Advanced Trauma Life support (ATLS)
Study online at https://quizlet.com/_a7mxpp
1. definition of; - incidents in which nr of pat and severity of in-
juries do not exceed capability of facility to render
- multiple casualties care
- mass casualties - nr of pat and severity of their injuries exceed
capability of facility and staff
2. term; J (Osborn) wave
upward deflection after QRS complex
in a patient with hypothermia
3. clinicians can quickly assess A, B, C and identify themselves, asking pat for his or her
D in a trauma pat (10 sec assessment), name, and asking what happened
how?
4. GCS
5. laryngeal fracture, triad of clinical - hoarseness
signs
- subcutaneous emphysema
- palpable fracture
6. laryngeal trauma, triad of clinical signs - hoarseness
- subcutaneous emphysema
- palpable fracture
, Advanced Trauma Life support (ATLS)
Study online at https://quizlet.com/_a7mxpp
7. laryngeal trauma, method for securing - intubation (flexible endoscopic intubation)
airway
- emergency tracheostomy, followed by operative
repair
- cricothyroidotomy
8. objective signs of airway obstruction - agitation (hypoxia), obtunded (hypercarbia),
cyanosis (hypoxemia), use of accessory mm
- noisy breathing (obstructed), snoring, gurgling,
stridor (partial occlusion), hoarseness (functional
laryngeal obstruction)
- abusive and belligerent (hypoxic)
9. term; spinal shock
referring to flaccidity and loss of reflex-
es that occur immediately after spinal
cord injury, after a period of time, spas-
ticity ensues
10. neurogenic shock, - vasopressors
2 types of medications which may be - atropine
useful
11. seesaw pattern of breathing, typically injury to cervical spinal cord below C3 -> main-
indicates what damage? tenance of diaphragmatic function but loss of IC
and abd. mm contribution to resp.
(abdominal breathing or diaphragmatic breath-
ing)
, Advanced Trauma Life support (ATLS)
Study online at https://quizlet.com/_a7mxpp
12. examples of ventilation compromise - pain with breathing
causes if clearing airway does not im-
prove pat's breathing - intracranial injury
- cervical spinal cord injury
13. failure to recognize inadequate venti- - monitor pat RR and work of breathing
lation,
- ABG or VBGs
how do we prevent this?
- continuous capnograms
14. LEMON assessment for difficult intu- L= look externally
bation
E= evaluate 3-3-2 rule
M= Mallampati
O= obstruction
N= neck mobility
15. indications for a definitive airway
16. what is the 3-3-2 rule during intuba- relationships;
tion?
- distance between incisor should be at least 3
finger breadths
- distance between hyoid bone and chin should
be at least 3 finger breadths
, Advanced Trauma Life support (ATLS)
Study online at https://quizlet.com/_a7mxpp
- distance between thyroid notch and floor of
mouth should be at least 2 finger breadths
17. Mallampati classifications I- soft palate, uvula, fauces, pillars entirely visible
II- soft palate, uvula, fauces partially visible
III- soft palate, base of uvula visible
IV- hard palate only visible
18. airway decision scheme
(algorithm for determining appropri-
ate route of airway management)
19. chin-lift maneuver
20. jaw-thrust maneuver
21. alternative technique for inserting oral
airway
Study online at https://quizlet.com/_a7mxpp
1. definition of; - incidents in which nr of pat and severity of in-
juries do not exceed capability of facility to render
- multiple casualties care
- mass casualties - nr of pat and severity of their injuries exceed
capability of facility and staff
2. term; J (Osborn) wave
upward deflection after QRS complex
in a patient with hypothermia
3. clinicians can quickly assess A, B, C and identify themselves, asking pat for his or her
D in a trauma pat (10 sec assessment), name, and asking what happened
how?
4. GCS
5. laryngeal fracture, triad of clinical - hoarseness
signs
- subcutaneous emphysema
- palpable fracture
6. laryngeal trauma, triad of clinical signs - hoarseness
- subcutaneous emphysema
- palpable fracture
, Advanced Trauma Life support (ATLS)
Study online at https://quizlet.com/_a7mxpp
7. laryngeal trauma, method for securing - intubation (flexible endoscopic intubation)
airway
- emergency tracheostomy, followed by operative
repair
- cricothyroidotomy
8. objective signs of airway obstruction - agitation (hypoxia), obtunded (hypercarbia),
cyanosis (hypoxemia), use of accessory mm
- noisy breathing (obstructed), snoring, gurgling,
stridor (partial occlusion), hoarseness (functional
laryngeal obstruction)
- abusive and belligerent (hypoxic)
9. term; spinal shock
referring to flaccidity and loss of reflex-
es that occur immediately after spinal
cord injury, after a period of time, spas-
ticity ensues
10. neurogenic shock, - vasopressors
2 types of medications which may be - atropine
useful
11. seesaw pattern of breathing, typically injury to cervical spinal cord below C3 -> main-
indicates what damage? tenance of diaphragmatic function but loss of IC
and abd. mm contribution to resp.
(abdominal breathing or diaphragmatic breath-
ing)
, Advanced Trauma Life support (ATLS)
Study online at https://quizlet.com/_a7mxpp
12. examples of ventilation compromise - pain with breathing
causes if clearing airway does not im-
prove pat's breathing - intracranial injury
- cervical spinal cord injury
13. failure to recognize inadequate venti- - monitor pat RR and work of breathing
lation,
- ABG or VBGs
how do we prevent this?
- continuous capnograms
14. LEMON assessment for difficult intu- L= look externally
bation
E= evaluate 3-3-2 rule
M= Mallampati
O= obstruction
N= neck mobility
15. indications for a definitive airway
16. what is the 3-3-2 rule during intuba- relationships;
tion?
- distance between incisor should be at least 3
finger breadths
- distance between hyoid bone and chin should
be at least 3 finger breadths
, Advanced Trauma Life support (ATLS)
Study online at https://quizlet.com/_a7mxpp
- distance between thyroid notch and floor of
mouth should be at least 2 finger breadths
17. Mallampati classifications I- soft palate, uvula, fauces, pillars entirely visible
II- soft palate, uvula, fauces partially visible
III- soft palate, base of uvula visible
IV- hard palate only visible
18. airway decision scheme
(algorithm for determining appropri-
ate route of airway management)
19. chin-lift maneuver
20. jaw-thrust maneuver
21. alternative technique for inserting oral
airway
