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Exam (elaborations)

BATLS Exam – Questions With Proper Solutions

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BATLS Exam – Questions With Proper Solutions

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  • November 9, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • BATLS
  • BATLS
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LeCrae
BATLS Exam – Questions With Proper Solutions

Trauma may be traditionally classified as? Right Ans - penetrating or blunt
although military trauma may be a combination of the two .

Some injuries are severe but survivable ( 10-15 % ) if time - critical
interventions out . Interventions include Right Ans - Treating compressible
haemorrhage

Recognising non-compressible haemorrhage and expediting surgical care

Recognising and treating airway and breathing compromise.

Recognising brain injuries needing surgery and critical care

what percent of major trauma casualties in Iraq and Afghanistan were Blast/
fragmentation? Right Ans - 53.80%

what percent of major trauma casualties in Iraq and Afghanistan were
Gunshot? Right Ans - 29.90%

what percent of major trauma casualties in Iraq and Afghanistan were motor
vehicle crash? Right Ans - 5.10

Devices that explode cause injury by a range of mechanisms, what occurs at
the primary level? Right Ans - Blast Injuries

Devices that explode cause injury by a range of mechanisms, what occurs at
the secondary level? Right Ans - Fragmentation (usually penetrating
trauma)

Devices that explode cause injury by a range of mechanisms, what occurs at
the tertiary level? Right Ans - Crush or impacts (blunt trauma)

Devices that explode cause injury by a range of mechanisms, what occurs at
the quaternary level? Right Ans - Burns, toxic chemicals, psychological

,The intensity of the blast wave diminishes rapidly over distance . Those close
to the point of explosion may display what 4 injuries and their definitions?
Right Ans - Avulsive amputation - where the limb is ripped away by the blast

Perforated hollow viscus ( tympanic membrane ( TM ) , gut ) , which occurs
when air in the viscus is compressed then re - expands

Haemorrhage into the alveoli ( " blast lung " ) , which occurs as a result of
spalling at air- tissue interfaces ( hit the outside of a rusty bucket with a
hammer and watch the rust fly off the inside this is spalling .

Air embolism ( coronary artery and cerebral

The severity of injury caused by missiles ( fragments and bullets ) is multi -
factorial . Amongst the many factors that determine the severity of injury
caused by missiles are : Right Ans - Kinetic energy available to the missile
( mostly from Velocity ) .

Shape and stability of the missile

Density of the tissue

Length of the wound track

Cavitation and shock wave

Temporary cavitation effect ( High - velocity bullet fired from right to left )

The type of fragmentation devices, have different levels of lethality, what is
the level for random fragmentation devices? Right Ans - 1 in 5 (shell) 1 in
10 (grenade)

The type of fragmentation devices, have different levels of lethality, what is
the level for improved fragmentation devices? Right Ans - 1 in 7 (shell) 1 in
20 (grenade)

The type of fragmentation devices, have different levels of lethality, what is
the level for military bullet? Right Ans - 1 in 3

, Tertiary Blast injury , the knock down is what? Right Ans - The knock -
down caused by the blast , where the body is thrown to land against the
ground or other hard object , generates blunt trauma patterns similar to those
seen in civilian falls from height or Road Traffic Collisions

Tertiary blast injuries such as crush injuries are defined as? And can cause
what? Right Ans - Structural collapse may lead to crush injuries . Here the
damage results from time under pressure rather than a discrete single
impact . Initially this is treated as any other blunt trauma , but may have
serious complications later as swelling increases affecting blood supply ,
especially to limbs ( compartment syndrome ) and toxins released from the
damaged tissues can injure the kidneys .

Qauternary Blast injuries - type of burns seen? Right Ans - Burns following
an explosion are traditionally described as superficial flash burns confined to
exposed skin ( typically the face and hands ) .

Full thickness burns will also be seen in those close to the point of explosion .

Qauternary Blast injuries - toxic inhalation definifition, explanation and intial
management? Right Ans - Many explosions generate toxic gases as a by -
product . These may present later with variety of medical problems such as
breathlessness and reduced level of consciousness . However in the initial
stages , problems with breathing or conscious level should be assumed to be
the result of direct trauma and treated as such .

What causes the majority of casaulties following an open air explosion?
Right Ans - Fragmentation

What Injuries would you anticipate from the deformation of the vehicle ?
Right Ans - Head and Face
Abdomen
Cervical Spine
Pelvis
Chest
Lower Limbs

Falls from a height of ____ are consistently associated with severe injury.
Right Ans - 5 metres ( 15 feet are height)

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