ATLS - CHAPTER 5 ABDOMINAL AND PELVIC TRAUMA EXAM QUESTIONS AND ANSWERS 100% CORRECT!

How many times can you check for pelvic instability? - ANSWER Only once. Repeated checking can cause further hemorrhage What are the three types of pelvic fractures and how common are they? - ANSWER Closed fracture (lateral compression 70%), Open book fracture (anterior-posterior compression 20%) and vertical shear (10%) Where do you place the pelvic binder? - ANSWER Over the femoral head What is the next step when there are signs of a urethral injury? - ANSWER Do not insert a Foley catheter. You need to get a retrograde urethrogram to rule out urethral injury prior to insertion. How do you perform a FAST (focused assessment sonography in trauma)? - ANSWER Scan at the subcostal margin, hepatorenal fossa, splenorenal fossa and bladder How do you perform a DPL (diagnostic peritoneal lavage)? - ANSWER Insert needle infraumbilically, if blood aspirated - go to the OR If no blood, insert guidewire then insert catheter, if blood aspirated - go to the OR If no blood, instill 1L of warmed isotonic fluid, move patient around and then aspirate, if there are signs of bile, bowel contents, blood or vegetable fibers - go to the OR