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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST 2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Cricoid cartilage is the only circumferential support for the upper trachea in kids, $30.49   Add to cart

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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST 2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Cricoid cartilage is the only circumferential support for the upper trachea in kids,

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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST 2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Cricoid cartilage is the only circumferential support for the upper trachea in kids, therefore surgical cricothyroidotomy i...

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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST
2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Cricoid cartilage is the only circumferential support for the upper trachea in kids, therefore surgical
cricothyroidotomy is not recommeded for kids under the age of ________. - answer-12



In a 'normal' patient without significant chest wall injury or lung disease, needle cricothyroidotomy can
provide adequate oxygenation for approximately ______ minutes - answer-30-45



For a patient with difficulty breathing, what things might you try before you provide a surgical aurway -
answer-Chin Lift, jaw-thrust (NOT head-tilt while maintaining c-spine precautions), OPA (guedel), NPA
(trumpet), LMA, Combitube, ET tube +- bougie



How do you know if an OPA/Guedel is the correct size for the patient? - answer-A correctly sized OPA
will extend from the corner of the patients mouth to the external auditory canal.



What should you do with the balloon on an ET tube/LMA/foley before you insert it? - answer-Inflate it to
make sure it doesnt leak- then deflate and insert



What size LMA do you use for Kid, woman/small man, large woman/man - answer-Kid: 3

Woman/Small Man: 4

Large woman/Man 5

C3,4,5 keep them all alive



The proper size ET tube for an infant is - answer-The same size as the infants nostril or little finger (3 for
neonates, 3.5 for infants



What size cuffed endotracheal tube do you use for an emergency cricothyroidotomy? - answer-5 or 6



Use a size 3 ET tube for neonates

,3.5 for infants for 0-6 months

4 fo infants 6-12 months

How do you calculate what size ET tube to use or toddlers and kids? - answer-Age/4 +4mm = internal
diameter



Shock is defined as an abnormality of the circulatory system that results in inadequate organ perfusion
and tissue oxygenation. what are the 4 different types - answer-Neurogenic, cardiogenic, hypovolemic,
septic



The most common cause of shock in the injured trauma patient is _________. - answer-hemorrhage



Approximately ___% of the body's total blood volume is located in the venous circuit/ - answer-70



Why does shock actually reduce the total volume of circulating blood? - answer-Anaerobic metabolism --
> cant make more ATP --> endoplasmic then mitochondrial damage --> lysosomes rupture --> sodium
and water enter the cell, which SWELLS and dies



Which vasopressors should you use to treat hemorrhagic shock? What are the drug doses - answer-
Never use pressors hypovolemic shock - use VOLUME replacement. Pressors will worsen tissue
perfusion in hemorrhagic shock



Compensatory mechanisms may preclude a measurable fall in systolic blood pressure until up to ____%
of the patient's blood volume is lost. - answer-30



Any patient who is cool and is tachycardic is considered to be _______until proven otherwise. - answer-
in shock



The definition of tachycardia depends on patients age. What heart rate is considered tachycardic for
infants, toddlers/PS, schoolage/prepubescent, and adults - answer-Infants >160

toddlers/PS > 140

schoolage/prepubescent >120

Adults > 100

, Elderly patients may not exhibit tachycardia in response to hypovolemia because of limited cardiac
response to catecholamines. Why else might they not get tachy? - answer-On a Beta-Blocker or have a
pacemaker



A FAST scan in an excellent way to diagnose cardiac tamponade. What signs sugget tamponade -
answer-Beck's Triad: JVD, muffled heard sounds and hypotension (will be resistant to fluid therapy). Will
also likely be tachycardic



Patients with a tension pneumo and patient with cardiac tamponade may present with many of the
same signs. What findings will you see with a tension will you NOT see with tamponade? - answer-
Absent breath sounds and hyperresonance to percussion over the affected hemithorax.



Immediate thoracic decompresion is warrented for anyone with absent breath sounds, hyperressonance
to percussion, tracheal deviation, _________ and _________ - answer-Acute respiratory distress &
subcutaneous emphysema



Can isolated intracranial injuries cause neurogenic shock? - answer-NO



How do you calculate total blood volume in an adult? - answer-70 mL per kg. A 70 kg person has about 5
L of circulating blood. (70*70) = 4900 mL



How do you calculate TBV in child - answer-BW (kg) X 80-90 mL



The blood volume of an obese person is calculated based upon their _________ weight - answer-ideal



Fluid replacement should be guided by __________, not simply by the initial classification (Class I-IV) -
answer-The patient's response to initial replacement



How much blood volume is lost with Class I hemorrhage? - answer-Up to 15% Donating 1 pint, or ~500
mL of blood is about 10% volume lose and would classify as Class I Hemorrhage.

Transcapillary refill and other compensatory mechanisms restore blood volume within 24 hours

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