ATLS Written Review EXAM [2023/2024]GRADED A [LATEST VERSION ]

ATLS Written Review EXAM [2023/2024]GRADED A [LATEST VERSION ] Patients with a GSC of less than ___ usually require intubation. - CORRECT ANSWER 8 The "A" in ABCD stands for _______. - CORRECT ANSWER Airway maintenance with CERVICAL SPINE PROTECTION You should assume that 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 by _____ until proven otherwise. - CORRECT ANSWER hypovolemia When you don't have/can't get a blood pressure, what are three things to look for when evaluating perfusion. - CORRECT ANSWER 1. Level of consciousness (brain perfusion), 2. Skin color (ashen face/grey extremities) 3. Pulse (bilateral femoral - thready/tachy) Elderly patients have a limited ability to ______ to compensate for blood loss. - CORRECT ANSWER increase heart rate Resuscitation fluids should be warmed 39 degrees Celsius (102.2 F). Can you use a microwave to do this? - CORRECT ANSWER YES - for CRYSTALLOID ONLY (but NOT for blood products). Urinary catheters are good for assessing renal perfusion and volume status. List 5 signs of urethral injury that might prevent you from inserting one. - CORRECT ANSWER Blood at urethral meatus, perineal ecchymosis, blood in scrotum, highriding/non-palpable prostate, pelvic fracture Which arm should you NOT put a pulse-ox on? - CORRECT ANSWER The arm with a blood pressure cuff on it Name two anatomical things that can interfere with doing a FAST scan. - CORRECT ANSWER Obesity & intraluminal bowel gas When should radiographs be obtained? - CORRECT ANSWER During the SECONDARY survey. How do you get an ample patient history? - CORRECT ANSWER A=Allergies, M=Medications, P=PMH/Pregnancy, L=Last meal, E=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