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ATCN REVIEW QUESTIONS WITH COMPLETE SOLUTIONS.
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ATCN REVIEW QUESTIONS WITHCOMPLETE SOLUTIONS
The yapproach yto ytrauma ycare ytypically ybegins ywith ywhat? y- y✔✔notification ythat ya
ytrauma ypatient yis yarriving
When ypreparing yto yreceive ya ytrauma ypatient, ywhat yshould yyou ykeep yin ymind? y-
y✔✔safe ypractice, ysafe ycare
What ydoes y"Safe ypractice" ymean ywhen yreceiving ytrauma ypatients? y- y✔✔take yinto
yconsideration ythe yprotection yof ythe yteam y(universal yprecautions/PPE/preparing
yequipment yprior yto ypatient yarrival)
What ydoes y"Safe ycare" ymean ywhen yreceiving ytrauma ypatients? y- y✔✔that ythe
ypatient yis ygoing yto ythe yright yhospital, yin ythe yright ytime, yfor ythe yright ycare
Trauma yprimary ysurvey yfor y"A"? y- y✔✔airway yand yalertness ywith ysimultaneous
ycervical yspinal ystabilization
Trauma yprimary ysurvey yfor y"B"? y- y✔✔breathing yand yventilation
Trauma yprimary ysurvey yfor y"C"? y- y✔✔circulation yand yhemorrhage ycontrol
Trauma yprimary ysurvey yfor y"D"? y- y✔✔disability y(neurological ystatus: yAVPU/GCS)
Trauma yprimary ysurvey yfor y"E"? y- y✔✔exposure yand yenvironmental ycontrol
Trauma yprimary ysurvey yfor y"F"? y- y✔✔full yset yof yvital ysigns yand yfamily ypresence
Trauma yprimary ysurvey yfor y"G"? y- y✔✔get yresuscitation yadjuncts y(LMNOP)
Which yresuscitation yadjunct yunder ythe y"G" yprimary yassessment yis ythis?
-"L" y- y✔✔laboratory ystudies y(ABG's/Type yand ycross)
Which yresuscitation yadjunct yunder ythe y"G" yprimary yassessment yis ythis?
-"M" y- y✔✔monitor yfor ycontinuous ycardiac yrhythm yand yrate yassessment
Which yresuscitation yadjunct yunder ythe y"G" yprimary yassessment yis ythis?
-"N" y- y✔✔naso/orogastric ytube yconsideration
Which yresuscitation yadjunct yunder ythe y"G" yprimary yassessment yis ythis?
, -"O" y- y✔✔oxygenation yand yventilation yanalysis y(pulse
yoximetry/ETCO2/capnography)
Which yresuscitation yadjunct yunder ythe y"G" yprimary yassessment yis ythis?
-"P" y- y✔✔pain yassessment yand ymanagement
Trauma yprimary ysurvey yfor y"H"? y- y✔✔history yand yhead yto ytoe yassessment
Trauma yprimary ysurvey yfor y"I"? y- y✔✔inspect yposterior ysurfaces
1.chest ypain
2.air yhunger
3.respiratory ydistress
4.tachycardia
5.hypotension y
6.tracheal ydeviation yaway yfrom yinjury
7.unilateral yabsence yof ybreath ysounds y
8.elevated yhemithorax yw/out yrespiratory ymovement
9.neck yvein ydistention
10.cyanosis y(late ysign) y- y✔✔10 ySigns yand ysx yof ytension ypneumothorax
1. yBecks yTriad= yincreased yvenous ypressure(distended yneck yveins), ydecreased
yarterial ypressure(hypotension), ymuffled yheart ytones
2. yPEA
3. yJVD y&/or yKussmauls ysign
4. yUse yFAST yto ydx y- y✔✔Signs yand ysx yof ycardiac ytamponade
Careful yassessment yof ythe ypt's ybreath ysounds yis yparamount yto ydifferentiate ythe
ytwo y- y✔✔tension ypneumothorax ycan yoften ybe yconfused ywith ycardiac ytamponade,
yhow ydo yyou ydifferentiate?
1. yNeedle ydecompression- ylarge ybore yneedle y2nd yintercostal yspace ymidclavicular
yline y2. ychest ytube y4 yor y5th yintercostal yspace ymid yaxillary y- y✔✔Tx yof ytension
ypneumothorax
-Acidosis
- yHypothermia
- yCoagulopathy y(blood ycan't yclot yresulting yin ycontinued ybleeding) y- y✔✔triad yof
ydeath
Head y= y9%
yChest y(front) y= y9%
yAbdomen y(front) y= y9%
yUpper/mid/low yback yand ybuttocks y= y18%
yEach yarm y= y9% y(front y= y4.5%, yback y= y4.5%)
yGroin y= y1%
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