ATLS FINAL.

ATLS FINAL. 1. standard precautions used for traumas (PPE) 2. ABCDE of Primary Sur- vey 3. What is the 10 second screen? 4. Catheter placement for trauma patients Cap Gown Gloves Mask Shoe Covers Goggles/Face shields A airway with C-spine protection. B breathing. C circulation with hemorrhage control. D disability. E exposure/environment. What's your name? What happened? (Confirms ABCD) GCS and Pupillary Reaction At least 2 -18 gauge catheters, one in the ante-cubital fossa 5. Airway always assume there is a C-spine injury C-collar is useful if intubation is needed CT of the spine should be done if there is pain, intoxication or obvious injury MRI should be performed if CT is negative and pain presists 6. How can you clear a pa- tient of a cervical collar? No pain No neurological deficit 7. Breathing Does the patient need a chest tube? Best to look at WORK OF BREATHING 8. Where is a chest tube placed? usually the fourth or fifth intercostal space in the mid-to-anterior axillary line 9. Which side is chest tube The chest tube is placed in the ipsilateral side. placed when a patient has a suspected pneu- mothorax? If missed on the opposite side, the patient can have collapse of both lungs 10. pneumonthorax air in the pleural cavity, leading to full collapse of the lung absent or diminished breath sounds always include on ditterential if BP drops after positive pressure ventila- tion! 11. tension pneumothorax a type of pneumothorax in which air that enters the chest cavity is prevented from escaping, leading to mid-sternal shift heart sounds and trachea are shifted, hemodynamic compromise is present 12. Atelectasis partially collapsed lung presence of bronchial breath sounds Beck's Triad Jugular Venous distension, muffled heart sounds, decrea