ATLS 2017(updated) Flash Cards correctly answered

ATLS 2017(updated) Flash Cards correctly answered Quick facts about Class I hemorrhagic shock BP is fine Quick facts about Class II hemorrhagic shock Narrowed pulse pressure, tachycardia Quick facts about Class III hemorrhagic shock New onset hypotension Quick facts about Class IV hemorrhagic shock Lethargic/comatose + hypotension GCS for Eye (1) None (2) By pain (3) By command (4) Spontaneous GCS for Verbal (1) None (2) Incoherent sounds (3) Inappropriate words (4) Confusion (5) Speaking normally GCS for Motor (1) None (2) Extension (decerebrate) (3) Flexion (decorticate) (4) Flexion/withdrawl to pain (5) Localize pain (6) Obeys commands Minor brain injury GCS 13+ Moderate brain injury GCS 9-12 Severe brain injury GCS < 8 What confirms correct ET tube placement? CXR What confirms proper intubation of airway? CO2 capnography or colorimeter Succinylcholine intubation dose 2 mg/kg (~100 mg) Etomidate intubation dose 0.3 mg/kg (~20 mg) Is needle cricothyroidotomy a definitive airway? No Surgical cricothyroidotomy is not recommend for children under... 12 years of age Flow rate after intubation At least 11 L/min What does pulse ox measure? (a) Oxygen saturation of arterial blood (b) Partial pressure of oxygen (a) Oxygen saturation of arterial blood Definitive airway requirements (1) Tube in trachea (2) Cuff inflated below vocal cords (3) Tube on O2 enriched vent (4) Tape secure RSI is good for patients with... active gag reflex Compensatory mechanism can preclude a measurable fall in systolic pressure up until ___% of pt's blood vol is lost 30% What additional adjunctive test do all pts with blunt thoracic trauma need? EKG How do you best manage cardiac tamponade? Thoracotomy Tension PTX causes venous return to... decrease Failure of fluid resus to restore organ perfusion suggests... Continuing hemorrhage Neurogenic shock Unexplained hypotension or dysrhythmias in a trauma pt Gastric dilation