ATLS EXAM
True or false? Although the mechanism of injury may be similar to those for the younger
population, facts suggests expanded mortality with similar severity of harm in older adults.
True
In the aged population, what's decreased physiological reserve?
Getting older is characterized by way of impaired adaptive and homeostatic mechanisms
that induced an accelerated susceptibility to the strain of damage. Insults tolerated via the
younger population can result in devastating consequences in aged sufferers.
Pre-current situations that have an effect on morbidity and mortality include:
cirrhosis, coagulopathy, COPD, ischemic coronary heart ailment, DM
What is the maximum not unusual mechanism of damage within the aged?
Fall. Nonfatal falls are not unusual in women and fractures are not unusual in girls who fall.
Falls are the maximum common motive of TBI.
In the elderly populace, what are threat factors for falls?
Superior age, bodily impairment, records of preceding fall, medicinal drug use, dementia,
unsteady gait, and visible, cognitive impairment
Most of aged visitors fatalities occur inside the daytime and on weekends and normally
involve other motors. Why?
Older people force on extra familiar roads and at lower speeds and have a tendency to
power in the course of the day. Older human beings have slower reaction time, a larger blind
spot, restrained cervical mobility, reduced hearing, and cognitive impairment.
True or False? Mortality related to small to slight sized burns in older adults remains
excessive
True
,Spilled warm liquids on the leg, which in younger patients may also re-epithelialize because
of an adequate wide variety of hair follicles, will result in a complete thickness burn in older
patients.
This is genuine
Airway-sufferers may additionally have dentures which could loosen or obstruct the airway. If
dentures aren't obstructing the airway, go away them in region for what?
Bag masks ventilation, because it improves mask fitting.
When preforming rapid series intubation, the dose of benzos, barbiturates, and different
sedatives must be reduced to how many to limit the risk of cardiovascular despair?
20-forty%
Functional modifications in cardiac gadget include declining characteristic, reduced
sensitivity to catecholamines, atherosclerosis of coronary vessels, expanded afterload,
constant coronary heart price (beta blockers)
this outcomes in loss of classic response to hypovolemia, chance for cardiac ischemia,
multiplied BP at baseline, and accelerated risk of dysrythmias.
Functional modifications in pulmonary machine encompass decreased elastic cringe,
decreased residual capability, reduced gas alternate and decreased cough reflex
for this reason they are at expanded chance for respiratory failure, increased threat for
pneumonia, and negative tolerance to rib fractures
Functional changes in renal system consist of loss of renal mass, reduced GFR, and
reduced sensitivity to ADH and aldosterone
resulting in drug dosing for renal insufficiency, reduced potential to concentrate urine,
multiplied danger for AKI and urine go with the flow may be regular with hypovolemia
Functional modifications to MSK encompass lack of lean body mass, osteoporosis,
adjustments in joints and cartilage, c spine degenerative modifications and loss of skin
elastin and subcutaneous fat
resulting in multiplied hazard for fractures, reduced mobility, issue for oral intubation, risk of
pores and skin harm, elevated risk for hypothermia, challenges in rehabiliation
, Functional modifications in Endocrine device include reduced production and response to
thyroxin and decreased dehydroepiandrosterone (DHEA)
ensuing in occult hypothyroidism, relative hypercortisone states and elevated danger of
infection
True or fake: Arthritis can complicate the airway and cervical backbone. Patients can have
multilevel degenerative modifications affecting disk spaces and posterior elements related to
severe primary canal stenosis, twine compression, and myelomalacia
genuine
In aged populace, due to their adjustments in pulmonary gadget, placing a gauze among
gums and cheek to achieve seal when the use of bag valve masks ventilation is k. In
addition, because growing old causes a suppressed heart rate reaction to hypoxia......
Breathing failure may additionally present insidiously in older adults.
Age related changes within the cardiovascular gadget vicinity the elderly trauma affected
person at huge danger for being inaccurately categorized as hemodynamically solid.
Elderly patients have a hard and fast coronary heart price and fixed cardiac output, thus,
their response to hypovolemia will involve growing their systemic vascular resistance.
Furthermore, when you consider that older patients have HTN, a suitable BP may also in
reality mirror a hypotensive state. A systolic BP of 110 is to be applied as the threshold for
identifying hypotension in sufferers 65 and older.
Do no equate blood stress with shock in older patients
BP in older patients may additionally look everyday because of the medicines they're on.
Use lactate and base deficit to evaluate for proof of shock
what 2 elements region aged patients at risk for intracranial hemorrhage?
Growing old reasons dura to end up extra adherent to the cranium increasing chance of
damage and older sufferers are on anticoagulant and antiplatelet medicinal drugs.
Loss of subcutaneous fats, nutritional deficiencies, chronic clinical situations place elderly
sufferers as danger for hypothermia and headaches for immobility.
True or false? Although the mechanism of injury may be similar to those for the younger
population, facts suggests expanded mortality with similar severity of harm in older adults.
True
In the aged population, what's decreased physiological reserve?
Getting older is characterized by way of impaired adaptive and homeostatic mechanisms
that induced an accelerated susceptibility to the strain of damage. Insults tolerated via the
younger population can result in devastating consequences in aged sufferers.
Pre-current situations that have an effect on morbidity and mortality include:
cirrhosis, coagulopathy, COPD, ischemic coronary heart ailment, DM
What is the maximum not unusual mechanism of damage within the aged?
Fall. Nonfatal falls are not unusual in women and fractures are not unusual in girls who fall.
Falls are the maximum common motive of TBI.
In the elderly populace, what are threat factors for falls?
Superior age, bodily impairment, records of preceding fall, medicinal drug use, dementia,
unsteady gait, and visible, cognitive impairment
Most of aged visitors fatalities occur inside the daytime and on weekends and normally
involve other motors. Why?
Older people force on extra familiar roads and at lower speeds and have a tendency to
power in the course of the day. Older human beings have slower reaction time, a larger blind
spot, restrained cervical mobility, reduced hearing, and cognitive impairment.
True or False? Mortality related to small to slight sized burns in older adults remains
excessive
True
,Spilled warm liquids on the leg, which in younger patients may also re-epithelialize because
of an adequate wide variety of hair follicles, will result in a complete thickness burn in older
patients.
This is genuine
Airway-sufferers may additionally have dentures which could loosen or obstruct the airway. If
dentures aren't obstructing the airway, go away them in region for what?
Bag masks ventilation, because it improves mask fitting.
When preforming rapid series intubation, the dose of benzos, barbiturates, and different
sedatives must be reduced to how many to limit the risk of cardiovascular despair?
20-forty%
Functional modifications in cardiac gadget include declining characteristic, reduced
sensitivity to catecholamines, atherosclerosis of coronary vessels, expanded afterload,
constant coronary heart price (beta blockers)
this outcomes in loss of classic response to hypovolemia, chance for cardiac ischemia,
multiplied BP at baseline, and accelerated risk of dysrythmias.
Functional modifications in pulmonary machine encompass decreased elastic cringe,
decreased residual capability, reduced gas alternate and decreased cough reflex
for this reason they are at expanded chance for respiratory failure, increased threat for
pneumonia, and negative tolerance to rib fractures
Functional changes in renal system consist of loss of renal mass, reduced GFR, and
reduced sensitivity to ADH and aldosterone
resulting in drug dosing for renal insufficiency, reduced potential to concentrate urine,
multiplied danger for AKI and urine go with the flow may be regular with hypovolemia
Functional modifications to MSK encompass lack of lean body mass, osteoporosis,
adjustments in joints and cartilage, c spine degenerative modifications and loss of skin
elastin and subcutaneous fat
resulting in multiplied hazard for fractures, reduced mobility, issue for oral intubation, risk of
pores and skin harm, elevated risk for hypothermia, challenges in rehabiliation
, Functional modifications in Endocrine device include reduced production and response to
thyroxin and decreased dehydroepiandrosterone (DHEA)
ensuing in occult hypothyroidism, relative hypercortisone states and elevated danger of
infection
True or fake: Arthritis can complicate the airway and cervical backbone. Patients can have
multilevel degenerative modifications affecting disk spaces and posterior elements related to
severe primary canal stenosis, twine compression, and myelomalacia
genuine
In aged populace, due to their adjustments in pulmonary gadget, placing a gauze among
gums and cheek to achieve seal when the use of bag valve masks ventilation is k. In
addition, because growing old causes a suppressed heart rate reaction to hypoxia......
Breathing failure may additionally present insidiously in older adults.
Age related changes within the cardiovascular gadget vicinity the elderly trauma affected
person at huge danger for being inaccurately categorized as hemodynamically solid.
Elderly patients have a hard and fast coronary heart price and fixed cardiac output, thus,
their response to hypovolemia will involve growing their systemic vascular resistance.
Furthermore, when you consider that older patients have HTN, a suitable BP may also in
reality mirror a hypotensive state. A systolic BP of 110 is to be applied as the threshold for
identifying hypotension in sufferers 65 and older.
Do no equate blood stress with shock in older patients
BP in older patients may additionally look everyday because of the medicines they're on.
Use lactate and base deficit to evaluate for proof of shock
what 2 elements region aged patients at risk for intracranial hemorrhage?
Growing old reasons dura to end up extra adherent to the cranium increasing chance of
damage and older sufferers are on anticoagulant and antiplatelet medicinal drugs.
Loss of subcutaneous fats, nutritional deficiencies, chronic clinical situations place elderly
sufferers as danger for hypothermia and headaches for immobility.
