ATLS REVIEW 2023 EXAM QUESTIONS
AND ANSWERS
Cannula size for needle cricothyroidotomy in adult - Answer-12 to 14 gauge
Cannula size for needle cricothyroidotomy in kids - Answer-16 to 18 gauge
O2 rate after cricothyroidotomy - Answer-15L/min
Indications for surgical airway - Answer-Glottis edema, fracture of larynx, severe
oropharyngeal hemorrhage, inability to pass tuve through cords
Size tube used for surgical cricothyroidotomy - Answer-5 to 7
How to do surgical cricothyroidotomy - Answer-Make incision over cricothyroid
membrane with curved hemostat or scalpel transversely then rotate 90degreed to open
airway then place cuffed Endotracheal tube (must secure )or tracheostomy tube
What % of body weight is blood volume? - Answer-7%
Blood volume for child? - Answer-8 to 9% of body weight (70-80ml/kg)
Class 1 Hemorrhage - Answer-<15% hemorrhage, no VS changes, BE:0-2, no need for
fluids or blood
Class 2 Hemorrhage - Answer-15-30% blood loss, tachycardia, decreased pulse
pressure, tachypnea, BE:-2 to -6, give fluid, maybe blood
Class 4 Hemorrhage - Answer->40% blood loss, tachycardia, decreased pulse
pressure, tachypnea, decreased uop and gcs, BE:-10 or Less, massive transfusion
protocol
Class 3 Hemorrhage - Answer-31-40% blood loss, tachycardia, hypotension, decreased
pulse pressure, tachypnea, decreased uop, decreased GCS, BE -6 to -10, give blood
What temp do heat fluids to during massive resuscitation? - Answer-39C (102.2F)
How do you warm blood? - Answer-Through heated passage of an IV fluid warmer
(cannot store in heater)
Define massive transfusion - Answer->10 units of prbcs within 24 hrs or 4units in 1hr
Where do you center the pelvic binder? - Answer-Over greater trochanters
AND ANSWERS
Cannula size for needle cricothyroidotomy in adult - Answer-12 to 14 gauge
Cannula size for needle cricothyroidotomy in kids - Answer-16 to 18 gauge
O2 rate after cricothyroidotomy - Answer-15L/min
Indications for surgical airway - Answer-Glottis edema, fracture of larynx, severe
oropharyngeal hemorrhage, inability to pass tuve through cords
Size tube used for surgical cricothyroidotomy - Answer-5 to 7
How to do surgical cricothyroidotomy - Answer-Make incision over cricothyroid
membrane with curved hemostat or scalpel transversely then rotate 90degreed to open
airway then place cuffed Endotracheal tube (must secure )or tracheostomy tube
What % of body weight is blood volume? - Answer-7%
Blood volume for child? - Answer-8 to 9% of body weight (70-80ml/kg)
Class 1 Hemorrhage - Answer-<15% hemorrhage, no VS changes, BE:0-2, no need for
fluids or blood
Class 2 Hemorrhage - Answer-15-30% blood loss, tachycardia, decreased pulse
pressure, tachypnea, BE:-2 to -6, give fluid, maybe blood
Class 4 Hemorrhage - Answer->40% blood loss, tachycardia, decreased pulse
pressure, tachypnea, decreased uop and gcs, BE:-10 or Less, massive transfusion
protocol
Class 3 Hemorrhage - Answer-31-40% blood loss, tachycardia, hypotension, decreased
pulse pressure, tachypnea, decreased uop, decreased GCS, BE -6 to -10, give blood
What temp do heat fluids to during massive resuscitation? - Answer-39C (102.2F)
How do you warm blood? - Answer-Through heated passage of an IV fluid warmer
(cannot store in heater)
Define massive transfusion - Answer->10 units of prbcs within 24 hrs or 4units in 1hr
Where do you center the pelvic binder? - Answer-Over greater trochanters
