ATLS10 2026 EMERGENCY PROCEDURES
AND PATIENT CARE GUIDE
◉A 39-year-old man is admitted to the emergency department after
an automobile collision. He is cyanotic, has insufficient respiratory
effort, and has a GCS score of 6. His full beard makes it difficult to fit
the oxygen facemask to his face. The most appropriate next step is
to: Answer: restrict cervical motion and attempt orotracheal
intubation using 2 people
◉A patient is brought to the emergency department after a motor
vehicle crash. He is conscious and there is no obvious external
trauma. He arrives at the hospital completely immobilized on a long
spine board. His blood pressure is 60/40 mm Hg and his heart rate
is 70 beats per minute. His skin is warm. Which one of the following
statements is TRUE? Answer: Flaccidity of the lower extremities and
loss of deep tendon reflexes are expected.
◉Which one of the following is the most effective method for
initially treating frostbite? Answer: moist heat
◉A 32-year-old man's right leg is trapped beneath his overturned
car for nearly 2 hours before he is extricated. On arrival in the
emergency department, his right lower extremity is cool, mottled,
insensate, and motionless. Despite normal vital signs, pulses cannot
, be palpated below the right femoral artery and the muscles of the
lower extremity are firm and hard. During the management of this
patient, which of the following is most likely to improve the chances
for limb salvage? Answer: surgical consultation for right lower
extremity fasciotomy
◉A patient arrives in the emergency department after being beaten
about the head and face with a wooden club. He is comatose and has
a palpable depressed skull fracture. His face is swollen and
ecchymotic. He has gurgling respirations and vomitus on his face
and clothing. The most appropriate step after providing
supplemental oxygen and elevating his jaw is to: Answer: suction the
oropharynx
◉A 22-year-old man sustains a gunshot wound to the left chest and
is transported to a small community hospital no surgical capabilities
are available. In the emergency department, a chest tube is inserted
and 700 mL of blood is evacuated. The trauma center accepts the
patient in transfer. Just before the patient is placed in the ambulance
for transfer, his blood pressure decreases to 80/68 mm Hg and his
heart rate increases to 136 beats per minute. The next step should
be to: Answer: repeat the primary survey and proceed with transfer
◉A 64-year-old man involved in a high-speed car crash, is
resuscitated initially in a small hospital without surgical capabilities.
He has a closed head injury with a GCS score of 13. He has a widened
mediastinum on chest x-ray with fractures of left ribs 2 through 4,
AND PATIENT CARE GUIDE
◉A 39-year-old man is admitted to the emergency department after
an automobile collision. He is cyanotic, has insufficient respiratory
effort, and has a GCS score of 6. His full beard makes it difficult to fit
the oxygen facemask to his face. The most appropriate next step is
to: Answer: restrict cervical motion and attempt orotracheal
intubation using 2 people
◉A patient is brought to the emergency department after a motor
vehicle crash. He is conscious and there is no obvious external
trauma. He arrives at the hospital completely immobilized on a long
spine board. His blood pressure is 60/40 mm Hg and his heart rate
is 70 beats per minute. His skin is warm. Which one of the following
statements is TRUE? Answer: Flaccidity of the lower extremities and
loss of deep tendon reflexes are expected.
◉Which one of the following is the most effective method for
initially treating frostbite? Answer: moist heat
◉A 32-year-old man's right leg is trapped beneath his overturned
car for nearly 2 hours before he is extricated. On arrival in the
emergency department, his right lower extremity is cool, mottled,
insensate, and motionless. Despite normal vital signs, pulses cannot
, be palpated below the right femoral artery and the muscles of the
lower extremity are firm and hard. During the management of this
patient, which of the following is most likely to improve the chances
for limb salvage? Answer: surgical consultation for right lower
extremity fasciotomy
◉A patient arrives in the emergency department after being beaten
about the head and face with a wooden club. He is comatose and has
a palpable depressed skull fracture. His face is swollen and
ecchymotic. He has gurgling respirations and vomitus on his face
and clothing. The most appropriate step after providing
supplemental oxygen and elevating his jaw is to: Answer: suction the
oropharynx
◉A 22-year-old man sustains a gunshot wound to the left chest and
is transported to a small community hospital no surgical capabilities
are available. In the emergency department, a chest tube is inserted
and 700 mL of blood is evacuated. The trauma center accepts the
patient in transfer. Just before the patient is placed in the ambulance
for transfer, his blood pressure decreases to 80/68 mm Hg and his
heart rate increases to 136 beats per minute. The next step should
be to: Answer: repeat the primary survey and proceed with transfer
◉A 64-year-old man involved in a high-speed car crash, is
resuscitated initially in a small hospital without surgical capabilities.
He has a closed head injury with a GCS score of 13. He has a widened
mediastinum on chest x-ray with fractures of left ribs 2 through 4,
