ATCN Exam Questions With 100% Verified Answers Updated 2024/2025 (GRADED A+)

The approach to trauma care typically begins with what? notification that a trauma patient is arriving When preparing to receive a trauma patient, what should you keep in mind? safe practice, safe care What does "Safe practice" mean when receiving trauma patients? take into consideration the protection of the team (universal precautions/PPE/preparing equipment prior to patient arrival) What does "Safe care" mean when receiving trauma patients? that the patient is going to the right hospital, in the right time, for the right care Trauma primary survey for "A"? airway and alertness with simultaneous cervical spinal stabilization Trauma primary survey for "B"? breathing and ventilation Trauma primary survey for "C"? circulation and hemorrhage control Trauma primary survey for "D"? disability (neurological status: AVPU/GCS) ATCN Exam Review Questions With 100% Verified Solutions 2024/2025 (GRADED A+) Trauma primary survey for "E"? exposure and environmental control Trauma primary survey for "F"? full set of vital signs and family presence Trauma primary survey for "G"? get resuscitation adjuncts (LMNOP) Which resuscitation adjunct under the "G" primary assessment is this? -"L" laboratory studies (ABG's/Type and cross) Which resuscitation adjunct under the "G" primary assessment is this? -"M" monitor for continuous cardiac rhythm and rate assessment Which resuscitation adjunct under the "G" primary assessment is this? -"N" naso/orogastric tube consideration Which resuscitation adjunct under the "G" primary assessment is this? -"O" oxygenation and ventilation analysis (pulse oximetry/ETCO2/capnography) Which resuscitation adjunct under the "G" primary assessment is this? -"P" pain assessment and management Trauma primary survey for "H"? history and head to toe assessment Trauma primary survey for "I"? inspect posterior surfaces pain hunger ratory distress cardia ension eal deviation away from injury teral absence of breath sounds ted hemithorax w/out respiratory movement vein distention sis (late sign) 10 Signs and sx of tension pneumothorax 1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial pressure(hypotension), muffled heart tones 2. PEA 3. JVD &/or Kussmauls sign 4. Use FAST to dx Signs and sx of cardiac tamponade Careful assessment of the pt's breath sounds is paramount to differentiate the two tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate? 1. Needle decompression- large bore needle 2nd intercostal space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary Tx of tension pneumothorax -Acidosis - Hypothermia - Coagulopathy (blood can't clot resulting in continued bleeding) triad of death Head = 9% Chest (front) = 9% Abdomen (front) = 9% Upper/mid/low back and buttocks = 18% Each arm = 9% (front = 4.5%, back = 4.5%) Groin = 1% Each leg = 18% total (front = 9%, back = 9%) rule of 9's adult Anterior/Posterior Head - 9% Each Anterior/Posterior Torson - 18% Each Anterior/Posterior Arms - 4.5% Each Anterior/Posterior Legs - 7% Each Rule of 9's - Pediatric Early signs and sx 1. increased pain, greater than expected and out of proportion to the injury 2. Palpable tenseness of the compartment 3. asymmetry of the muscle compartment 4. pain on passive stretch ed sensation Note: Absent distal pulses and poor cap refill are not reliable in dx compartment syndrome. May be a very late sign of C.S. possibility of proximal vascular injury should be considered signs and symptoms of compartment syndrome thoracotomy is indicated when output exceeds 1500 mL within 24 hours, THE INDICATIONS for thoracotomy after traumatic injury typically include shock, arrest at presentation, diagnosis of specific injuries (such as blunt aortic injury), or ongoing thoracic hemorrhage. Indications for thoracotomy sx can be slow and gradual and silent. hypotension, tachycardia, arrhythmias and dysrhythmias, visible trauma, distended neck veins, muffled heart sounds, and other signs of shock. Note: rapid deceleration blunt cardiac injury s and sx 1.Metabolic acidosis is corrected by control of hemorrhage and admin of fluids and blood 2.The degree of metabolic acidosis is measured by the base deficit from the abg's. The base deficit helps estimate level of perfusion and pt's response to resuscitation Acid base balance, base deficit and shock