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Advanced Trauma Life Support Exam Questions With Correct Answers
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Advanced Trauma Life Support Exam Questions WithCorrect Answers
Trauma Universal precautions are mandatory including
Gowns
Eye protection
Face mask
Gloves
Boots
What is an event where the number of patients and severity do not exceed the ability of
the facility?
Multiple Casualties
◦MVC involving 5 or more patients
What is an event where the number of patients and severity EXCEED the capability of the
facility & staff?
Mass Casualties
◦Ex: Natural or human made disasters that involve 20 or more patients.
- treat the ones that are less injured sometimes
Trauma team graphic
,Primary survey ABCDE
A : Airway with cervical spine protection
◦Even in penetrating patients - assume c-spine until proven otherwise
◦Don't leave people on spine board
B : Breathing: oxygenation and ventilation
◦Fine 02 sat, but could be not be clearing CO2
C : Circulation: pulses and control of hemorrhage
D : Disability - neurological status (GCS)
E: Exposure undress clothes cut off & Environment temp control stays 83-84, warmed IV
fluids
What are the pitfalls that make it hard to get an airway?
◦Foreign body
◦Maxillofacial trauma- no good visual
◦Trachea or laryngeal injury
◦C-spine trauma
When to intubate?
Unsecured airway:: burn injury, crush injury/terrible facial fracture, volume of blood
vomiting, FB
, Unstable airway: mechanical issue, secretion bleeding
Head injury GCS<8- less than 8 intubate
Respiratory failure
Chest trauma: chest or penetrating
Shock:worried about o2 delivery to the tissues level of consciousness could change
quickly
Combativeness:drugs and alcohol, language barrier, and fear
Inhalation injury
Intubating before c-spine is clear protocol?
Unstrap c collar and another person is manually holding neck (need manual alignment)
In order to feel at pulse at the below areas one must have a BP greater than
Carotid =
Femoral =
Radial =
Carotid = 60 mm Hg
Femoral = 70 mm Hg
Radial = 80 mm Hg
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