ATLS First Assessment Trauma and Airway Quiz and Answers 2023/2024

ATLS First Assessment Trauma and Airway Quiz and Answers 2023/2024 Patients with a GCS of less than __ usually require intubation. - Answers: 8 The "A" in ABCDE stands for __ - Answers: Airway with C-SPINE PROTECTION You should assume any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? - Answers: Cervical spine injury Flail chest is invariably accompanied by ___ which can interfere with blood oxygenation. - Answers: Pulmonary contusion - do not over fluid resuscitate these patients! Hypotension is caused be ___ until proven otherwise. - Answers: Hypovolemia When you don't have/can't get a BP, what 3 things should you look for when evaluating perfusion? - Answers: 1. LOC (brain perfusion) 2. Skin color (ashen/grey) 3. Pulse (bilateral femoral - thready/tachy) Elderly patients have a limited ability to __ to compensate for blood loss. - Answers: Increase HR Resuscitation fluids should be warmed to 39 degrees C (102.2F) - can you use a microwave to do this? - Answers: YES for crystalloids, NO for blood products List 5 signs of urethral injury that may prevent you from inserting urinary catheter. - Answers: 1. Blood at urethral meatus 2. Perineal ecchymosis 3. Blood in scrotum 4. High-riding/non-palpable prostate 5. Pelvic fracture Which arm should you NOT put a pulse ox on - Answers: The arm with BP cuff Name 2 anatomical things that can interfere with FAST exam. - Answers: Obesity, intraluminal bowel gas When should radiographs be obtained? - Answers: During secondary sruvery AMPLE patients history - Answers: Allergies Medications PMH/Pregnancy Last oral intake Events/environment of injury Why might you want a Bair Hugger for a patient who smells of alcohol? - Answers: Vasodilation can lead to hypothermia What things are you looking for when you do a DRE in trauma? - Answers: Blood, high-riding prostate, sphincter tone What should you do in every female patient? - Answers: Pregnancy test (childbearing age) Adult patients should maintain UOP of at least: - Answers: 0.5 mL/kg/hr, kids 1.0 mL/kg/hr Preventing hypercarbia is critical in patients who have sustained what kind of injury? - Answers: Head injury