10th Edition
MIST Pneumonic [10.1]
Mechanism (and time) of Injury
Injuries discovered and suspected
Symptoms and signs and symptoms
Treatment Initiated
Primary Survey (ABCDE) [10.1]
A-airway/cervical backbone,
B-respiratory,
c-flow with hemorrhage manipulate
d-incapacity (examine Neuro fame)
e-exposure/environmental control
DOPE [Ultimate ATLS Prep]
Reasons for deterioration in an intubated affected person
Dislodgement
Obstruction
Pneumothorax
Equipment Failure
Shock index calculation [Ultimate ATLS Prep]
HR/SBP
Normal = 0.Five=zero.7
Volume Loss = >0.9
AMPLE [10.1]
(Allergies, Medications, Past Illnesses/Pregnancy, Last Meal, Events/Environment related to
injury)
, Definitive airway definition
Tube placed in trachea with cuff inflated below vocal cords, tube connected to a shape of
oxygen enriched assisted ventilation and the airway secured in vicinity with the precise
stabilizing method.
[10.2, pg24]
Laryngeal Trauma Triad of Signs
Hoarseness (dysphonia)
Subcutaneous Emphysema
Palpable fracture
Tx: flexible endoscopic intubation
Dx : CT scan
[10.2, pg25]
"abdominal respiration" or "diaphragmatic respiration" could be as a result of
Injury to below C3.
These maintain diaphragmatic characteristic, but lose intercostal and abdominal muscle
contribution to respiratory.
These patients show a seesaw sample of respiration.
[10.2, pg26]
LEMON pneumonic
Assessment for Difficult Intubation
Look Externally - small mouth, overbite, facial trauma
Evaluate the three-three-2 Rule - evaluates alignment of pharyngeal, laryngeal, and oral aes.
3FB between tooth, 3FB between hyoid bone and chin(tip of mentum), 2FB among throid
notch and floor of mouth.
Mallampati (PUSH)
Opstruction
Neck mobility
[10.2, pg28]
Pulse Oximetry that correllates with PaO2 of >70mmHg
ninety five%