ATLS / Trauma Exam Questions And Answers 2022/2023

Pts with maxillofacial or head trauma should be presumed to have a ___ injury - Answer - C spine injury >> C collar Objective signs of airway obstruction - Answer - Agitation (sign of hypoxia), Obtunded (hypercarbia), Snoring, gurgling, stridor horaseness Signs of inadequate ventilation - Answer - asymmetrical chest rise/fall, decreased/absent breath sounds, capnography Mnemonic for evaluating difficult airway - Answer - LEMON Look Evaluate: 3-2-2 Mallampati Obstruction Neck Mobility RSI etomidate dosing - Answer - .3 mg/kg (generally 20 mg) RSI succ dosing - Answer - 1-2 mg/kg (generally 100 mg) Contraindications for succ in trauma - Answer - Severe crush injuries Major burns Electrical injuries Hyperkalemia RSI Roc dosing - Answer - 1 mg/kg Most common cause of shock - Answer - Hemorrhagic Non-hemorrhagic types of shock - Answer - Cardiogenic Tamponade Tension pneumo Neurogenic (shock is 2/2 brainstem damage) Septic Presentation of neurogenic shock - Answer - Hypotension without tachycardia Hemorrhagic shock classes - Answer - Class I = normal vitals Class II = tachycardia Class III = hypotension Class IV = AMS (decreased GCS)