ATLS 10th Complete Study Guide Test.

ATLS 10th Complete Study Guide Test. Primary survey - CORRECT ANSWER (A) Airway with cervical spine protection (restrict) (B) Breathing and ventilation (C) Circulation - stop the bleeding (D) Disability - neurological status (E) Exposure - undress and environment (temp control) REPEAT IF ANYTHING GOES WRONG Secondary survey - CORRECT ANSWER (A) Allergies (M) Medications (P) PMH and Pregnancies (L) Last meal (E) Environment and Events 3-3-2 Rule - CORRECT ANSWER 3 finger lengths between upper and lower incisors 3 finger lengths between hyoid and chin 2 finger lengths between thyroid notch and floor of mouth LEMON - CORRECT ANSWER (L) Look (visualize) (E) Evaluate 3-3-2 Rule (M) Mallampati (tongue obstruction) (O) Obstruction (N) Neck mobility MIST - CORRECT ANSWER (M) Mechanism (I) Injury pattern (S) Signs (T) Treatment given Rapid assessment - CORRECT ANSWER Initial assessment lasting 10 seconds - Touch the patient - Identify yourself - Ask the patient's name - Ask what happened Massive transfusion - CORRECT ANSWER - 4 units over 1 hour - 10 units over 24 hours Urine output goals - CORRECT ANSWER Adults - 0.5 ml/kg/hr Kids - 1.0 ml/kg/hr Infants - 2.0 ml/kg/hr Urine output goal in electrical injury - CORRECT ANSWER 1-1.5 ml/kg/hr in all ages Basilar skull fracture classic findings - CORRECT ANSWER - Rhinorrhea - Otorrhea - Hearing loss - Facial paralysis Burn fluid resuscitation formula - CORRECT ANSWER (2ml x ?kg x ?TSBA) ÷ 2 ÷ 8 How many people needed to log roll? - CORRECT ANSWER 4 Classes of hemorrhagic shock - CORRECT ANSWER Class 1 (0-14% blood loss) - no hemodynamic changes. - no treatment necessary. Class 2 (15-30% blood loss) - ↔/↑ HR - ↔ BP - ↔ RR - ↔ UO - Crystalloids and +/- blood Class 3 (31-40% blood loss - ↑ HR - ↔/↓ BP - ↔ RR - ↓ UO Ipsilateral pupillary dilation w/ contralateral hemiparesis is a classical sign of? - CORRECT ANSWER Uncal herniation - hyperventilation or hyperosmolar treatment