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TRAUMA: ATLS EXAM QUESTIONS AND ANSWERS 2024/2025( A+ GRADED 100% VERIFIED).
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TRAUMA: ATLS EXAM QUESTIONS AND ANSWERS 2024/2025( A+ GRADED 100% VERIFIED).
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TRAUMA: ATLSWhat is the ATLS mnemonic? - ANS ABCDE: Airway w cervical spine protection, breathing,
circulation w haemorrhage control, disability neuro status don't forget glucose, exposure and
environment (undress/temp control)
Who is involved in mx of trauma px? - ANS Airway doctor, airway assistant, circulation nurse,
procedures doctor, scribe, orthopaedic surgeon, general surgeon, team leader, porter/runner,
monitoring nurse, assessing doctor
What happens on arrival of a trauma patient? - ANS Team leader takes handover including:
mechanism and time of injury, injuries found and suspected, sx+sx, tx initiated
What are the mx steps? - ANS Primary survey, resuscitation, secondary survey, initiation of
definitive care
How does airway and cervical spine protection in primary surveys begin? - ANS Ask px name
and what happened -> able to speak clearly, their breathing, their GCS
If there is an inappropriate response, what do you do next in A? - ANS Check patency of airway
could be obstructed by tongue, foreign body (dentures, loose tooth), aspirated material,
oedema, expanding haematoma. Look for facial/mandibular/tracheal/laryngeal fractures.
How do you optimize the airway? - ANS Chin lift, jaw thrust by grasping angles of lower jaw one
hand on each side and displace mandible forward, restrict spinal motion, use oropharyngeal
airway adjunct if no gag reflex
What are the next few steps in A? - ANS Supplemental oxygen, prevent hypercarbia, px can
vomit so be prepared to roll px on spinal precautions to lateral position and suction
When should you establish an airway? - ANS Any doubt over px ability to maintain airway,
GCS<8, cuffed tube below vocal cords
When do you assume a cervical spine injury? - ANS Px w blunt multisystem trauma, esp
altered consciousness or blunt injury above clavicle, keep cervical spine inline, don't move head
and neck
What does the most recent ATLS recommend with regards to intubation? - ANS Drug assisted
intubation (instead of rapid sequence intubation) and use of video laryngoscopy
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