Advanced Trauma Life Support
(ATLS) 10th Edition
MIST Pneumonic [10.1]
Mechanism (and time) of Injury
Injuries found and suspected
Symptoms and signs and symptoms
Treatment Initiated
Primary Survey (ABCDE) [10.1]
A-airway/cervical backbone,
B-respiration,
c-circulation with hemorrhage control
d-disability (determine Neuro popularity)
e-exposure/environmental manage
DOPE [Ultimate ATLS Prep]
Reasons for deterioration in an intubated patient
Dislodgement
Obstruction
Pneumothorax
Equipment Failure
Shock index calculation [Ultimate ATLS Prep]
HR/SBP
Normal = zero.5=0.7
Volume Loss = >0.Nine
AMPLE [10.1]
(Allergies, Medications, Past Illnesses/Pregnancy, Last Meal, Events/Environment related to
injury)
Definitive airway definition
, Tube located in trachea with cuff inflated underneath vocal cords, tube linked to a form of
oxygen enriched assisted air flow and the airway secured in place with the suitable
stabilizing approach.
[10.2, pg24]
Laryngeal Trauma Triad of Signs
Hoarseness (dysphonia)
Subcutaneous Emphysema
Palpable fracture
Tx: flexible endoscopic intubation
Dx : CT scan
[10.2, pg25]
"abdominal breathing" or "diaphragmatic respiration" may be because of
Injury to under C3.
These maintain diaphragmatic characteristic, however lose intercostal and abdominal
muscle contribution to breathing.
These patients show a seesaw pattern of respiratory.
[10.2, pg26]
LEMON pneumonic
Assessment for Difficult Intubation
Look Externally - small mouth, overbite, facial trauma
Evaluate the three-3-2 Rule - evaluates alignment of pharyngeal, laryngeal, and oral aes.
3FB among teeth, 3FB among hyoid bone and chin(tip of mentum), 2FB among throid notch
and ground of mouth.
Mallampati (PUSH)
Opstruction
Neck mobility
[10.2, pg28]
Pulse Oximetry that correllates with PaO2 of >70mmHg
95%
100% = >90mmHg
90% = >60mmHg
(ATLS) 10th Edition
MIST Pneumonic [10.1]
Mechanism (and time) of Injury
Injuries found and suspected
Symptoms and signs and symptoms
Treatment Initiated
Primary Survey (ABCDE) [10.1]
A-airway/cervical backbone,
B-respiration,
c-circulation with hemorrhage control
d-disability (determine Neuro popularity)
e-exposure/environmental manage
DOPE [Ultimate ATLS Prep]
Reasons for deterioration in an intubated patient
Dislodgement
Obstruction
Pneumothorax
Equipment Failure
Shock index calculation [Ultimate ATLS Prep]
HR/SBP
Normal = zero.5=0.7
Volume Loss = >0.Nine
AMPLE [10.1]
(Allergies, Medications, Past Illnesses/Pregnancy, Last Meal, Events/Environment related to
injury)
Definitive airway definition
, Tube located in trachea with cuff inflated underneath vocal cords, tube linked to a form of
oxygen enriched assisted air flow and the airway secured in place with the suitable
stabilizing approach.
[10.2, pg24]
Laryngeal Trauma Triad of Signs
Hoarseness (dysphonia)
Subcutaneous Emphysema
Palpable fracture
Tx: flexible endoscopic intubation
Dx : CT scan
[10.2, pg25]
"abdominal breathing" or "diaphragmatic respiration" may be because of
Injury to under C3.
These maintain diaphragmatic characteristic, however lose intercostal and abdominal
muscle contribution to breathing.
These patients show a seesaw pattern of respiratory.
[10.2, pg26]
LEMON pneumonic
Assessment for Difficult Intubation
Look Externally - small mouth, overbite, facial trauma
Evaluate the three-3-2 Rule - evaluates alignment of pharyngeal, laryngeal, and oral aes.
3FB among teeth, 3FB among hyoid bone and chin(tip of mentum), 2FB among throid notch
and ground of mouth.
Mallampati (PUSH)
Opstruction
Neck mobility
[10.2, pg28]
Pulse Oximetry that correllates with PaO2 of >70mmHg
95%
100% = >90mmHg
90% = >60mmHg
