Advanced Trauma Life Support Keys

Patients with GSC of less than _____ usually require intubation - Answer- 8 The "A" in ABCD stands for ______. - 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 clavice has what type of injury - Answer- Cervical Spine Injury Flail chest is invariably accompanied by _______ which can interfere with blood oxygenation - Answer- pulmonary contusion - do NOT over fluid resuscitate these patients. Hypotension is caused by ______ until proven otherwise. - Answer- hypovolemia When you dont have a BP what are three things to look for when evaluating perfusion? - 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 - Answer- increase heart rate Resuscitation fluids should be warmed to 39 Celsius - Answer- Only for Cyrstalloids, NOT for blood Urinary catheters are good for assessing renal perfusion and volume status. List 5 signs of urethral injury that might precent you from inserting one - Answer- Blood at urethral meatus, perineal ecchymosis, blood in scrotum, high-riding/non-palpable prostate, pelvic fracture Which arm should you NOT put a pulse-ox on? - Answer- The arm with the BP cuff 2 anatomical things that can interfere - Answer- Obesity and intraluminal bowel gas When should radiographs be obtained? - Answer- During the Secondary survey! How do ge