ATLS EXAM SCRIPT TESTED QUESTIONS AND
SOLUTIONS 100 PERCENT CORRECT
◉ How do you treat hypothermia in the ED? Answer: crystalloid
fluids at 102.2 degrees F and warmed treatment area
◉ What does definitive hemorrhage control refer to?
(3) Answer: 1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
◉ What are rates of fluid administration measured by? Answer: Size
and length of catheter
◉ Minimum flow rate of oxygen reservoir mask Answer: 11 L/min
◉ MCC of shock in trauma pt Answer: Hypovolemia due to
hemorrhage
◉ Describe the 3 for 1 rule Answer: Replace each mL of blood loss
with 3 ml of crystalloid solution
,◉ What metabolic state can result from continued hemorrhage or
decreased perfusion? Answer: Metabolic acidosis
◉ In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption Answer: Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
◉ What imaging study is preferred for penetrating abdominal trauma?
Answer: CT
◉ What can FAST rapidly diagnose? Answer: Abdominal hemorrhage
◉ When is a laparotomy indicated? Answer: Fascial penetration with
intraperitoneal bleeding or peritonitis
◉ What does the Monro Kellie doctrine describe? Answer: The
relationship between IC volume and pressure
◉ Normal resting ICP Answer: 10 mm Hg
◉ How do you reduce elevated ICP? Answer: Mannitol in a 20%
solution
, ◉ How do you temporarily control pelvic hemorrhage and instability?
Answer: Internal traction and external counter-pressure
◉ How do you initially manage major arterial injury? Answer: Direct
pressure and fluid resuscitation
◉ Full thickness burn Answer: Third degree burn
◉ What is used to estimate the size and depth of burns? Answer: Rule
of 9's
Head= 9%
Each arm=9%
Front Trunk= 18%
Back Trunk= 18%
Upper leg= 9%
Lower leg= 9%
◉ What type of burns appear wet and blistered? Answer: Partial
thickness burns (second degree)
◉ How do you treat CO exposed pt? Answer: 100% oxygen flow
through non re-breather mask
◉ What is a reliable measure of circulating blood volumes in burn
patients? Answer: Hourly urine output
SOLUTIONS 100 PERCENT CORRECT
◉ How do you treat hypothermia in the ED? Answer: crystalloid
fluids at 102.2 degrees F and warmed treatment area
◉ What does definitive hemorrhage control refer to?
(3) Answer: 1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
◉ What are rates of fluid administration measured by? Answer: Size
and length of catheter
◉ Minimum flow rate of oxygen reservoir mask Answer: 11 L/min
◉ MCC of shock in trauma pt Answer: Hypovolemia due to
hemorrhage
◉ Describe the 3 for 1 rule Answer: Replace each mL of blood loss
with 3 ml of crystalloid solution
,◉ What metabolic state can result from continued hemorrhage or
decreased perfusion? Answer: Metabolic acidosis
◉ In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption Answer: Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
◉ What imaging study is preferred for penetrating abdominal trauma?
Answer: CT
◉ What can FAST rapidly diagnose? Answer: Abdominal hemorrhage
◉ When is a laparotomy indicated? Answer: Fascial penetration with
intraperitoneal bleeding or peritonitis
◉ What does the Monro Kellie doctrine describe? Answer: The
relationship between IC volume and pressure
◉ Normal resting ICP Answer: 10 mm Hg
◉ How do you reduce elevated ICP? Answer: Mannitol in a 20%
solution
, ◉ How do you temporarily control pelvic hemorrhage and instability?
Answer: Internal traction and external counter-pressure
◉ How do you initially manage major arterial injury? Answer: Direct
pressure and fluid resuscitation
◉ Full thickness burn Answer: Third degree burn
◉ What is used to estimate the size and depth of burns? Answer: Rule
of 9's
Head= 9%
Each arm=9%
Front Trunk= 18%
Back Trunk= 18%
Upper leg= 9%
Lower leg= 9%
◉ What type of burns appear wet and blistered? Answer: Partial
thickness burns (second degree)
◉ How do you treat CO exposed pt? Answer: 100% oxygen flow
through non re-breather mask
◉ What is a reliable measure of circulating blood volumes in burn
patients? Answer: Hourly urine output
