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ATLSEXAMQuestions&Answers 1.wherehewasshotinthelowerabdomen.Examinationrevealsasinglebulletwound.Heisbreathingandhasathreadypulse.However,heisunconsiousandhasno
detectablebloodpressure.Optimaleimmediatemanagementisto:
- PerformaFAST
- Initiateinfusionofpackedredbloodcells
- Insertanasogastrictubeandurinarycatheter
- Transferthepatienttotheoperatingroom,whileinitiatingfluidtherapy
E. Initiatefluidtherapytoreturnhisbloodpressuretonormotensive:AnswersD.Trans-
ferthepatienttotheoperatingroom,whileinitiatingfluidtherapy 2.tomovehislegs.HisBPis80/50,HR70,RR18andGCS15.Oxygensaturationis99% ATLS EXAM.pdffile:///C:/Users/HP/Desktop/New%20folder%20(4)/ATLS%20EXAM.pdf
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on21nasalprongs.Chestx-ray,pelvicx-rayandFASTarenormal.Extremitiesare
normal.Hismanagementshouldbe:
A:1Lofiv.crystalloidandtwounitsofpRBCs
B.1Lofiv.crystalloid,mannitolandivsteroids C.1unitofalbuminandcompressionstockings D.Vasopressorsandlaparotomy A.1AnswersE.1L ofcystalloidandvasopressorsifbloodpressuredoesnotrespond 3.a.b.c.d.e.Answerse.chest xraywithendotrachealtubetipappearingabovethecarina ATLS EXAM.pdffile:///C:/Users/HP/Desktop/New%20folder%20(4)/ATLS%20EXAM.pdf
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4.vehiclethatisstruckheadonbyanoncomingcartravelingat64kph.Theinfantarrives intheEDwithmultiplefacialinjuries,islethargic,andisinsevererespiratoydistress.Respiratorysupportisnoteffectiveusingabagmaskdevice,andheroxygensaturation isfalling.Repeatedattemptsatorotrachealintubationareunsuccessful.themost
appropriateproceduretoperformnextis:
- Administerhelioxandracemicepinephrine
- Performnasotrachealintubation ATLS EXAM.pdffile:///C:/Users/HP/Desktop/New%20folder%20(4)/ATLS%20EXAM.pdf
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