ATCN review CORRECT QUESTIONS & ANSWERS(RATED A+)

ATCN review CORRECT QUESTIONS &
ANSWERS(RATED A+)
The approach to trauma care typically begins with what? - ANSWERnotification that
a trauma patient is arriving

When preparing to receive a trauma patient, what should you keep in mind? -
ANSWERsafe practice, safe care

What does "Safe practice" mean when receiving trauma patients? - ANSWERtake
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? - ANSWERthat the
patient is going to the right hospital, in the right time, for the right care

Trauma primary survey for "A"? - ANSWERairway and alertness with simultaneous
cervical spinal stabilization

Trauma primary survey for "B"? - ANSWERbreathing and ventilation

Trauma primary survey for "C"? - ANSWERcirculation and hemorrhage control

Trauma primary survey for "D"? - ANSWERdisability (neurological status:
AVPU/GCS)

Trauma primary survey for "E"? - ANSWERexposure and environmental control

Trauma primary survey for "F"? - ANSWERfull set of vital signs and family presence

Trauma primary survey for "G"? - ANSWERget resuscitation adjuncts (LMNOP)

Which resuscitation adjunct under the "G" primary assessment is this?
-"L" - ANSWERlaboratory studies (ABG's/Type and cross)

Which resuscitation adjunct under the "G" primary assessment is this?
-"M" - ANSWERmonitor for continuous cardiac rhythm and rate assessment

Which resuscitation adjunct under the "G" primary assessment is this?
-"N" - ANSWERnaso/orogastric tube consideration

Which resuscitation adjunct under the "G" primary assessment is this?
-"O" - ANSWERoxygenation and ventilation analysis (pulse
oximetry/ETCO2/capnography)

Which resuscitation adjunct under the "G" primary assessment is this?
-"P" - ANSWERpain assessment and management

, Trauma primary survey for "H"? - ANSWERhistory and head to toe assessment

Trauma primary survey for "I"? - ANSWERinspect posterior surfaces

1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign) - ANSWER10 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 - ANSWERSigns and sx of cardiac tamponade

Careful assessment of the pt's breath sounds is paramount to differentiate the two -
ANSWERtension 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 - ANSWERTx of tension
pneumothorax

-Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding) - ANSWERtriad 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%) - ANSWERrule 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 - ANSWERRule of 9's - Pediatric

Early signs and sx
1. increased pain, greater than expected and out of proportion to the injury