Advanced Trauma
Life Support(ATLS)
Prep
What are the elements of the initial assessment? - ANSWER
preparation, triage, primary survey, adjuncts to the primary survey and
resuscitation, consideration for transfer, secondary survey, adjuncts to the
secondary survey, continued post resuscitation monitoring, definitive care
What's the difference between multiple and mass casualties? - ANSWER
does the number and severity of patients exceed the capability of the facility and
staff
What is the primary survey? - ANSWER airway (with
restriction of c-spine motion), breathing and ventilation, circulation, disability,
exposure
,What are injuries that significantly impair ventilation in the short term? -
ANSWER tension pneumothorax, massive hemothorax, open
pneumothorax, tracheal and bronchial injuries
How can a simple pneumothorax be converted to a tension pneumothorax? -
ANSWER when a patient is intubated and positive pressure
ventilation is provided before decompressing the pneumothorax
What are the elements of clinical observation that yield important information
about hemodynamic status? - ANSWER level of
consciousness, skin perfusion, pulse
Where are the major areas of internal hemorrhage? - ANSWER
chest, abdomen, retroperitoneum, pelvis, long bones
Other than CNS injury, what can alter a patient's level of consciousness? -
ANSWER hypoglycemia, alcohol, narcotics, other drugs
, What are adjuncts used during the primary survey? - ANSWER
EKG, pulse oximetry, CO2 monitoring, ABG, urinary catheter, gastric catheter,
lactate, XR, FAST
If there is blood at the urethral meatus or perineal ecchymosis...think? -
ANSWER urethral injury, retrograde urethrogram before
inserting a catheter
What does AMPLE stand for? - ANSWER allergies,
medications, past illnesses/pregnancy, last meal, events/environment related to
the injury
During the secondary survey, what is the sequence of the physical exam? -
ANSWER head, maxillofacial structures, cervical spine and
neck, chest, abdomen and pelvis, perineum/rectum/vagina, musculoskeletal,
neurological
Life Support(ATLS)
Prep
What are the elements of the initial assessment? - ANSWER
preparation, triage, primary survey, adjuncts to the primary survey and
resuscitation, consideration for transfer, secondary survey, adjuncts to the
secondary survey, continued post resuscitation monitoring, definitive care
What's the difference between multiple and mass casualties? - ANSWER
does the number and severity of patients exceed the capability of the facility and
staff
What is the primary survey? - ANSWER airway (with
restriction of c-spine motion), breathing and ventilation, circulation, disability,
exposure
,What are injuries that significantly impair ventilation in the short term? -
ANSWER tension pneumothorax, massive hemothorax, open
pneumothorax, tracheal and bronchial injuries
How can a simple pneumothorax be converted to a tension pneumothorax? -
ANSWER when a patient is intubated and positive pressure
ventilation is provided before decompressing the pneumothorax
What are the elements of clinical observation that yield important information
about hemodynamic status? - ANSWER level of
consciousness, skin perfusion, pulse
Where are the major areas of internal hemorrhage? - ANSWER
chest, abdomen, retroperitoneum, pelvis, long bones
Other than CNS injury, what can alter a patient's level of consciousness? -
ANSWER hypoglycemia, alcohol, narcotics, other drugs
, What are adjuncts used during the primary survey? - ANSWER
EKG, pulse oximetry, CO2 monitoring, ABG, urinary catheter, gastric catheter,
lactate, XR, FAST
If there is blood at the urethral meatus or perineal ecchymosis...think? -
ANSWER urethral injury, retrograde urethrogram before
inserting a catheter
What does AMPLE stand for? - ANSWER allergies,
medications, past illnesses/pregnancy, last meal, events/environment related to
the injury
During the secondary survey, what is the sequence of the physical exam? -
ANSWER head, maxillofacial structures, cervical spine and
neck, chest, abdomen and pelvis, perineum/rectum/vagina, musculoskeletal,
neurological
