ATLS Pre-Exam Study *Q&A* 100%
Correct |Verified| 2024/2025
What is the primary goal of the primary survey in ATLS?
Identifying and treating life-threatening injuries.
The primary survey in ATLS focuses on addressing the most critical, life-threatening conditions
first to stabilize the pa...
This systematic approach ensures that life-threatening conditions are identified and managed
efficiently.
What is the key indication for performing an emergency thoracotomy in the emergency
department?
Penetrating chest trauma with signs of cardiac tamponade and no response to fluid
resuscitation.
This procedure is reserved for critically injured patients when less invasive measures fail.
How do you assess the "Disability" part of the primary survey?
Use the Glasgow Coma Scale (GCS) to assess the patient's level of consciousness.
The GCS is a reliable tool for quickly evaluating a patient's neurological status in trauma.
What immediate action is required for a patient presenting with an open pneumothorax?
Apply an occlusive dressing to seal the wound and insert a chest tube.
An open pneumothorax allows air to enter the chest cavity, which can collapse the lung.
What is the first priority when a trauma patient is unresponsive and not breathing?
Secure the airway and begin assisted ventilation.
Airway management is the first step in any unresponsive patient to restore oxygenation.
How is hemorrhagic shock primarily managed in trauma patients?
2
, Rapid fluid resuscitation with crystalloids and blood products if necessary.
Hemorrhage must be controlled, and fluids or blood products should be administered to maintain
circulation.
What is the initial fluid of choice for volume resuscitation in trauma?
Isotonic crystalloids, such as normal saline or lactated Ringer’s solution.
Crystalloid solutions are typically the first line of treatment for volume replacement in trauma
patients.
How should pelvic fractures with associated hemorrhage be managed in the pre-hospital setting?
Apply a pelvic binder to reduce bleeding and stabilize the fracture.
Pelvic fractures can cause life-threatening hemorrhage, and early stabilization is critical.
What is the most common preventable cause of death in trauma patients?
Hemorrhage.
Uncontrolled bleeding is the leading cause of preventable death in trauma patients, making it a
top priority to manage.
How do you recognize a flail chest in a trauma patient?
Paradoxical movement of the chest wall during breathing.
Flail chest is a serious injury where a segment of the rib cage breaks and moves independently
from the rest of the chest wall.
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