BATLS - Battlefield Advanced Trauma Life Support: Qs
& As
None permissive environment, what care is given? Right Ans - Care under
fire, Airway( recovery position) and cat haem
Semi permissive environment, what care is given? Right Ans - Tactical field
care, field resus= role one
Permissive environment, what care is given? Right Ans - Advanced resus,
role two and three
What is blast lung? Right Ans - Haemorrhage into the alveoli as a result of
extra air in the tissue interface.
What are the possible primary injuries as a result of a blast? Right Ans -
Blast lung
Avulsive amputation
Perforated hollow viscus( eardrum)
Blast lung
Air embolism
What is a blast wave? Right Ans - A wave of pressure, produced by
compressed air interacting with the sphere of gas produced by the explosion.
What are the secondary injuries of a blast? Right Ans - Fragmentation
injuries
What are the possible tertiary injuries of a blast? Right Ans - Crush or
impact injuries/ blunt force trauma injuries
What are the possible quaternary injuries as a result of a blast? Right Ans -
Burns
Toxic inhalation
Psychological impact
In RTCs, when we approach a side impacted vehicle what should we suspect?
Right Ans - C-spine
, Abdominal injuries
Limb injuries
Pelvic injuries
Chest injuries
Head and face injuries
What could a bullseye on a windscreen indicate? Right Ans - That the
patient wasn't wearing a seatbelt and that they may have facial injuries or
internal head injuries.
What is system toxicity? Right Ans - Inhalation and absorption of the
products of combustion
What is the cause of an airway burn? Right Ans - Inhalation of gases that
are hot, eg; smoke, steam or the products of combustion.
When is oedema maximal in inhalation airway burns? Right Ans - 6-24hrs
Signs of inhalation injury (9) Right Ans - -harsh cough
-stridor
- history of exposure to blast or fire/smoke in an enclosed space
- hoarseness or change in voice
- collapse, confusion, restlessness following burn
-flame or steam burns to the face
-singed nasal hair
- soot in nose or saliva
- blistered or inflamed tongue
What makes up the upper respiratory tract? Right Ans - Nasal cavity
Pharynx
Larynx
Mouth
What makes up the lower respiratory tract? Right Ans - trachea, bronchi,
lungs
What are the indications for a surgical airway? Right Ans - The
requirement for a definitive airway
Airway burns/obstruction
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