ATLS Post-Exam Study *Q&A* |Verified
Study Set| 2024/2025
What are the primary components of the primary survey in trauma assessment?
The primary survey includes assessing the airway, breathing, circulation, disability
(neurological status), and exposure/environmental control.
Describe the significance of early airway management in trauma patients.
Early airway management is crucial as it prevents hypoxia and brain injury, ensuring
adequate ventilation and oxygenation for the patient.
How is the effectiveness of fluid resuscitation assessed in a trauma patient?
Effectiveness is assessed through monitoring vital signs, urine output, mental status, and the
patient's response to treatment, such as improvement in blood pressure and heart rate.
What role does the secondary survey play in trauma management?
The secondary survey involves a thorough head-to-toe examination to identify all injuries,
including those not immediately apparent during the primary survey.
Explain the indications for performing a cricothyrotomy in trauma cases.
Indications include severe airway obstruction when intubation is not possible, such as in
cases of facial trauma, or when there is significant swelling of the airway.
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,What are the potential complications associated with rib fractures?
Complications may include pneumothorax, hemothorax, flail chest, and respiratory failure,
especially in elderly patients or those with pre-existing lung conditions.
Discuss the management steps for a patient with suspected abdominal trauma.
Management involves performing a primary survey, securing IV access for fluid
resuscitation, obtaining imaging studies (like a CT scan), and preparing for possible surgical
intervention based on findings.
How is a tension pneumothorax treated in the emergency setting?
Treatment involves immediate needle decompression using a large-bore needle at the second
intercostal space, followed by placement of a chest tube for continuous drainage.
What assessment findings are critical in recognizing a patient with shock?
Critical findings include hypotension, tachycardia, altered mental status, cool and clammy
skin, and decreased urine output.
Explain the importance of the FAST exam in trauma assessment.
The FAST exam is important for quickly identifying free fluid in the abdomen or chest,
which can indicate internal bleeding and guide immediate management decisions.
What are the signs and symptoms of a cardiac tamponade?
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, Signs and symptoms include hypotension, muffled heart sounds, jugular venous distention,
and a rapid, weak pulse.
Describe the management of a patient with suspected spinal cord injury.
Management includes stabilizing the cervical spine with a collar, avoiding movement,
assessing neurological status, and preparing for imaging studies.
What interventions are necessary for managing a flail chest?
Interventions include providing adequate pain management, monitoring respiratory status,
and considering mechanical ventilation if the patient is unable to maintain adequate oxygenation.
How should a healthcare provider respond to a patient presenting with an open fracture?
The provider should control any bleeding, stabilize the fracture, prevent contamination, and
prepare for potential surgical intervention, while also administering IV antibiotics.
What considerations must be made for pediatric patients in trauma situations?
Considerations include physiological differences, age-specific injury patterns, appropriate
dosing of medications, and the potential for rapid deterioration.
What is the purpose of using a pelvic binder in cases of suspected pelvic fractures?
A pelvic binder is used to stabilize the pelvis, control hemorrhage, and reduce the risk of
further injury while facilitating transport to definitive care.
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