ATLS Guías de estudio, Notas de estudios & Resúmenes

A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate nex...

True or false? Although the mechanism of injury may be similar to those for the younger population, data shows increased mortality with similar severity of injury in older adults. - Answer True In the elderly population, what is decreased physiological reserve? - Answer aging is characterized by impaired adaptive and homeostatic mechanisms that caused an increased susceptibility to the stress of injury. Insults tolerated by the younger population can lead to devastating results in elderly...

Which of the following is the recommended Method for trestemt frostbite? A. Vasodilators B. Anticigulants C. Warm (40 degrees) water D. Padding and elevation E. Application of heat from a hairdryer - Answer C. Warm (40 degrees) water Which of the following physical findings suggest a cause of hypotension other than spinal cord injury? A. Prispism B. Bradycardia C. Diaphragmatic breathing D. Presence of deep tendon reflexes E. Ability to flex forearms but not extend them - Answer ...

A 23-year-old man is brought immediately to the ED from the hospitals parking lot where he was shot in the lower abdomen. Examination reveals a single bullet wound. He is breathing and has a thready pulse. However, he is unconsious and has no detectable blood pressure. Optimale immediate management is to: A. Perform a FAST B. Initiate infusion of packed red blood cells C. Insert a nasogastric tube and urinary catheter D. Transfer the patient to the operating room, while initiating fluid th...

A 22yo M is hypotensive and tachycardia after a shotgun wound to the L shoulder. His BP is initially 80/40. After 2L of fluids his BP increases to 122/84. HR is 100bpm and his RR is 28. Breath sounds are decreased in the left hemithorax, and a closed tube thoracotomy is performed with a small amount of blood return and no air leak. What is the next step? - Answer Reexamine the chest A construction worker falls 2 stories and suffers bilateral calcanea fractures. He now is having back pain. W...

Primary survey - Answer (A) Airway with cervical spine protection (restrict) (B) Breathing and ventilation (C) Circulation - stop the bleeding (D) Disability - neurological status (E) Exposure - undress and environment (temp control) REPEAT IF ANYTHING GOES WRONG Secondary survey - Answer (A) Allergies (M) Medications (P) PMH and Pregnancies (L) Last meal (E) Environment and Events 3-3-2 Rule - Answer 3 finger lengths between upper and lower incisors 3 finger lengths betwee...

What is the primary goal of treating TBI? How is this done? - Answer preventing secondary brain injury. This is done by maintaining blood pressure and providing adequate profusion. After managing ABCDEs of TBI what MUST be identified if present? How is this done? - Answer mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining a CT should not delay patient transfer to trauma center. Which brain lobes do the following hold: 1. anterior fossa: ...

ATLS Test 1 Exam Questions And Answers 100% Verified A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air lea...

*Breathing* *-* Assess oxygenation with pulse oximetry *-* Check air entry with auscultation (also auscultate heart) *-* Inspect, palpate and percuss chest wall *-* Check RR and chest trauma *Circulation* (and haemorrhage control) *-* Assess central and peripheral pulses *-* BP *-* Place two large (at least 16 gauge) cannulae *-* Take bloods: *crossmatch*, FBC, U&E, clotting, VBG, ABG *-* Control any visible haemorrhage with pressure and consider possible sources of occult haemorrhag...

How do you treat hypothermia in the ED? - ANSWER-crystalloid fluids at 102.2 degrees F and warmed treatment area What does definitive hemorrhage control refer to? (3) - ANSWER-1) Possible surgery 2) Stabilizing of pelvis 3) Angioembolization What are rates of fluid administration measured by? - ANSWER-Size and length of catheter Minimum flow rate of oxygen reservoir mask - ANSWER-11 L/min MCC of shock in trauma pt - ANSWER-Hypovolemia due to hemorrhage Describe the 3 for 1 rule...