ATLS EXAM WITH COMPLETE SOLUTION

ATLS EXAM WITH COMPLETE SOLUTION field triage scheme step 1: when to transport to level 1 trauma center? GCS - systolic BP - RR - - answerGCS <13 systolic BP <90 RR <10 or >29 [ <20 in infants <1 yr] (OR need for ventilatory support) when adults fall > ___ feet or ___ meters (2 stories) you should transport to trauma center - answer>20 feet or 6 meters (2 stories) when children fall > ___ feet or ___ meters you should transport to trauma center - answer>10 feet or 3 meters (2-3x height of child) high risk mvc qualities - answer- intrusion, including roof: >12 inches (30cm) occupants side - intrusion >18 inches (45cm) on any side - ejection - death in same passenger compartment - vehicle telemetry data consistent with high risk of injury - auto vs pedestrian/bicyclist thrown, run over or with significant (>20mph) impact - motorcycle crash >20mph define multiple casualty incident - answermultiple casualty incidents are those in which the number of patients and the severity of their injuries do not exceed the capability of the facility to render care. In such cases, patients with life-threatening problems and those sustaining multiple-system injuries are treated first. define mass casualty incident - answerIn mass-casualty events, the number of patients and the severity of their injuries does exceed the capability of the facility and staff. In such cases, patients having the greatest chance of survival and requiring the least expenditure of time, equipment, supplies, and personnel are treated first Where can you assess a central pulse? - answerFemoral or carotid artery. Make sure you assess bilaterally for