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