ATLS MODULE 1 - 12
ATLS Module 1
1. Exposure
Answer: Completely undress patient, but prevent hypothermia by putting on
warming blankets
2. A decrease in level of consciousness may indicate what? What should you
do?Answer: may indicate a change in cerebral perfusion or a cerebral injury,
re- evaluate the patient starting at A.
3. 10 second assessment
Answer:
Introduce yourself
Ask the patient their name
Ask the patient what happened
4. AMPLE history
Answer:
A Allergies (to food, medication or anything else)
M Medications (OTC, prescription, herbal, recreational or supplemental)
P Past medical history or pregnancy
L Last meal:
Oral intake (what was it and when)
Menstrual period (female with abdominal pain) Bowel movement (any patient with
abdominal pain)
E Events leading to the episode/ Environment related to injury
5. Prehospital phase
Answer: Airway mx, breathing support, control of bleeding and shock,
immbolization, transport to nearest appropriate facility (hopefully a trauma center)
6. Primary Survey
Answer: ABCDE with resuscitation adjuncts FG
7. Secondary Survey
Answer: a head-to-toe physical assessment; an additional assessment of a patient to
determine the existence of any injuries other than those foundin the primary survey
,8. Hospital Phase
Answer:
Ensure resusitation area
Airway equipment
Warmed IV crystalloid solutions
Monitoring devices
Protocol for requesting additional assistance
Transfer Agreements
9. Trauma members should wear standard precautions
Answer: face mask, eye protection, water-impervious gown, and gloves
10. Circulation
Answer: Assessment of hemodynamics, blood volume, controlling bleeding.
11. Disability
Answer:
Assess neuro function rapidly
-Level of consciousness
-Pupillary size and reaction
-Lateralizing signs
-SPinal cord injury
, ATLS Module 2
1. Earliest priorities when managing an airway include
Answer: ensuring an open airwayand identifying a compromised airway
2. Administer what to all trauma patients
Answer: supplemental oxygen
3. How to know the airway is adequate
Answer: Patient's is alert and oriented, talkingproperly, no neck or head injuries,
and has been assessed and reassessed.
4. Risk factors for compromised ventilation
Answer:
Unconcious patients
Obtunded patients (Alcohol, drugs)
Patients with thoracic injuriesPatients with facial burns
Patients with potential inhalation injuries
5. How to manage vomiting trauma patient
Answer: ensure adequate suction materialsare available, also be prepared to log roll
the patient properly while maintaining
C-spine stability.
6. agitation can =
Answer: hypoxia
7. Obtundation can =
Answer: hypercarbia
8. cyanosis=
Answer: hypoxemia, late finding
9. Symptoms of inadequate ventilation
Answer: dyspnea, SOB, request to sit up tobreath.
10. Signs of inadequate ventilation
Answer: tachypnea, tachycardia, arrhythmia, AMS,Retractions, nasal flaring,
diminished breath sounds, Low O2 sat
, 11. Signs vs symptoms
Answer:
*Signs = Objective information*; can be seen, measured,heard, or felt
- Color, pulse, edema
*Symptoms = Subjective information*
- Dyspnea, pain, nausea
12. Factors that indicate difficult airways
Answer:
C-spine injury and motion restriction
Severe arthritis of the C spine
Significant maxillofacial and mandibular trauma
Obvious airway obstruction
Limited mouth opening
Obese patients
Anatomical variations (receding cin, overbite, short muscular neck)
Peds patients
13. nasopharyngeal airway
Answer Used when patient is likely to gag on oropharnygea lairway
14. Assess for obstruction for nasal airway
Answer: polyps, fractures, hemorrhage
15. Measuring for proper nasopharyngeal airway
Answer: should be from tip of nose totip of earlobe
16. Measuring proper oropharyngeal airway
Answer: from corner of mouth to externalauditory canal
17. Patient who tolerate oropharyngeal airway will likely need
Answer: intubation
18. Laryngeal mask airway
Answer: An advanced airway device that is blindly inserted intothe mouth to isolate
the larynx for direct ventilation; consists of a tube and a mask or cuff that inflates to
seal around the laryngeal opening
19. BURP pressure on cricoid cartilage
Answer:
ATLS Module 1
1. Exposure
Answer: Completely undress patient, but prevent hypothermia by putting on
warming blankets
2. A decrease in level of consciousness may indicate what? What should you
do?Answer: may indicate a change in cerebral perfusion or a cerebral injury,
re- evaluate the patient starting at A.
3. 10 second assessment
Answer:
Introduce yourself
Ask the patient their name
Ask the patient what happened
4. AMPLE history
Answer:
A Allergies (to food, medication or anything else)
M Medications (OTC, prescription, herbal, recreational or supplemental)
P Past medical history or pregnancy
L Last meal:
Oral intake (what was it and when)
Menstrual period (female with abdominal pain) Bowel movement (any patient with
abdominal pain)
E Events leading to the episode/ Environment related to injury
5. Prehospital phase
Answer: Airway mx, breathing support, control of bleeding and shock,
immbolization, transport to nearest appropriate facility (hopefully a trauma center)
6. Primary Survey
Answer: ABCDE with resuscitation adjuncts FG
7. Secondary Survey
Answer: a head-to-toe physical assessment; an additional assessment of a patient to
determine the existence of any injuries other than those foundin the primary survey
,8. Hospital Phase
Answer:
Ensure resusitation area
Airway equipment
Warmed IV crystalloid solutions
Monitoring devices
Protocol for requesting additional assistance
Transfer Agreements
9. Trauma members should wear standard precautions
Answer: face mask, eye protection, water-impervious gown, and gloves
10. Circulation
Answer: Assessment of hemodynamics, blood volume, controlling bleeding.
11. Disability
Answer:
Assess neuro function rapidly
-Level of consciousness
-Pupillary size and reaction
-Lateralizing signs
-SPinal cord injury
, ATLS Module 2
1. Earliest priorities when managing an airway include
Answer: ensuring an open airwayand identifying a compromised airway
2. Administer what to all trauma patients
Answer: supplemental oxygen
3. How to know the airway is adequate
Answer: Patient's is alert and oriented, talkingproperly, no neck or head injuries,
and has been assessed and reassessed.
4. Risk factors for compromised ventilation
Answer:
Unconcious patients
Obtunded patients (Alcohol, drugs)
Patients with thoracic injuriesPatients with facial burns
Patients with potential inhalation injuries
5. How to manage vomiting trauma patient
Answer: ensure adequate suction materialsare available, also be prepared to log roll
the patient properly while maintaining
C-spine stability.
6. agitation can =
Answer: hypoxia
7. Obtundation can =
Answer: hypercarbia
8. cyanosis=
Answer: hypoxemia, late finding
9. Symptoms of inadequate ventilation
Answer: dyspnea, SOB, request to sit up tobreath.
10. Signs of inadequate ventilation
Answer: tachypnea, tachycardia, arrhythmia, AMS,Retractions, nasal flaring,
diminished breath sounds, Low O2 sat
, 11. Signs vs symptoms
Answer:
*Signs = Objective information*; can be seen, measured,heard, or felt
- Color, pulse, edema
*Symptoms = Subjective information*
- Dyspnea, pain, nausea
12. Factors that indicate difficult airways
Answer:
C-spine injury and motion restriction
Severe arthritis of the C spine
Significant maxillofacial and mandibular trauma
Obvious airway obstruction
Limited mouth opening
Obese patients
Anatomical variations (receding cin, overbite, short muscular neck)
Peds patients
13. nasopharyngeal airway
Answer Used when patient is likely to gag on oropharnygea lairway
14. Assess for obstruction for nasal airway
Answer: polyps, fractures, hemorrhage
15. Measuring for proper nasopharyngeal airway
Answer: should be from tip of nose totip of earlobe
16. Measuring proper oropharyngeal airway
Answer: from corner of mouth to externalauditory canal
17. Patient who tolerate oropharyngeal airway will likely need
Answer: intubation
18. Laryngeal mask airway
Answer: An advanced airway device that is blindly inserted intothe mouth to isolate
the larynx for direct ventilation; consists of a tube and a mask or cuff that inflates to
seal around the laryngeal opening
19. BURP pressure on cricoid cartilage
Answer:
