ATLS Initial Traumatic Assessment Quiz and Answers 2023/2024

ATLS Initial Traumatic Assessment Quiz and Answers 2023/2024 What are the 4 steps outlined in "Field Triage Decision Scheme"? - Answers: Step 1: Vital signs assessment GCS ≤ 13 SBP ≤ 90 RR ≤10 or ≥29 Step 2: Assessment of anatomy of injury I.e.: penetrating trauma, chest wall abnl, missing limbs, paralysis, long bone fx's, ejection (partial or complete), pelvix fx's & open or obvious closed skull fx's Step 3: Assessment of MOI I.e.: Falls > 2 stories (20ft), crush or intrustion MVC, pedestiran or motorcycle accidents, high velocity/impact Step 4: Special considerations - geriatric - blood thinners - children - burns - pregnancy > 20wks Define the difference between multiple casualties and mass casualty - Answers: Multiple - the volume and severity DOES NOT overwhelm the facility Mass - the volume and severity DOES exceed facilities care capabilities What is the protocol regarding which patients to treat first mass casualty vs multiple? - Answers: Mass - treat the patients with greatest likelihood to survive first Multiple - treat the patients with life threatening injuries first What are the 5 categories that are checked during the primary survey - Answers: ABCDE 1: Airway 2: Breathing 3: Circulation 4: Disability (neurologic assessment) 5: Exposure/Environmental control What 2 questions can be asked to adequately assessment the patient during primary survey - Answers: "What is your name" "What happened" How do you appropriately assess for the gag reflex in a trauma patient? - Answers: Why is Tranexamic Acid used within 3-8hrs of trauma patients - Answers: Trauma patient's are susceptible to developing coagulopathy which can be exacerbated or precipitated by crystalloid and blood product transfusions "until proven otherwise, always presume that changes in level of consciousness are a result of _______ injury" - Answers: CNS PEA on EKG of a new trauma patient can indicate which underlying problems? - Answers: Tension pneumothorax Cardiac tamponade Hypovolemic shock