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8/11/2021 ATLS Flashcards | Quizlet Science / Medicine / Surgery ATLS ATLS Flashcards _ Quizlet ATLS Terms in this set (340) A 22-year-old man is re-examine the chest 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...

A 23-year-old man is brought immediately to the ED from the hospitals parking lot where he was shot in the lower abdomen. Examination reveals a single bullet wound. He is breathing and has a thready pulse. However, he is unconsious and has no detectable blood pressure. Optimale immediate management is to: 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 th...

re-examine the chest - -A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His BP is initially 80/40 mm Hg. After 2 liters of crystalloid solution his BP increases to 122/84. His heart rate is now 100 BPM and his RR is 28 breaths per minute. His breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube thoracostomy is performed for decreased left breath sounds with the return of a small amount of blood an...

Patients with a GSC of less than ___ usually require intubation. - -8 -The "A" in ABCD stands for _______. - -Airway maintenance with CERVICAL SPINE PROTECTION -You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? - -Cervical spine injury -Flail chest is invariably accompanied by ______ which can interfere with blood oxygenation. - -pulmonary contusion - do NOT over fluid resuscita...

Which of the following is the recommended Method for trestemt frostbite? A. Vasodilators B. Anticigulants C. Warm (40 degrees) water D. Padding and elevation E. Application of heat from a hairdryer - -C. Warm (40 degrees) water -Which of the following physical findings suggest a cause of hypotension other than spinal cord injury? A. Prispism B. Bradycardia C. Diaphragmatic breathing D. Presence of deep tendon reflexes E. Ability to flex forearms but not extend them - -D. Presence of...

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Contraindication for succinylcholine use for paralysis in a trauma patient and why. - -crush injuries, major burns, electrical injuries, pre-existing chronic renal failure, chronic paralysis and chronic neuromuscular disease Hyperkalemia -Indications for a definitive airway - -Need for airway protection: 1. Unconscious 2. severe maxillofacial fractures 3. Risk for aspiration (blood or vomit) 4. Risk of obstructsion (neck hematoma, laryngeal or tracheal injury, stridor)

adjuncts to primary survey with resuscitation - -continuous EKG pulse oximetry CO2 monitoring assessment of ventilatory rate ABG -Other helpful tests in primary survey: - -urinary catheter to monitor urine output/hematuria Gastric catheter blood lactate Xrays (chest and pelvis) FAST/eFast DPL (diagnostic peritoneal lavage)