Advanced Trauma Life Support (ATLS) 10th
Edition
1. MIST Pneumonic [10.1]: Mechanism (and time) of Injury
Injuries found and suspected
Symptoms and signs
Treatment Initiated
2. Primary Survey (ABCDE) [10.1]: A-airway/cervical
spine, B-breathing,
c-circulation with hemorrhage control
d-disability (assess Neuro status)
e-exposure/environmental control
3. DOPE [Ultimate ATLS Prep]: Reasons for deterioration in an intubated
patient Dislodgement
Obstruction
Pneumothorax
Equipment Failure
4. Shock index calculation [Ultimate ATLS Prep]: HR/SBP
Normal = 0.5=0.7
Volume Loss = >0.9
5. AMPLE [10.1]: (Allergies, Medications, Past Illnesses/Pregnancy, Last
Meal, Events/Environment related to injury)
6. Definitive airway definition: Tube placed in trachea with cuff inflated below
vocal cords, tube connected to a form of oxygen enriched assisted ventilation and
the airway secured in place with an appropriate stabilizing method.
[10.2, pg24]
7. Laryngeal Trauma Triad of Signs: Hoarseness
(dysphonia) Subcutaneous Emphysema
Palpable fracture
Tx: flexible endoscopic intubation
Dx : CT scan
[10.2, pg25]
8. "abdominal breathing" or "diaphragmatic breathing" could be caused by: -
Injury to below C3.
These maintain diaphragmatic function, but lose intercostal and abdominal muscle
contribution to respiration.
These patients display a seesaw pattern of breathing.
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, Advanced Trauma Life Support (ATLS) 10th
Edition
[10.2, pg26]
9. LEMON pneumonic: Assessment for Difficult Intubation
Look Externally - small mouth, overbite, facial trauma
Evaluate the 3-3-2 Rule - evaluates alignment of pharyngeal, laryngeal, and
oral aes. 3FB between teeth, 3FB between hyoid bone and chin(tip of mentum),
2FB between throid notch and floor of mouth.
Mallampati (PUSH)
Opstruction
Neck mobility
[10.2, pg28]
10. Pulse Oximetry that correllates with PaO2 of >70mmHg: 95%
100% = >90mmHg
90% = >60mmHg
[10.2, pg38]
11. Shock definition: an abnormality of the circulatory system that results in inad-
equate organ perfusion and tissue oxygenation
[10.3, pg44]
12. Types of shock: Hypovolemic - blood and fluid
loss Cardiogenic - HF
Obstructive - Tension pneumo, cardiac tamponade, PE
Distributive - Septic, anaphylactic, neurogenic(injury to cervical or upper thoracic
spine)
[10.3, pg44]
13. Stroke volume determined by: preload (venous capacitance, volume
status, mean venous systemic pressure - RAP)
afterload (aka PVR)
contractility
[10.3, pg44]
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Edition
1. MIST Pneumonic [10.1]: Mechanism (and time) of Injury
Injuries found and suspected
Symptoms and signs
Treatment Initiated
2. Primary Survey (ABCDE) [10.1]: A-airway/cervical
spine, B-breathing,
c-circulation with hemorrhage control
d-disability (assess Neuro status)
e-exposure/environmental control
3. DOPE [Ultimate ATLS Prep]: Reasons for deterioration in an intubated
patient Dislodgement
Obstruction
Pneumothorax
Equipment Failure
4. Shock index calculation [Ultimate ATLS Prep]: HR/SBP
Normal = 0.5=0.7
Volume Loss = >0.9
5. AMPLE [10.1]: (Allergies, Medications, Past Illnesses/Pregnancy, Last
Meal, Events/Environment related to injury)
6. Definitive airway definition: Tube placed in trachea with cuff inflated below
vocal cords, tube connected to a form of oxygen enriched assisted ventilation and
the airway secured in place with an appropriate stabilizing method.
[10.2, pg24]
7. Laryngeal Trauma Triad of Signs: Hoarseness
(dysphonia) Subcutaneous Emphysema
Palpable fracture
Tx: flexible endoscopic intubation
Dx : CT scan
[10.2, pg25]
8. "abdominal breathing" or "diaphragmatic breathing" could be caused by: -
Injury to below C3.
These maintain diaphragmatic function, but lose intercostal and abdominal muscle
contribution to respiration.
These patients display a seesaw pattern of breathing.
This study source was downloaded by 100000899511449 from CourseHero.com on 06-08-2025 15:42:32 GMT -05:00
1/
6
https://www.coursehero.com/file/250038193/Advanced-Trauma-Life-Support-ATLS-10th-Editiondocx/
, Advanced Trauma Life Support (ATLS) 10th
Edition
[10.2, pg26]
9. LEMON pneumonic: Assessment for Difficult Intubation
Look Externally - small mouth, overbite, facial trauma
Evaluate the 3-3-2 Rule - evaluates alignment of pharyngeal, laryngeal, and
oral aes. 3FB between teeth, 3FB between hyoid bone and chin(tip of mentum),
2FB between throid notch and floor of mouth.
Mallampati (PUSH)
Opstruction
Neck mobility
[10.2, pg28]
10. Pulse Oximetry that correllates with PaO2 of >70mmHg: 95%
100% = >90mmHg
90% = >60mmHg
[10.2, pg38]
11. Shock definition: an abnormality of the circulatory system that results in inad-
equate organ perfusion and tissue oxygenation
[10.3, pg44]
12. Types of shock: Hypovolemic - blood and fluid
loss Cardiogenic - HF
Obstructive - Tension pneumo, cardiac tamponade, PE
Distributive - Septic, anaphylactic, neurogenic(injury to cervical or upper thoracic
spine)
[10.3, pg44]
13. Stroke volume determined by: preload (venous capacitance, volume
status, mean venous systemic pressure - RAP)
afterload (aka PVR)
contractility
[10.3, pg44]
This study source was downloaded by 100000899511449 from CourseHero.com on 06-08-2025 15:42:32 GMT -05:00
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