ATLS Training 2025/2026
Multiple casualties versus Mass casualties?
Multiple casualties: quantity of pts and the severity of their accidents DO NOT exceed the
capability of the power to render care
-Priority given to life-threatening accidents or people with a couple of systems injured
Mass casualties: number of pts and severity DOES crush the facility
-Priority given to those with greatest hazard of survival, least expenditure of time and
system, substances and personnel
What is easiest way to fast perform ABCD evaluation?
Ask patient to discover themselves, their call and ask them what happened
What are essential indications for a definitive airway?
-GCS <8
-Finding of non purposeful motor responses
-Inability to guard airway
Once tension PTX has been excluded as a motive of surprise, recall that hypotension
following damage is due to ____________until verified in any other case
blood loss!
What are the 3 elements from clinical remark that show patient's hemodynamic status?
1. Level of cognizance
2. Skin perfusion
3. Pulse
-Rapid and thready = hypovolemia
When should tourniquets be used for bleeding?
ONLY for big exsanguination whilst patient's lifestyles is threatened
What are the principle areas of big hemorrhage?
-Chest
-Abdomen
-Pelvis
,-External bleeding
-Long bones
All IV solutions need to be warmed to _____
37-40C (98.6-104F)
When/how need to TXA be used for significantly injured sufferers?
-Should be given inside three hours of harm
-Should be given comply with up infusion over 8 hours in the medical institution whilst it's far
given within the discipline
The _______ score of the GCS correlates with outcome.
Motor
What are the physiologic parameters that show adequacy of resuscitation?
-Pulse fee
-BP
-Pulse Pressure
-Ventilatory rate
-ABG degrees
-Body temp
-Urinary output
What are adjuncts to number one survey?
-Continuous ECG
-Pulse ox
-CO2 monitoring
-Ventilatory rate assessment
-ABG
-urinary catheters to monitor UO
-Gastric catheters to lessen distention and discover viable blood
-Blood lactate
-XRs
-eFAST, DPL
PEA can indicate ___________what 3 matters?
-Cardiac tamponade
-Tension PTX
-Profound hypovolemia
Suspect a urethral injury in the presence of _________ or _________
,blood at urethral meatus or perineal ecchymosis
Indications for gastric tube in trauma?
-Decompress stomach distention
-Decrease risk of aspiration
-Check for higher GI hemorrhage from trauma
What are the trauma unique populations?
-Pregnant women
-Children
-Elderly
-Athletes
-Obese
What is protected in the secondary survey?
-Complete head to toe bodily examination
-Complete history
-Reassessment of vital signs and symptoms
AMPLE history mnemonic?
Allergies?
Medications?
PMH?
Last meal?
Events leading up to trauma?
Electrical burns commonly motive what harm styles?
Cardiac arrhythmias
Myonecrosis, compartment syndrome
What are critical things to invite in automobile trauma?
-Seatbelt use
-Air bag gadgets
-Direction of impact
-Damage to car
-Patient role found in the vehicle
-Speed
Wounds that amplify via the ________ in the neck should NOT be explored manually,
probed with units or treated by people within the ED.
Platysma
, Patients with maxillofacial or head trauma ought to be presumed to have ___________
Cervical spine harm!
Ideal UO for adults and kids in trauma?
Adults: 0.5cc/kg/hr
Children: 1.0cc/kg/hr
What is MIST mnemonic for turning in trauma sufferers?
Mechanism and time of harm
Injuries located and suspected
Symptoms and signs and symptoms
Treatments initiated
During initial airway evaluation, ______________ offers short-term reassurance that the
airway is patent and not compromised.
A speakme affected person!
-Indicates a patent airway, air flow is unbroken and mind perfusion is sufficient
What are the 3 components of a definitive airway definition?
1. Tube placed inside the trachea with the cuff inflated below the cords
2. The tube is connected to a few form of oxygen-enriched assisted ventilatoin
3. The airway is secured in location with a stabilizing technique
Maintaining __________ and preventing ___________ are essential in dealing with trauma
sufferers, specifically those who've sustained head accidents.
Oxygenation
Hypercarbia
What is next step to save you aspiration in a trauma patient this is vomiting?
Immediately suction and rotate the complete affected person to the lateral role at the same
time as restricting cervical spinal movement
What is the medical triad of laryngeal fracture?
1. Hoarseness
2. Subcutaneous emphysema
Multiple casualties versus Mass casualties?
Multiple casualties: quantity of pts and the severity of their accidents DO NOT exceed the
capability of the power to render care
-Priority given to life-threatening accidents or people with a couple of systems injured
Mass casualties: number of pts and severity DOES crush the facility
-Priority given to those with greatest hazard of survival, least expenditure of time and
system, substances and personnel
What is easiest way to fast perform ABCD evaluation?
Ask patient to discover themselves, their call and ask them what happened
What are essential indications for a definitive airway?
-GCS <8
-Finding of non purposeful motor responses
-Inability to guard airway
Once tension PTX has been excluded as a motive of surprise, recall that hypotension
following damage is due to ____________until verified in any other case
blood loss!
What are the 3 elements from clinical remark that show patient's hemodynamic status?
1. Level of cognizance
2. Skin perfusion
3. Pulse
-Rapid and thready = hypovolemia
When should tourniquets be used for bleeding?
ONLY for big exsanguination whilst patient's lifestyles is threatened
What are the principle areas of big hemorrhage?
-Chest
-Abdomen
-Pelvis
,-External bleeding
-Long bones
All IV solutions need to be warmed to _____
37-40C (98.6-104F)
When/how need to TXA be used for significantly injured sufferers?
-Should be given inside three hours of harm
-Should be given comply with up infusion over 8 hours in the medical institution whilst it's far
given within the discipline
The _______ score of the GCS correlates with outcome.
Motor
What are the physiologic parameters that show adequacy of resuscitation?
-Pulse fee
-BP
-Pulse Pressure
-Ventilatory rate
-ABG degrees
-Body temp
-Urinary output
What are adjuncts to number one survey?
-Continuous ECG
-Pulse ox
-CO2 monitoring
-Ventilatory rate assessment
-ABG
-urinary catheters to monitor UO
-Gastric catheters to lessen distention and discover viable blood
-Blood lactate
-XRs
-eFAST, DPL
PEA can indicate ___________what 3 matters?
-Cardiac tamponade
-Tension PTX
-Profound hypovolemia
Suspect a urethral injury in the presence of _________ or _________
,blood at urethral meatus or perineal ecchymosis
Indications for gastric tube in trauma?
-Decompress stomach distention
-Decrease risk of aspiration
-Check for higher GI hemorrhage from trauma
What are the trauma unique populations?
-Pregnant women
-Children
-Elderly
-Athletes
-Obese
What is protected in the secondary survey?
-Complete head to toe bodily examination
-Complete history
-Reassessment of vital signs and symptoms
AMPLE history mnemonic?
Allergies?
Medications?
PMH?
Last meal?
Events leading up to trauma?
Electrical burns commonly motive what harm styles?
Cardiac arrhythmias
Myonecrosis, compartment syndrome
What are critical things to invite in automobile trauma?
-Seatbelt use
-Air bag gadgets
-Direction of impact
-Damage to car
-Patient role found in the vehicle
-Speed
Wounds that amplify via the ________ in the neck should NOT be explored manually,
probed with units or treated by people within the ED.
Platysma
, Patients with maxillofacial or head trauma ought to be presumed to have ___________
Cervical spine harm!
Ideal UO for adults and kids in trauma?
Adults: 0.5cc/kg/hr
Children: 1.0cc/kg/hr
What is MIST mnemonic for turning in trauma sufferers?
Mechanism and time of harm
Injuries located and suspected
Symptoms and signs and symptoms
Treatments initiated
During initial airway evaluation, ______________ offers short-term reassurance that the
airway is patent and not compromised.
A speakme affected person!
-Indicates a patent airway, air flow is unbroken and mind perfusion is sufficient
What are the 3 components of a definitive airway definition?
1. Tube placed inside the trachea with the cuff inflated below the cords
2. The tube is connected to a few form of oxygen-enriched assisted ventilatoin
3. The airway is secured in location with a stabilizing technique
Maintaining __________ and preventing ___________ are essential in dealing with trauma
sufferers, specifically those who've sustained head accidents.
Oxygenation
Hypercarbia
What is next step to save you aspiration in a trauma patient this is vomiting?
Immediately suction and rotate the complete affected person to the lateral role at the same
time as restricting cervical spinal movement
What is the medical triad of laryngeal fracture?
1. Hoarseness
2. Subcutaneous emphysema
