ATLS Exam 2 with Questions and Answers

ATLS Exam 2 with Questions and Answers A 19 year old man hiking in the forest fell 10 feet through at rotten plan on an old wooden bridge to the rocky stream below. He was transported to the ED within 30 mins complaining of chest pain. He is hypotensive on arrival to the ED. What do you do? A. 2L bolus crystalloid B. Send to OR C. 1L bolus crystalloid D. CT chest/abd/pelvis ANSWER D. 1L bolus crystalloid In a severely injured patient, the risk of coagulopathy is high. Which of the following is correct: A. TXA should no be reduced after the initial bolus B. Resuscitative measures can increase the risk of coagulopathy C. To decrease the risk of coagulopathy you must keep the patient cool. D. TXA can be given within the first 4hrs of injury E. Patient's taking anticoagulation are not at any higher risk in trauma ANSWER B. Resuscitative measures can increase the risk of coagulopathy Which of the following patients would not require radiographic evaluation per the Canadian C-Spine rules? A. 12 y/o boy who fell from 3.5 feet B. 68 y/o man who was ambulatory at the scene C. 42 y/o women rear ended by a city bus D. 35 y/o woman with delayed onset of neck pain who can actively rotate her neck 45