ATLS 10 MASTER REVIEW 2026
COMPREHENSIVE EXAM SET ALL YOU NEED
TO ACE YOUR ATLS
⩥Immediate action for hypotensive patient with distended neck veins -
Perform needle decompression of right chest
⩥Priority for patient with GCS of 6 and copious oral blood - Suction and
secure the airway
⩥Next step for female with facial burns and soot in oropharynx -
Observe closely and prepare for early intubation
⩥Condition likely for hypotensive patient with muffled heart sounds -
Cardiac tamponade
⩥Next definitive step after needle decompression for tension
pneumothorax - Place chest tube in 5II ICS anterior-to-mid-axillary line
⩥Class of hemorrhagic shock suspected for pale and tachycardic patient
- Class III
, ⩥Massive transfusion protocol initiation criteria - Ongoing blood loss
exceeds 40 % blood volume
⩥Preferred fluid ratio for balanced resuscitation - PRBC:FFP:Platelets =
1:1:1
⩥Next step for hypotensive trauma patient after 2 L crystalloid -
Activate massive transfusion
⩥Indication of adequate ventilation after intubation - Bilateral breath
sounds and ETCOI confirmation
⩥Initial management for blunt chest trauma with paradoxical motion -
Analgesia and oxygen support
⩥Next step for penetrating neck injury with expanding hematoma -
Perform cricothyroidotomy
⩥Preferred airway for 6-year-old with GCS of 7 - Needle
cricothyroidotomy
⩥Representation of systolic BP of 100 mm Hg and HR of 110 in older
adult - More severe shock
COMPREHENSIVE EXAM SET ALL YOU NEED
TO ACE YOUR ATLS
⩥Immediate action for hypotensive patient with distended neck veins -
Perform needle decompression of right chest
⩥Priority for patient with GCS of 6 and copious oral blood - Suction and
secure the airway
⩥Next step for female with facial burns and soot in oropharynx -
Observe closely and prepare for early intubation
⩥Condition likely for hypotensive patient with muffled heart sounds -
Cardiac tamponade
⩥Next definitive step after needle decompression for tension
pneumothorax - Place chest tube in 5II ICS anterior-to-mid-axillary line
⩥Class of hemorrhagic shock suspected for pale and tachycardic patient
- Class III
, ⩥Massive transfusion protocol initiation criteria - Ongoing blood loss
exceeds 40 % blood volume
⩥Preferred fluid ratio for balanced resuscitation - PRBC:FFP:Platelets =
1:1:1
⩥Next step for hypotensive trauma patient after 2 L crystalloid -
Activate massive transfusion
⩥Indication of adequate ventilation after intubation - Bilateral breath
sounds and ETCOI confirmation
⩥Initial management for blunt chest trauma with paradoxical motion -
Analgesia and oxygen support
⩥Next step for penetrating neck injury with expanding hematoma -
Perform cricothyroidotomy
⩥Preferred airway for 6-year-old with GCS of 7 - Needle
cricothyroidotomy
⩥Representation of systolic BP of 100 mm Hg and HR of 110 in older
adult - More severe shock
