Advanced Trauma Life Support Questions with Complete Solutions

Advanced Trauma Life Support Questions with Complete Solutions Basic Outline of ATLS Protocol? -Answer- 1. Preparation 2. Triage 3. Primary survey (ABCDE) 4. Adjunct to Primary survey 5. Re-assess ABCDE and consider need for transfer 6. Transfer if needed 7. Secondary Survey (AMPLE + all physicals) 8. Adjuncts to second Survey 9. Pt. re-evaluation 10. Definitive Care. What is included in the Primary survey of a trauma patient? -Answer- -Airway and C- Spine -Breathing and Ventilation -Circulation/bleeding control -Disability (Neuro Eval) -Exposure and Environmental control. What are adjuncts to Primary Survey and Resuscitation? -Answer- ECG monitoring Urinary/Gastric Catheters Other Monitoring (ABG, capnography) X-ray and Dx studies. What makes up the Secondary Survey? -Answer- AMPLE Hx and Detailed Physical Exam Mechanism of Injury Head and Maxillofacial C-spine Chest Abdomen Perineum/Rectum/Vagina Musculoskeletal Neurologic What is something you could do to get a quick assessment of ABCD? -Answer- Ask the pt. a question. If they can respond it can give you an idea about their airway and mental status. Failure to respond tells you there are abnormalities in ABCD. What assumption can safely be made in a pt. with blunt multisystem trauma above the clavicle or Altered mental status? -Answer- That the C-spine is compromised. 4 Steps to manage A? -Answer- Assess for patency Establish airway