area.
*(2-4 mL/kg of LR/NS) (weight in kg) (% area of burn); give 1/2 of this volume in
first 8 hours. Remainder in over 16 hours.
Large caliber, at least 15 gauge intravenous line should be introduced.
20. Pitfalls for IV fluid requirements for burn victims.: These patients require
greater fluid requirements: ~immolation injury
~pediatric burn victims
~concomitant blunt or crush
injuries.
21. Basic rules regarding IV fluids administration in burn victims: IV fluid Rate
should not be based on the time of actual injury.
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