ATLS Pretest
A 20-year-antique woman who's at 32 weeks gestation, is stabbed within the upper right
chest. In the emergency department, her blood stress is eighty/60 mm Hg. She is gasping
for breath, extremely demanding, and yelling for assist. Breath sounds are faded within the
proper chest. The maximum appropriate first step is to: - ANS-perform needle or finger
decompression of the right chest
A 22-year-antique woman athlete is stabbed in her left chest at the third interspace inside
the anterior axillary line. On admission to the emergency branch and 15 mins after the
incident, she is awake and alert. Her coronary heart price is a hundred beats in step with
minute, blood stress eighty/60 mm Hg, and respiration fee 20 breaths in step with minute. A
chest x-ray exhibits a huge left hemothorax. A left chest tube is positioned with an
instantaneous go back of 1600 mL of blood. The subsequent management step for this
affected person is: - ANS-prepare for an exploratory thoracotomy
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder.
His blood strain is to start with 80/40 mm Hg. After initial fluid resuscitation his blood
pressure increases to 122/eighty four mm Hg. His coronary heart rate is now one hundred
beats according to minute and his respiration price is 28 breaths consistent with minute. A
tube thoracostomy is done for decreased left chest breath sounds with the return of a small
amount of blood and no air leak. After chest tube insertion, the most suitable subsequent
step is: - ANS-re-look at the chest
A 22-yr-old guy sustains a gunshot wound to the left chest and is transported to a small
community hospital no surgical skills are available. In the emergency branch, a chest tube is
inserted and seven-hundred mL of blood is evacuated. The trauma center accepts the
patient in transfer. Just earlier than the affected person is located within the ambulance for
switch, his blood stress decreases to eighty/sixty eight mm Hg and his coronary heart rate
will increase to 136 beats in step with minute. The next step need to be to: - ANS-repeat the
number one survey and continue with transfer
A 23-year-antique man sustains four stab wounds to the higher right chest in the course of
an altercation and is delivered through ambulance to a sanatorium that has complete
surgical abilities. His wounds are all above the nipple. He is endotracheally intubated, closed
tube thoracostomy is executed, fluid resuscitation is initiated through 2 huge-caliber IVs.
FAST examination does now not screen intraabdominal accidents. His blood strain now's
60/0 mm Hg, heart fee is 160 beats in step with minute, and respiration charge is 14 breaths
according to minute (ventilated with a hundred% O2). 1500 mL of blood has drained from the
proper chest. The maximum suitable subsequent step in dealing with this affected person is
to: - ANS-urgently transfer the affected person to the working room
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency branch.
His scholars react sluggishly and his eyes open to strain. He does no longer follow
commands, but he does moan periodically. His right arm is deformed and does now not
respond to stress; however, his left hand reaches purposefully closer to the stimulus. Both
legs are stiffly prolonged. His GCS rating is: - ANS-nine
A 32-12 months-old guy's right leg is trapped under his overturned car for almost 2 hours
before he's extricated. On arrival within the emergency department, his right decrease
A 20-year-antique woman who's at 32 weeks gestation, is stabbed within the upper right
chest. In the emergency department, her blood stress is eighty/60 mm Hg. She is gasping
for breath, extremely demanding, and yelling for assist. Breath sounds are faded within the
proper chest. The maximum appropriate first step is to: - ANS-perform needle or finger
decompression of the right chest
A 22-year-antique woman athlete is stabbed in her left chest at the third interspace inside
the anterior axillary line. On admission to the emergency branch and 15 mins after the
incident, she is awake and alert. Her coronary heart price is a hundred beats in step with
minute, blood stress eighty/60 mm Hg, and respiration fee 20 breaths in step with minute. A
chest x-ray exhibits a huge left hemothorax. A left chest tube is positioned with an
instantaneous go back of 1600 mL of blood. The subsequent management step for this
affected person is: - ANS-prepare for an exploratory thoracotomy
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder.
His blood strain is to start with 80/40 mm Hg. After initial fluid resuscitation his blood
pressure increases to 122/eighty four mm Hg. His coronary heart rate is now one hundred
beats according to minute and his respiration price is 28 breaths consistent with minute. A
tube thoracostomy is done for decreased left chest breath sounds with the return of a small
amount of blood and no air leak. After chest tube insertion, the most suitable subsequent
step is: - ANS-re-look at the chest
A 22-yr-old guy sustains a gunshot wound to the left chest and is transported to a small
community hospital no surgical skills are available. In the emergency branch, a chest tube is
inserted and seven-hundred mL of blood is evacuated. The trauma center accepts the
patient in transfer. Just earlier than the affected person is located within the ambulance for
switch, his blood stress decreases to eighty/sixty eight mm Hg and his coronary heart rate
will increase to 136 beats in step with minute. The next step need to be to: - ANS-repeat the
number one survey and continue with transfer
A 23-year-antique man sustains four stab wounds to the higher right chest in the course of
an altercation and is delivered through ambulance to a sanatorium that has complete
surgical abilities. His wounds are all above the nipple. He is endotracheally intubated, closed
tube thoracostomy is executed, fluid resuscitation is initiated through 2 huge-caliber IVs.
FAST examination does now not screen intraabdominal accidents. His blood strain now's
60/0 mm Hg, heart fee is 160 beats in step with minute, and respiration charge is 14 breaths
according to minute (ventilated with a hundred% O2). 1500 mL of blood has drained from the
proper chest. The maximum suitable subsequent step in dealing with this affected person is
to: - ANS-urgently transfer the affected person to the working room
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency branch.
His scholars react sluggishly and his eyes open to strain. He does no longer follow
commands, but he does moan periodically. His right arm is deformed and does now not
respond to stress; however, his left hand reaches purposefully closer to the stimulus. Both
legs are stiffly prolonged. His GCS rating is: - ANS-nine
A 32-12 months-old guy's right leg is trapped under his overturned car for almost 2 hours
before he's extricated. On arrival within the emergency department, his right decrease
