ATLS (CH 1-3: Initial
Assessment/Management, Airway,
Shock) Study Guide Test.
Patients with a GCS of less than __ usually require intubation. - CORRECT ANSWER 8
The "A" in ABCDE stands for __ - CORRECT ANSWER Airway with C-SPINE PROTECTION
You should assume any patient in a multisystem trauma with an altered level of consciousness or blunt
injury above the clavicle has what type of injury? - CORRECT ANSWER Cervical spine injury
Flail chest is invariably accompanied by ___ which can interfere with blood oxygenation. - CORRECT
ANSWER Pulmonary contusion - do not over fluid resuscitate these patients!
Hypotension is caused be ___ until proven otherwise. - CORRECT ANSWER Hypovolemia
When you don't have/can't get a BP, what 3 things should you look for when evaluating perfusion? -
CORRECT ANSWER 1. LOC (brain perfusion)
2. Skin color (ashen/grey)
3. Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to __ to compensate for blood loss. - CORRECT ANSWER Increase
HR
Resuscitation fluids should be warmed to 39 degrees C (102.2F) - can you use a microwave to do this? -
CORRECT ANSWER YES for crystalloids, NO for blood products
List 5 signs of urethral injury that may prevent you from inserting urinary catheter. - CORRECT ANSWER
1. Blood at urethral meatus
, 2. Perineal ecchymosis
3. Blood in scrotum
4. High-riding/non-palpable prostate
5. Pelvic fracture
Which arm should you NOT put a pulse ox on - CORRECT ANSWER The arm with BP cuff
Name 2 anatomical things that can interfere with FAST exam. - CORRECT ANSWER Obesity, intraluminal
bowel gas
When should radiographs be obtained? - CORRECT ANSWER During secondary sruvery
AMPLE patients history - CORRECT ANSWER Allergies
Medications
PMH/Pregnancy
Last oral intake
Events/environment of injury
Why might you want a Bair Hugger for a patient who smells of alcohol? - CORRECT ANSWER
Vasodilation can lead to hypothermia
What things are you looking for when you do a DRE in trauma? - CORRECT ANSWER Blood, high-riding
prostate, sphincter tone
What should you do in every female patient? - CORRECT ANSWER Pregnancy test (childbearing age)
Adult patients should maintain UOP of at least: - CORRECT ANSWER 0.5 mL/kg/hr, kids 1.0 mL/kg/hr
Preventing hypercarbia is critical in patients who have sustained what kind of injury? - CORRECT
ANSWER Head injury
Assessment/Management, Airway,
Shock) Study Guide Test.
Patients with a GCS of less than __ usually require intubation. - CORRECT ANSWER 8
The "A" in ABCDE stands for __ - CORRECT ANSWER Airway with C-SPINE PROTECTION
You should assume any patient in a multisystem trauma with an altered level of consciousness or blunt
injury above the clavicle has what type of injury? - CORRECT ANSWER Cervical spine injury
Flail chest is invariably accompanied by ___ which can interfere with blood oxygenation. - CORRECT
ANSWER Pulmonary contusion - do not over fluid resuscitate these patients!
Hypotension is caused be ___ until proven otherwise. - CORRECT ANSWER Hypovolemia
When you don't have/can't get a BP, what 3 things should you look for when evaluating perfusion? -
CORRECT ANSWER 1. LOC (brain perfusion)
2. Skin color (ashen/grey)
3. Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to __ to compensate for blood loss. - CORRECT ANSWER Increase
HR
Resuscitation fluids should be warmed to 39 degrees C (102.2F) - can you use a microwave to do this? -
CORRECT ANSWER YES for crystalloids, NO for blood products
List 5 signs of urethral injury that may prevent you from inserting urinary catheter. - CORRECT ANSWER
1. Blood at urethral meatus
, 2. Perineal ecchymosis
3. Blood in scrotum
4. High-riding/non-palpable prostate
5. Pelvic fracture
Which arm should you NOT put a pulse ox on - CORRECT ANSWER The arm with BP cuff
Name 2 anatomical things that can interfere with FAST exam. - CORRECT ANSWER Obesity, intraluminal
bowel gas
When should radiographs be obtained? - CORRECT ANSWER During secondary sruvery
AMPLE patients history - CORRECT ANSWER Allergies
Medications
PMH/Pregnancy
Last oral intake
Events/environment of injury
Why might you want a Bair Hugger for a patient who smells of alcohol? - CORRECT ANSWER
Vasodilation can lead to hypothermia
What things are you looking for when you do a DRE in trauma? - CORRECT ANSWER Blood, high-riding
prostate, sphincter tone
What should you do in every female patient? - CORRECT ANSWER Pregnancy test (childbearing age)
Adult patients should maintain UOP of at least: - CORRECT ANSWER 0.5 mL/kg/hr, kids 1.0 mL/kg/hr
Preventing hypercarbia is critical in patients who have sustained what kind of injury? - CORRECT
ANSWER Head injury
