ADVANCED TRAUMA LIFE SUPPORT ATLS EXAM QUESTIONS
AND ANSWERS | 2024/25 UPDATE
60 minutes after injury to treat after the 60 mins morbidity and mortality significantly
increases
after 1st year of life injury is most frequent cause of death in babies too 31%-48% - CORRECT
ANSWERS golden hour
rib fractures on child
# of left posterior 8th rib - CORRECT ANSWERS
•Performs Trauma Series -
Lat C Spine, CXR, Pelvis
•
•Acts as liaison with CT suite. - CORRECT ANSWERS radiographer role in trauma
team leader- most important stand back and keep overview of whats happening in the room
and helicopter
ODP- support anaesthetics
nurse x2
scribe- wirtting whats happening
radiographer
•Team Leader
•Anaesthetic SpR
•Cardiac/Thoracic Surgeon
•A & E Consultant/SpR
•Orthopaedic SpR - CORRECT ANSWERS trauma team (not important)
, airway management cervical spine control- any signs there breathing or snoring is bad sign
of upper airway obstruction sokve with head tilt chin lift snoring will stop. they need a
patent airway to breath
breathing & ventilation - check lungs are rising and falling equally good depth volume listen
to breath sounds or absent breath sounds on one side due to pnemothorax listen with
stethoscope.
if you hear crackles- fluid
purcusion- use two fingers to look for a echo looking for hyper resenant- sign of
pnemothorax if dull then its fluid.
are they using accesory muscles struggling to breath -asthmatic or see saw effect with
abdomen
probe on finger to look at oxygen saturation should be breath 94-90% oxyegen saturaton of
room air
circulation -check for pulse of corotid pulse not just radial as they may be in shcok so blood
pressure cant suport organs so shut down so cant feel radial pulse well so feel for corotid
pulse and blood pressure.
capilary re fill test good way to test if pt has shut down- press finger for 5 seconds finger
should pink up within 2 seconds if not shut down
haemorrage control - 5 liters circulating volume if you lose one litre you'll be out of it .
disability - awareness is key. GCS can be replaced with- avpue if easier - measure are u alert
b responsive to voice do they respond to pain u- unconcious e-exposure - any rashes
bleeding wounds - CORRECT ANSWERS primary survery ABCD
Not Breathing/Occasional gasps?•
call for help then start CPR
•Call Resuscitation Team - 2222
•Commence CPR 30:2 Adult (15:2 Child/Infant)
30 compressions to 2 ventilations at a rate of 120 per minute
bag valve mask for ventilations 85-90% oxygen given
•Change CPR provider after every 2 minutes MAX! - CORRECT ANSWERS Basic life support
•Ventricular Fibrillation - VF!
AND ANSWERS | 2024/25 UPDATE
60 minutes after injury to treat after the 60 mins morbidity and mortality significantly
increases
after 1st year of life injury is most frequent cause of death in babies too 31%-48% - CORRECT
ANSWERS golden hour
rib fractures on child
# of left posterior 8th rib - CORRECT ANSWERS
•Performs Trauma Series -
Lat C Spine, CXR, Pelvis
•
•Acts as liaison with CT suite. - CORRECT ANSWERS radiographer role in trauma
team leader- most important stand back and keep overview of whats happening in the room
and helicopter
ODP- support anaesthetics
nurse x2
scribe- wirtting whats happening
radiographer
•Team Leader
•Anaesthetic SpR
•Cardiac/Thoracic Surgeon
•A & E Consultant/SpR
•Orthopaedic SpR - CORRECT ANSWERS trauma team (not important)
, airway management cervical spine control- any signs there breathing or snoring is bad sign
of upper airway obstruction sokve with head tilt chin lift snoring will stop. they need a
patent airway to breath
breathing & ventilation - check lungs are rising and falling equally good depth volume listen
to breath sounds or absent breath sounds on one side due to pnemothorax listen with
stethoscope.
if you hear crackles- fluid
purcusion- use two fingers to look for a echo looking for hyper resenant- sign of
pnemothorax if dull then its fluid.
are they using accesory muscles struggling to breath -asthmatic or see saw effect with
abdomen
probe on finger to look at oxygen saturation should be breath 94-90% oxyegen saturaton of
room air
circulation -check for pulse of corotid pulse not just radial as they may be in shcok so blood
pressure cant suport organs so shut down so cant feel radial pulse well so feel for corotid
pulse and blood pressure.
capilary re fill test good way to test if pt has shut down- press finger for 5 seconds finger
should pink up within 2 seconds if not shut down
haemorrage control - 5 liters circulating volume if you lose one litre you'll be out of it .
disability - awareness is key. GCS can be replaced with- avpue if easier - measure are u alert
b responsive to voice do they respond to pain u- unconcious e-exposure - any rashes
bleeding wounds - CORRECT ANSWERS primary survery ABCD
Not Breathing/Occasional gasps?•
call for help then start CPR
•Call Resuscitation Team - 2222
•Commence CPR 30:2 Adult (15:2 Child/Infant)
30 compressions to 2 ventilations at a rate of 120 per minute
bag valve mask for ventilations 85-90% oxygen given
•Change CPR provider after every 2 minutes MAX! - CORRECT ANSWERS Basic life support
•Ventricular Fibrillation - VF!
