ATLS
Study online at https://quizlet.com/_3it4o7
1. what is the #1 cause of preventable deaths after trauma? : hemorrhage
2. what initital labs should be drawn when starting an IV in trauma? : type and cross
CBC for baselines
preg test for females
blod gases and lactate for shock
3. what are the 3 contra indications for a foley in trauma? : blood at eth urethral meatus
perineal ecchymosis
high riding or non-palpable prostate
pelvic instability
if suspected doa retrograde urethrogram
4. what 2 x-ray studies should be done in blunt trauma cases? : CXR
pelvic x-ray
think of them as adjuncts to the primary survey
5. what is teh algorithm for the primary survey? : ABCDE
a head to toe physical and complete Hx (AMPLE)
6. what are the key questions to ask in regards to an automobile trauma? : -
Truck BEDDD
belt
ejection
direction of impact
deformity of steeringwheel
damage to automobile
7. you see contacts in on teh secondary survey, what do you do? : remove them to prevent injury in cases of edema
8. if a trauma patient deteriortes, what should you do first? : reacess ABCDEs
9. what is adequate UOP in an adult trauma pt? child > 1 yr? : 0.5 mL/kg/h
1 mL/kg/h
10. what is a good mnemonic for handoff of care for a trauma Pt? : MIST
MoI (and time)
Injuries found/suspected ATLS FINAL EXAM QUESTIONS AND ANSWERS ATLS
Study online at https://quizlet.com/_3it4o7
Sx and Signs
Treatments initiated
11. for primary survey, describe what you do for ABCDE (each one, detailed)-
: Airway:
- ascertain patency
- assess for obstruction
Breathing:
- expose neck/chest
- determine rate/depth of respirations
- palpate the neck and chest - percuss chest
-auscultate chest
Circulation:
- identify sources of hemorrhage
- identify potential sources of internal hemorrhage
- assess pulse quality rate, regularity
- asess skin color
- BP
Disability:
- GCS
- puplis
- acess for lateralizing signs of spinal cord injury
Exposure:
- completely expose pt but prevent hypothermia
adjuncts:
- ABG
- Co2 monitoring
- ECG
- insert urinary/gastric caths - CXR, AP pelvis
- FAST/DPL
12. for secondary survey, describe what you do for each body area (de-
tailed)?: head:
- inspect/palpate entire head
- pupils
-redo GCS
- assess eyes, ears, nose, mouth
- evaluate cranial nerves
Study online at https://quizlet.com/_3it4o7
1. what is the #1 cause of preventable deaths after trauma? : hemorrhage
2. what initital labs should be drawn when starting an IV in trauma? : type and cross
CBC for baselines
preg test for females
blod gases and lactate for shock
3. what are the 3 contra indications for a foley in trauma? : blood at eth urethral meatus
perineal ecchymosis
high riding or non-palpable prostate
pelvic instability
if suspected doa retrograde urethrogram
4. what 2 x-ray studies should be done in blunt trauma cases? : CXR
pelvic x-ray
think of them as adjuncts to the primary survey
5. what is teh algorithm for the primary survey? : ABCDE
a head to toe physical and complete Hx (AMPLE)
6. what are the key questions to ask in regards to an automobile trauma? : -
Truck BEDDD
belt
ejection
direction of impact
deformity of steeringwheel
damage to automobile
7. you see contacts in on teh secondary survey, what do you do? : remove them to prevent injury in cases of edema
8. if a trauma patient deteriortes, what should you do first? : reacess ABCDEs
9. what is adequate UOP in an adult trauma pt? child > 1 yr? : 0.5 mL/kg/h
1 mL/kg/h
10. what is a good mnemonic for handoff of care for a trauma Pt? : MIST
MoI (and time)
Injuries found/suspected ATLS FINAL EXAM QUESTIONS AND ANSWERS ATLS
Study online at https://quizlet.com/_3it4o7
Sx and Signs
Treatments initiated
11. for primary survey, describe what you do for ABCDE (each one, detailed)-
: Airway:
- ascertain patency
- assess for obstruction
Breathing:
- expose neck/chest
- determine rate/depth of respirations
- palpate the neck and chest - percuss chest
-auscultate chest
Circulation:
- identify sources of hemorrhage
- identify potential sources of internal hemorrhage
- assess pulse quality rate, regularity
- asess skin color
- BP
Disability:
- GCS
- puplis
- acess for lateralizing signs of spinal cord injury
Exposure:
- completely expose pt but prevent hypothermia
adjuncts:
- ABG
- Co2 monitoring
- ECG
- insert urinary/gastric caths - CXR, AP pelvis
- FAST/DPL
12. for secondary survey, describe what you do for each body area (de-
tailed)?: head:
- inspect/palpate entire head
- pupils
-redo GCS
- assess eyes, ears, nose, mouth
- evaluate cranial nerves
