Atls stuvia - Study guides, Class notes & Summaries

ATLS Test 1 QUESTIONS AND ANSWERS 2023/2024 COMPLETE SOLUTION

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. - ANSWERSTrue In the elderly population, what is decreased physiological reserve? - ANSWERSaging 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...

oulder. 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 step is: Select one: a. reexamine the chest b. perform an aortogram c. obtain a ...

Cervical Spine Fracture: Incidence of non contiguous fracture - ANSWER-Up to 10% of patients with a cervical spine fracture have a second, noncontiguous vertebral column fracture. Paediatric Cervical Spine Anatomical Differences - ANSWER-C spine injury is rare C1 - C4 injuries are twice as soon than lower C Spine injuries Spinal shock - ANSWER-Spinal shock refers to the flaccidity (loss of muscle tone) and loss of relexes that occur immediately after spinal cord injury. After a period o...

Cervical Spine Fracture: Incidence of non contiguous fracture - ANSWER-Up to 10% of patients with a cervical spine fracture have a second, noncontiguous vertebral column fracture. Paediatric Cervical Spine Anatomical Differences - ANSWER-C spine injury is rare C1 - C4 injuries are twice as soon than lower C Spine injuries Spinal shock - ANSWER-Spinal shock refers to the flaccidity (loss of muscle tone) and loss of relexes that occur immediately after spinal cord injury. After a period o...

*Breathing* *-* Assess oxygenation with pulse oximetry *-* Check air entry with auscultation (also auscultate heart) *-* Inspect, palpate and percuss chest wall *-* Check RR and chest trauma *Circulation* (and haemorrhage control) *-* Assess central and peripheral pulses *-* BP *-* Place two large (at least 16 gauge) cannulae *-* Take bloods: *crossmatch*, FBC, U&E, clotting, VBG, ABG *-* Control any visible haemorrhage with pressure and consider possible sources of occult haemorrhag...

What are the clinical signs of airway obstruction? - ANSWER-snoring, stridor, hoarseness or no noise at all What are the techniques for clearing an obstructed airway? - ANSWER-Suction Removal of foreign body Head tilt and chin lift Airway adjuncts - Guedel aiway Definite surgical airway How do you size a Guedel airway? - ANSWER-measuring from the centre of the mouth (between the first incisors) to the angle of the mandible How does tension pneumothorax lead to death? - ANSWER-A tens...

What is the primary goal of treating TBI? How is this done? - 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? - 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. m...

ATLS Test 1 Questions and Answers 100% Correct 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 ...

Definitive control of the airway is achieved by ____________ - ANSWERSEndotracheal intubation How do you treat hypothermia in the ED? - ANSWERScrystalloid fluids at 102.2 degrees F and warmed treatment area What does definitive hemorrhage control refer to? (3) - ANSWERS1) Possible surgery 2) Stabilizing of pelvis 3) Angioembolization What are rates of fluid administration measured by? - ANSWERSSize and length of catheter Minimum flow rate of oxygen reservoir mask - ANSWERS11 L/min...