ATLS10 2026 CRITICAL DECISION-MAKING
AND INTERVENTIONS REVIEW MANUAL
◉Confirm correct placement of endotracheal tube by Answer:
auscultating breath sounds bilaterally and using end-tidal
capnography
◉What are borborygmi? Answer: Inspiratory rumbling/gurgling
noises in the epigastrium suggestive of incorrect endotracheal tube
placement
◉Because of the potential for severe hyperkalemia, this agent must
be used cautiously in patients with severe crush injuries, major
burns, electrical injuries, prolonged bedrest and chronic spinal cord
injury Answer: Succinylcholine
◉After performing a needle cricothyroidotomy and connecting the
cannula to oxygen, place the thumb over the open end of the Y-
connector or side hole in this pattern Answer: 1 second on, 4
seconds off
◉What limits the use of needle cricothyroidotomy to 30-45
minutes? Answer: Inadequate exhalation and slow buildup of CO2
AND INTERVENTIONS REVIEW MANUAL
◉Confirm correct placement of endotracheal tube by Answer:
auscultating breath sounds bilaterally and using end-tidal
capnography
◉What are borborygmi? Answer: Inspiratory rumbling/gurgling
noises in the epigastrium suggestive of incorrect endotracheal tube
placement
◉Because of the potential for severe hyperkalemia, this agent must
be used cautiously in patients with severe crush injuries, major
burns, electrical injuries, prolonged bedrest and chronic spinal cord
injury Answer: Succinylcholine
◉After performing a needle cricothyroidotomy and connecting the
cannula to oxygen, place the thumb over the open end of the Y-
connector or side hole in this pattern Answer: 1 second on, 4
seconds off
◉What limits the use of needle cricothyroidotomy to 30-45
minutes? Answer: Inadequate exhalation and slow buildup of CO2
