ADVANCED TRAUMA LIFE SUPPORT
ATLS QUESTIONS AND ANSWERS
2023/2024 GRADED A+
60 minutes after injury to treat after the 60 mins morbidity and mortality
significantly increases
after 1st year of life injury is most frequent cause of death in babies too 31%-
48%
golden hour
rib fractures on child
# of left posterior 8th rib
Brainpower
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•Performs Trauma Series -
Lat C Spine, CXR, Pelvis
•
•Acts as liaison with CT suite.
radiographer role in trauma
team leader- most important stand back and keep overview of whats happening in
the room and helicopter
ODP- support anaesthetics
, nurse x2
scribe- wirtting whats happening
radiographer
•Team Leader
•Anaesthetic SpR
•Cardiac/Thoracic Surgeon
•A & E Consultant/SpR
•Orthopaedic SpR
trauma team (not important)
airway management cervical spine control- any signs there breathing or snoring is
bad sign of upper airway obstruction sokve with head tilt chin lift snoring will stop.
they need a patent airway to breath
breathing & ventilation - check lungs are rising and falling equally good
depth volume listen to breath sounds or absent breath sounds on one side due to
pnemothorax listen with stethoscope.
if you hear crackles- fluid
purcusion- use two fingers to look for a echo looking for hyper resenant- sign of
pnemothorax if dull then its fluid.
are they using accesory muscles struggling to breath -asthmatic or see saw effect
with abdomen
probe on finger to look at oxygen saturation should be breath 94-90% oxyegen
saturaton of room air
circulation -check for pulse of corotid pulse not just radial as they may be in shcok
so blood pressure cant suport organs so shut down so cant feel radial pulse well so
feel for corotid pulse and blood pressure.
capilary re fill test good way to test if pt has shut down- press finger for 5 seconds
finger should pink up within 2 seconds if not shut down
haemorrage control - 5 liters circulating volume if you lose one litre you'll be out
of it .
disability - awareness is key. GCS can be replaced with- avpue if easier - measure
are u alert b responsive to voice do they respond to pain u- unconcious e-exposure
- any rashes bleeding wounds
primary survery ABCD
Not Breathing/Occasional gasps?•
call for help then start CPR
•Call Resuscitation Team - 2222
•Commence CPR 30:2 Adult (15:2 Child/Infant)
30 compressions to 2 ventilations at a rate of 120 per minute
bag valve mask for ventilations 85-90% oxygen given
•Change CPR provider after every 2 minutes MAX!
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