ADVANCED TRAUMA LIFE SUPPORT
QUESTIONS AND ANSWERS UPDATED
2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR PASS
Bougies are typically inserted blindly, how do you know you are in the trachea and not the
esophagus? - CORRECT ANSWERS You can feel the clicks as the distal tip rubs against the
cartilaginous tracheal rings, or it will deviate right or left when entering either bronchus (at 50
cm)
What do yo NOT want to hear if you auscultate a patient after placement of an ET tube? -
CORRECT ANSWERS Borborygmi - rumbling or gurgling noices suggest esophageal insertion.
What is the RSI dose for etomidate - CORRECT ANSWERS 0.3 mg/kg (usually 20 mg)
What is the RSI dose for succinylcholine - CORRECT ANSWERS 1-2 mg/kg (usually 100 mg)
How does etomidate affect blood pressure - CORRECT ANSWERS it doesnt -it shouldnt have
any effect on BP. Ketamine will increase BP, and propofol and thiopental will both drop BP.
A RSI dose of succinylcholine usually lasts about ___ minutes - CORRECT ANSWERS 5
What hypnotic/sedative/induction agent do you NOT want to use for a severely burned
patient? - CORRECT ANSWERS Sux - patients with severe burns, crush injuries, hyperkalemia,
or chronic paralytic/neuromuscular disease should NOT get Sux because of hyperkalemia risk
O2 should flow at 15L for needle cricothyroidotomy, and have a Y connector for insufflation if
possible. What size needle do you use for adults? Kids? - CORRECT ANSWERS Adults: 12-14
gauge
,ADVANCED TRAUMA LIFE SUPPORT
QUESTIONS AND ANSWERS UPDATED
2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR PASS
kids: 16-18 gauge
Cricoid cartilage is the only circumferential support for the upper trachea in kids, therefore
surgical cricothyroidotomy is not recommeded for kids under the age of ________. - CORRECT
ANSWERS 12
In a 'normal' patient without significant chest wall injury or lung disease, needle
cricothyroidotomy can provide adequate oxygenation for approximately ______ minutes -
CORRECT ANSWERS 30-45
For a patient with difficulty breathing, what things might you try before you provide a surgical
aurway - CORRECT ANSWERS Chin Lift, jaw-thrust (NOT head-tilt while maintaining c-spine
precautions), OPA (guedel), NPA (trumpet), LMA, Combitube, ET tube +- bougie
How do you know if an OPA/Guedel is the correct size for the patient? - CORRECT ANSWERS A
correctly sized OPA will extend from the corner of the patients mouth to the external auditory
canal.
What should you do with the balloon on an ET tube/LMA/foley before you insert it? - CORRECT
ANSWERS Inflate it to make sure it doesnt leak- then deflate and insert
What size LMA do you use for Kid, woman/small man, large woman/man - CORRECT ANSWERS
Kid: 3
Woman/Small Man: 4
Large woman/Man 5
C3,4,5 keep them all alive
, ADVANCED TRAUMA LIFE SUPPORT
QUESTIONS AND ANSWERS UPDATED
2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR PASS
The proper size ET tube for an infant is - CORRECT ANSWERS The same size as the infants
nostril or little finger (3 for neonates, 3.5 for infants
What size cuffed endotracheal tube do you use for an emergency cricothyroidotomy? -
CORRECT ANSWERS 5 or 6
Use a size 3 ET tube for neonates
3.5 for infants for 0-6 months
4 fo infants 6-12 months
How do you calculate what size ET tube to use or toddlers and kids? - CORRECT ANSWERS
Age/4 +4mm = internal diameter
Shock is defined as an abnormality of the circulatory system that results in inadequate organ
perfusion and tissue oxygenation. what are the 4 different types - CORRECT ANSWERS
Neurogenic, cardiogenic, hypovolemic, septic
The most common cause of shock in the injured trauma patient is _________. - CORRECT
ANSWERS hemorrhage
Approximately ___% of the body's total blood volume is located in the venous circuit/ -
CORRECT ANSWERS 70
QUESTIONS AND ANSWERS UPDATED
2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR PASS
Bougies are typically inserted blindly, how do you know you are in the trachea and not the
esophagus? - CORRECT ANSWERS You can feel the clicks as the distal tip rubs against the
cartilaginous tracheal rings, or it will deviate right or left when entering either bronchus (at 50
cm)
What do yo NOT want to hear if you auscultate a patient after placement of an ET tube? -
CORRECT ANSWERS Borborygmi - rumbling or gurgling noices suggest esophageal insertion.
What is the RSI dose for etomidate - CORRECT ANSWERS 0.3 mg/kg (usually 20 mg)
What is the RSI dose for succinylcholine - CORRECT ANSWERS 1-2 mg/kg (usually 100 mg)
How does etomidate affect blood pressure - CORRECT ANSWERS it doesnt -it shouldnt have
any effect on BP. Ketamine will increase BP, and propofol and thiopental will both drop BP.
A RSI dose of succinylcholine usually lasts about ___ minutes - CORRECT ANSWERS 5
What hypnotic/sedative/induction agent do you NOT want to use for a severely burned
patient? - CORRECT ANSWERS Sux - patients with severe burns, crush injuries, hyperkalemia,
or chronic paralytic/neuromuscular disease should NOT get Sux because of hyperkalemia risk
O2 should flow at 15L for needle cricothyroidotomy, and have a Y connector for insufflation if
possible. What size needle do you use for adults? Kids? - CORRECT ANSWERS Adults: 12-14
gauge
,ADVANCED TRAUMA LIFE SUPPORT
QUESTIONS AND ANSWERS UPDATED
2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR PASS
kids: 16-18 gauge
Cricoid cartilage is the only circumferential support for the upper trachea in kids, therefore
surgical cricothyroidotomy is not recommeded for kids under the age of ________. - CORRECT
ANSWERS 12
In a 'normal' patient without significant chest wall injury or lung disease, needle
cricothyroidotomy can provide adequate oxygenation for approximately ______ minutes -
CORRECT ANSWERS 30-45
For a patient with difficulty breathing, what things might you try before you provide a surgical
aurway - CORRECT ANSWERS Chin Lift, jaw-thrust (NOT head-tilt while maintaining c-spine
precautions), OPA (guedel), NPA (trumpet), LMA, Combitube, ET tube +- bougie
How do you know if an OPA/Guedel is the correct size for the patient? - CORRECT ANSWERS A
correctly sized OPA will extend from the corner of the patients mouth to the external auditory
canal.
What should you do with the balloon on an ET tube/LMA/foley before you insert it? - CORRECT
ANSWERS Inflate it to make sure it doesnt leak- then deflate and insert
What size LMA do you use for Kid, woman/small man, large woman/man - CORRECT ANSWERS
Kid: 3
Woman/Small Man: 4
Large woman/Man 5
C3,4,5 keep them all alive
, ADVANCED TRAUMA LIFE SUPPORT
QUESTIONS AND ANSWERS UPDATED
2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR PASS
The proper size ET tube for an infant is - CORRECT ANSWERS The same size as the infants
nostril or little finger (3 for neonates, 3.5 for infants
What size cuffed endotracheal tube do you use for an emergency cricothyroidotomy? -
CORRECT ANSWERS 5 or 6
Use a size 3 ET tube for neonates
3.5 for infants for 0-6 months
4 fo infants 6-12 months
How do you calculate what size ET tube to use or toddlers and kids? - CORRECT ANSWERS
Age/4 +4mm = internal diameter
Shock is defined as an abnormality of the circulatory system that results in inadequate organ
perfusion and tissue oxygenation. what are the 4 different types - CORRECT ANSWERS
Neurogenic, cardiogenic, hypovolemic, septic
The most common cause of shock in the injured trauma patient is _________. - CORRECT
ANSWERS hemorrhage
Approximately ___% of the body's total blood volume is located in the venous circuit/ -
CORRECT ANSWERS 70
