ATLS review
Study online at https://quizlet.com/_fc9pkl
1. Which patients should you consider transferring, and what tests should be
performed prior to transfer?: Patients who injuries exceed your ability to care fore them, either d/t
specialized needs, or resource availability, only perform testing that enables the referring physician to resuscitate,
stabilize and ensure the safe transfer of the patient
2. T or F: Pulse ox measures the partial pressure of oxygen to carbon dioxide: F
Pulse ox does not measure the partial pressure of oxygen, only saturation. It can be confounded by carboxyhemoglobin,
so this adjunct should be used w/ caution in pts w/ inhalation injuries. Pulse ox also does not measure co2
3. You intubate the patient, reduce the femur fracture and immobilize it, and
immobilize the patient's pelvis with a binder. He has received 1 liter of warmed
crystalloid and 1 unit of uncrossmatched blood intravenously.
The patient's vital signs improve to: HR 97, BP 110/64, RR 24, oxygen saturation
96%. He starts to respond to verbal stimuli, opens his eyes to voice, and tries
to brush away the examiner's hands.
Answer question below based on this case scenario
-What additional adjuncts and treatments would you order at this time?
-When should the transfer occur, and what tests are necessary before transfer-
ring the pt?: -Additional adjuncts should include: CXR, pelvic XR, and FAST. Also obtain ABG levels and insert gastric
tube. Order additional bloodwork, as appropriate
-Transfer should occur as soon as possible after you determine that the patient's needs exceed the capabilities of your
facility and after the patient has been resuscitated and stabilized. Only perform tests that directly affect your care of the
patient (e.g., do not delay transfer to perform a head CT head if a neurosurgeon is not available).
4. Why is info about the MOI so important?: The patient's condition is greatly influenced by the
mechanism of injury. Knowledge of the mechanism of injury can enhance understanding of the patient's physiologic
state and provide clues to anticipated injuries. Some injuries can be predicted based on the direction and amount of
energy associated with the mechanism of injury.
5. What specialized diagnostic test may be performed during the secondary sur-
vey to identify specific injuries?: Adjuncts to the secondary survey include additional x-ray examinations
of the spine and extremities;
, ATLS review
Study online at https://quizlet.com/_fc9pkl
CT scans of the head, chest, abdomen, and spine; contrast urography and angiography; transesophageal ultrasound;
bronchoscopy; and esophagoscopy.
6. The secondary survey does not begin until?.. (3): - primary survey (ABCDE) is completed
-resuscitative efforts are underway
-improvement of the pts vital functions have been demonstarted
7. Secondary survey assessment uses what acronym for hx?: Allergies
Medications currently used
Past illnesses/Pregnancy
Last meal
Events/Environmental r/t the injury
8. Pt's condition is greatly influenced by the MOI. W/ understanding of the MOI
it can influence your knowledge by..: -understanding/anticipating pt's physiologic state and provide
clues to anticipated injuries
-Some injuries can be predicted based on age groups and activities
9. What are your first steps when a patient's condition changes?: Go back to the primary
survey to reassess whether there are any changes in A,B,or C that need to be addressed
10. How is the secondary survey conducted?: Examine the patient from head to toe, exposing him
or her in parts to maintain normothermia
11. What key info should prehospital providers obtain and report to receiving
hospital?
A. details regarding the patient's primary care physician
B type of healthcare insurance
C.address of patient's residence.
D. Events associate with injury.: D. Events associate with injury.
12. Which patient sign can be quickly observed to assess a patient's hemody-
namic status?
A. Oxygen saturation
B. Tracheal deviation
C. Skin perfusion
D lung sounds.: C. Skin perfusion
13. Clinicians should take aggressive, measures to prevent hypothermia and
trauma patients and restore body temperature to normal by
Study online at https://quizlet.com/_fc9pkl
1. Which patients should you consider transferring, and what tests should be
performed prior to transfer?: Patients who injuries exceed your ability to care fore them, either d/t
specialized needs, or resource availability, only perform testing that enables the referring physician to resuscitate,
stabilize and ensure the safe transfer of the patient
2. T or F: Pulse ox measures the partial pressure of oxygen to carbon dioxide: F
Pulse ox does not measure the partial pressure of oxygen, only saturation. It can be confounded by carboxyhemoglobin,
so this adjunct should be used w/ caution in pts w/ inhalation injuries. Pulse ox also does not measure co2
3. You intubate the patient, reduce the femur fracture and immobilize it, and
immobilize the patient's pelvis with a binder. He has received 1 liter of warmed
crystalloid and 1 unit of uncrossmatched blood intravenously.
The patient's vital signs improve to: HR 97, BP 110/64, RR 24, oxygen saturation
96%. He starts to respond to verbal stimuli, opens his eyes to voice, and tries
to brush away the examiner's hands.
Answer question below based on this case scenario
-What additional adjuncts and treatments would you order at this time?
-When should the transfer occur, and what tests are necessary before transfer-
ring the pt?: -Additional adjuncts should include: CXR, pelvic XR, and FAST. Also obtain ABG levels and insert gastric
tube. Order additional bloodwork, as appropriate
-Transfer should occur as soon as possible after you determine that the patient's needs exceed the capabilities of your
facility and after the patient has been resuscitated and stabilized. Only perform tests that directly affect your care of the
patient (e.g., do not delay transfer to perform a head CT head if a neurosurgeon is not available).
4. Why is info about the MOI so important?: The patient's condition is greatly influenced by the
mechanism of injury. Knowledge of the mechanism of injury can enhance understanding of the patient's physiologic
state and provide clues to anticipated injuries. Some injuries can be predicted based on the direction and amount of
energy associated with the mechanism of injury.
5. What specialized diagnostic test may be performed during the secondary sur-
vey to identify specific injuries?: Adjuncts to the secondary survey include additional x-ray examinations
of the spine and extremities;
, ATLS review
Study online at https://quizlet.com/_fc9pkl
CT scans of the head, chest, abdomen, and spine; contrast urography and angiography; transesophageal ultrasound;
bronchoscopy; and esophagoscopy.
6. The secondary survey does not begin until?.. (3): - primary survey (ABCDE) is completed
-resuscitative efforts are underway
-improvement of the pts vital functions have been demonstarted
7. Secondary survey assessment uses what acronym for hx?: Allergies
Medications currently used
Past illnesses/Pregnancy
Last meal
Events/Environmental r/t the injury
8. Pt's condition is greatly influenced by the MOI. W/ understanding of the MOI
it can influence your knowledge by..: -understanding/anticipating pt's physiologic state and provide
clues to anticipated injuries
-Some injuries can be predicted based on age groups and activities
9. What are your first steps when a patient's condition changes?: Go back to the primary
survey to reassess whether there are any changes in A,B,or C that need to be addressed
10. How is the secondary survey conducted?: Examine the patient from head to toe, exposing him
or her in parts to maintain normothermia
11. What key info should prehospital providers obtain and report to receiving
hospital?
A. details regarding the patient's primary care physician
B type of healthcare insurance
C.address of patient's residence.
D. Events associate with injury.: D. Events associate with injury.
12. Which patient sign can be quickly observed to assess a patient's hemody-
namic status?
A. Oxygen saturation
B. Tracheal deviation
C. Skin perfusion
D lung sounds.: C. Skin perfusion
13. Clinicians should take aggressive, measures to prevent hypothermia and
trauma patients and restore body temperature to normal by
