A HIGH YIELD ATLS & TRAUMA EXAM – All Questions & Answers (100% Expert Verified)

A HIGH YIELD ATLS & TRAUMA EXAM – All Questions & Answers (100% Expert Verified) Approach Overview - ANSWER - *1. Preparation* → Known & Potential Problems, People, Plan, & Props • Equipment *A*irway trays, BVM, C-spine equipment *B*reathing → chest tube tray x2, decompression needles *C*irculation → warmed IVF, O+/- PRBCs, tourniquet, splints, thoracotomy tray *D*rugs → code cart, RSI drugs, pain meds *E*xtras → foleys, blankets, NG tube *2. Triage* → Check for surgeon/TT/Trauma transfer cirteria → activate TT ± surgeon *3. Primary Survey (ABCDE) & Resus* *4. Adjuncts to Primary & Resus* → ECG, FAST, CXR, C-spine XR, AP pelvis XR, ABG, coags, CBC, C7, Foley, NG • Adjuncts should not interrupt resus *5. Decide to transfer or not* *6. Secondary Survey & AMPLE Hx* *7. Continuous Post-Resus Monitoring & Re-evaluation* *8. Transfer to Definitive Care* Criteria for any • Trauma Activation • Transfer to Trauma Centre • Presence of surgeon in trauma (Only the first 4 criteria) - ANSWER - • Shock (SBP<90) • Required ETT • GCS<8 • Pentrating trauma to head, neck or torso • Limb amputation prox to wrist/ankle • 2 long bone # • Evidence of spinal cord injury • Major peds or preg >20w trauma Chest trauma + unstable VS + suspected HTX or PTX - ANSWER - 1) Immediate needle/finger thoracostomies → chest tube 2) If >1500ml or >200ml/h → urgent thoracic consult Classification of Hemorrhagic SHOCK - ANSWER - Class 1 → Normal VS (<750ml) Class 2 → Tachy, ↓PP (750-1500ml) Class 3 → HypoTN (1.5-2L) Class 4 →↓LOC/lethargic (>2L) Airway in trauma - ANSWER - • Always maintain C-spine