ATLS ASSESSMENT TEST EXAM 2023
QUESTIONS WITH 100% VERIFIED
ANSWERS
Oxygen flow rate for Bag Valve Mask (BVM)? - Answer-15 L/min (at least 10)
drug Intubation - Answer--give meds if time
-pre-oxygenate with high flow oxygen (if can't then need surgical airway)
-suction available
-size 8 ETT tube with working cuff
-laryngoscope and GEB ready
-visualize cords, inflate cuff
-check position with breath sounds, co2 monitor,
-secure tube and ventilate
- CXR
Circothyroidotomy - Answer--sterile prep and 2% lidocaine
-6mm ET tube
-preoxygenate 100% NRB mask
-give suchinylcholine
-palpate cricothyroid membrane and incise 2-3cm vertically
-incise base of membrane transversely
-insert hemostat or scalpel and rotate 90 to open airway
-insert tube, inflate cuff
-check position with breath sounds, co2 monitor,
-secure tube and ventilate
- CXR
Intubation Medications - Answer-induction:
-etomidate .3mg/kg (20mg)
-Succinylcholine 1-2mg/kg (100IV); careful with burns/electrical/crush injuries
Laryngeal Mask Airway (LMA) size - Answer-3: small female
4: large female/small male
5: large male
DOPE - Answer-Dislodgement/ displacement
Obstruction (may need to suction)
Pneumothorax
Equipment failure
needle decompression - Answer--sterile prep/drapes, 2% lidocaine
-14 to 18 (8cm needle)
, over the needle catheter
-Peds: 2nd intercostal space midclavicular line
-Adults: 4th or 5th intercostal space anterior to midaxillary line
-puncture parietal pleura and listen for air
-remove needle and leave catheter
-plug and apply dressing
-chest tube
chest tube - Answer-28-32 French tube at 5th intercostal space just anterior to
midaxillary line
-transverse incision, puncture parietal pleura with curved Kelly above rib
-enlarge and clear space with finger
-advance clamped tube into apex
-look for logging and listen for air movement
-secure with sutures and connect under h20 seal
-apply dressing, order CXR
-immediate return of more then 1500mL indicates need for urgent thoracotomy or also if
200mL/hr for 2-4 hrs
-color of blood is POOR predictor
-injuries to mediastinal box should alert need for possible thoracotomy
-acute hemothorax big enough to see on CXR may be treated with chest tube
GCS scoring points - Answer-Eyes
-4 Open spontaneously
-3 Opens on verbal
-2 Opens on pain
-1 Unresponsive
Speach
-5 Speaks spontaneously, makes sense
-4 Speaks spontaneously, but is confused
-3 Speaks spontaneously, does NOT make sense
-2 Makes only sounds
-1 Unresponsive
Motor
-6 Obeys verbal commands to move
-5 Localizes pain
-4 Withdrawal from pain
-3 Decorticate posture (flexure)
-2 Decerebrate posture (extended)
-1 Unresponsive
GCS scoring (mild, moderate, severe) - Answer-Mild 13-15
Moderate 9-12
QUESTIONS WITH 100% VERIFIED
ANSWERS
Oxygen flow rate for Bag Valve Mask (BVM)? - Answer-15 L/min (at least 10)
drug Intubation - Answer--give meds if time
-pre-oxygenate with high flow oxygen (if can't then need surgical airway)
-suction available
-size 8 ETT tube with working cuff
-laryngoscope and GEB ready
-visualize cords, inflate cuff
-check position with breath sounds, co2 monitor,
-secure tube and ventilate
- CXR
Circothyroidotomy - Answer--sterile prep and 2% lidocaine
-6mm ET tube
-preoxygenate 100% NRB mask
-give suchinylcholine
-palpate cricothyroid membrane and incise 2-3cm vertically
-incise base of membrane transversely
-insert hemostat or scalpel and rotate 90 to open airway
-insert tube, inflate cuff
-check position with breath sounds, co2 monitor,
-secure tube and ventilate
- CXR
Intubation Medications - Answer-induction:
-etomidate .3mg/kg (20mg)
-Succinylcholine 1-2mg/kg (100IV); careful with burns/electrical/crush injuries
Laryngeal Mask Airway (LMA) size - Answer-3: small female
4: large female/small male
5: large male
DOPE - Answer-Dislodgement/ displacement
Obstruction (may need to suction)
Pneumothorax
Equipment failure
needle decompression - Answer--sterile prep/drapes, 2% lidocaine
-14 to 18 (8cm needle)
, over the needle catheter
-Peds: 2nd intercostal space midclavicular line
-Adults: 4th or 5th intercostal space anterior to midaxillary line
-puncture parietal pleura and listen for air
-remove needle and leave catheter
-plug and apply dressing
-chest tube
chest tube - Answer-28-32 French tube at 5th intercostal space just anterior to
midaxillary line
-transverse incision, puncture parietal pleura with curved Kelly above rib
-enlarge and clear space with finger
-advance clamped tube into apex
-look for logging and listen for air movement
-secure with sutures and connect under h20 seal
-apply dressing, order CXR
-immediate return of more then 1500mL indicates need for urgent thoracotomy or also if
200mL/hr for 2-4 hrs
-color of blood is POOR predictor
-injuries to mediastinal box should alert need for possible thoracotomy
-acute hemothorax big enough to see on CXR may be treated with chest tube
GCS scoring points - Answer-Eyes
-4 Open spontaneously
-3 Opens on verbal
-2 Opens on pain
-1 Unresponsive
Speach
-5 Speaks spontaneously, makes sense
-4 Speaks spontaneously, but is confused
-3 Speaks spontaneously, does NOT make sense
-2 Makes only sounds
-1 Unresponsive
Motor
-6 Obeys verbal commands to move
-5 Localizes pain
-4 Withdrawal from pain
-3 Decorticate posture (flexure)
-2 Decerebrate posture (extended)
-1 Unresponsive
GCS scoring (mild, moderate, severe) - Answer-Mild 13-15
Moderate 9-12
