ATCN review Exam 100% Correct!!
The approach to trauma care typically begins with what? - ANSWER notification that a trauma
patient is arriving
When preparing to receive a trauma patient, what should you keep in mind? - ANSWER safe
practice, safe care
What does "Safe practice" mean when receiving trauma patients? - ANSWER take into consideration
the protection of the team (universal precautions/PPE/preparing equipment prior to patient arrival)
What does "Safe care" mean when receiving trauma patients? - ANSWER that the patient is going to
the right hospital, in the right time, for the right care
Trauma primary survey for "A"? - ANSWER airway and alertness with simultaneous cervical spinal
stabilization
Trauma primary survey for "B"? - ANSWER breathing and ventilation
Trauma primary survey for "C"? - ANSWER circulation and hemorrhage control
Trauma primary survey for "D"? - ANSWER disability (neurological status: AVPU/GCS)
Trauma primary survey for "E"? - ANSWER exposure and environmental control
Trauma primary survey for "F"? - ANSWER full set of vital signs and family presence
Trauma primary survey for "G"? - ANSWER get resuscitation adjuncts (LMNOP)
Which resuscitation adjunct under the "G" primary assessment is this?
-"L" - ANSWER laboratory studies (ABG's/Type and cross)
, Which resuscitation adjunct under the "G" primary assessment is this?
-"M" - ANSWER monitor for continuous cardiac rhythm and rate assessment
1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial
pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx - ANSWER Signs and sx of cardiac tamponade
Careful assessment of the pt's breath sounds is paramount to differentiate the two - ANSWER
tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate?
1. Needle decompression- large bore needle 2nd intercostal space midclavicular line 2. chest tube 4
or 5th intercostal space mid axillary - ANSWER Tx of tension pneumothorax
-Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding) - ANSWER triad of death
Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%) - ANSWER rule of 9's adult
Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
Anterior/Posterior Arms - 4.5% Each
Anterior/Posterior Legs - 7% Each - ANSWER Rule of 9's - Pediatric
The approach to trauma care typically begins with what? - ANSWER notification that a trauma
patient is arriving
When preparing to receive a trauma patient, what should you keep in mind? - ANSWER safe
practice, safe care
What does "Safe practice" mean when receiving trauma patients? - ANSWER take into consideration
the protection of the team (universal precautions/PPE/preparing equipment prior to patient arrival)
What does "Safe care" mean when receiving trauma patients? - ANSWER that the patient is going to
the right hospital, in the right time, for the right care
Trauma primary survey for "A"? - ANSWER airway and alertness with simultaneous cervical spinal
stabilization
Trauma primary survey for "B"? - ANSWER breathing and ventilation
Trauma primary survey for "C"? - ANSWER circulation and hemorrhage control
Trauma primary survey for "D"? - ANSWER disability (neurological status: AVPU/GCS)
Trauma primary survey for "E"? - ANSWER exposure and environmental control
Trauma primary survey for "F"? - ANSWER full set of vital signs and family presence
Trauma primary survey for "G"? - ANSWER get resuscitation adjuncts (LMNOP)
Which resuscitation adjunct under the "G" primary assessment is this?
-"L" - ANSWER laboratory studies (ABG's/Type and cross)
, Which resuscitation adjunct under the "G" primary assessment is this?
-"M" - ANSWER monitor for continuous cardiac rhythm and rate assessment
1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial
pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx - ANSWER Signs and sx of cardiac tamponade
Careful assessment of the pt's breath sounds is paramount to differentiate the two - ANSWER
tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate?
1. Needle decompression- large bore needle 2nd intercostal space midclavicular line 2. chest tube 4
or 5th intercostal space mid axillary - ANSWER Tx of tension pneumothorax
-Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding) - ANSWER triad of death
Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%) - ANSWER rule of 9's adult
Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
Anterior/Posterior Arms - 4.5% Each
Anterior/Posterior Legs - 7% Each - ANSWER Rule of 9's - Pediatric
