ATLS exam with questions and correct answers grade A

ATLS exam with questions and correct answers grade A what is the #1 cause of preventable deaths after trauma? - ANSWER hemorrhage what initital labs should be drawn when starting an IV in trauma? - ANSWER type and cross CBC for baselines preg test for females blod gases and lactate for shock what are the 3 contra indications for a foley in trauma? - ANSWER blood at eth urethral meatus perineal ecchymosis high riding or non -palpable prostate pelvic instability if suspect ed doa retrograde urethrogram what 2 x -ray studies should be done in blunt trauma cases? - ANSWER CXR pelvic x -ray think of them as adjuncts to the primary survey what is teh algorithm for the primary survey? - ANSWER ABCDE a head to toe physical and complete Hx (AMPLE) what are the key questions to ask in regards to an automobile trauma? - ANSWER Truck BEDDD belt ejection direction of impact deformity of steeringwheel damage to automobile you see contacts in on teh seconda ry survey, what do you do? - ANSWER remove them to prevent injury in cases of edema if a trauma patient deteriortes, what should you do first? - ANSWER reacess ABCDEs what is adequate UOP in an adult trauma pt? child > 1 yr? - ANSWER 0.5 mL/kg/h 1 mL/kg/ h what is a good mnemonic for handoff of care for a trauma Pt? - ANSWER MIST MoI (and time) Injuries found/suspected Sx and Signs Treatments initiated for primary survey, describe what you do for ABCDE (each one, detailed) - ANSWER Airway: - ascertain pa tency - assess for obstruction Breathing: - expose neck/chest - determine rate/depth of respirations - palpate the neck and chest - percuss chest -auscultate chest Circulation: - identify sources of hemorrhage - identify potential sources of internal hemorrhage - assess pulse quality rate, regularity - asess skin color - BP