Atls stuvia - Study guides, Class notes & Summaries

ATLS Written Review What is the primary goal of treating TBI? How is this done? correct answer- preventing secondary brain injury. This is done by maintaining blood pressure and providing adequate profusion. After managing ABCDEs of TBI what MUST be identified if present? How is this done? correct answer- mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining a CT should not delay patient transfer to trauma center. Which brain lobes do the following hold...

In the elderly population, what is decreased physiological reserve? - ANSWER-aging is characterized by impaired adaptive and homeostatic mechanisms that caused an increased susceptibility to the stress of injury. Insults tolerated by the younger population can lead to devastating results in elderly patients. Pre-existing conditions that affect morbidity and mortality include: - ANSWER-cirrhosis, coagulopathy, COPD, ischemic heart disease, DM What is the most common mechanism of injury in t...

Most deaths after injury occur in one of three time periods: - ANSWER-at the time of injury or within 60 minutes, within the following few hours, or several days / weeks after the injury. ATLS focuses on the first___________ following injury the - ANSWER-"Golden Hour" What are the stages of ATLS? - ANSWER-- preparation before the patient has even arrived. -On arrival the primary survey and resuscitation should begin. This targets the most life threatening problems. -After this an AMPLE...

If the question says you do not have capabilities, you will most likely - ANSWER-PREPARE FOR AND DO NOT DELAY TRANSPORT How much blood can femur lose - ANSWER-2L What is always going to be the shock type to pick - ANSWER-Hemorrhagic What are the classes of hemorrhagic shock - ANSWER-0-15% is class 1 15-30 is class 2 30-40% is class 3 >40% is class 4 What is the EARLIEST predictor of shock at what class - ANSWER-Narrowed pulse pressure in class 2 What will be base deficit for...

After managing ABCDEs of TBI what MUST be identified if present? How is this done? - ANSWER-mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining a CT should not delay patient transfer to trauma center. Which brain lobes do the following hold: 1. anterior fossa: 2. middle fossa: 3. posterior fossa: - ANSWER-1. anterior fossa: frontal lobes 2. middle fossa: temporal lobes 3. posterior fossa: lower brainstem and cerebellum What are the 3 laye...

How do you treat hypothermia in the ED? - ANSWER-crystalloid fluids at 102.2 degrees F and warmed treatment area What does definitive hemorrhage control refer to? (3) - ANSWER-1) Possible surgery 2) Stabilizing of pelvis 3) Angioembolization What are rates of fluid administration measured by? - ANSWER-Size and length of catheter Minimum flow rate of oxygen reservoir mask - ANSWER-11 L/min MCC of shock in trauma pt - ANSWER-Hypovolemia due to hemorrhage Describe the 3 for 1 rule...

A. Perform a FAST B. Initiate infusion of packed red blood cells C. Insert a nasogastric tube and urinary catheter D. Transfer the patient to the operating room, while initiating fluid therapy E. Initiate fluid therapy to return his blood pressure to normotensive - ANSWER-D. Transfer the patient to the operating room, while initiating fluid therapy A 22 year old male present following a motorcycle crash. He complains of the inability to move his legs. His BP is 80/50, HR 70, RR 18 and GCS...

Assessed first in trauma patient - ANSWERSAirway (*)Degree of burn that is characterized by bone involvement - ANSWERSFourth Complications of head trauma - ANSWERSIntracerebral hematoma Extradural hematoma Brain abscess Most common cause of laryngotracheal stenosis - ANSWERSTrauma Intervention that can help prevent development of acute renal failure - ANSWERSInfusion of normal saline A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that w...

A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate next st...

True or false? Although the mechanism of injury may be similar to those for the younger population, data shows increased mortality with similar severity of injury in older adults. - ANSWER-True In the elderly population, what is decreased physiological reserve? - ANSWER-aging is characterized by impaired adaptive and homeostatic mechanisms that caused an increased susceptibility to the stress of injury. Insults tolerated by the younger population can lead to devastating results in elderly pat...