ATLS and answers Updated & Update
Definitive control of the airway is achieved by ____________ - âœâ€Ã¢Å“â€Endotracheal intubation
How do you treat hypothermia in the ED? - âœâ€Ã¢Å“â€crystalloid fluids at 102.2 degrees F and warmed
treatment area
What does definitive hemorrhage control refer to?
(3) - âœâ€Ã¢Å“â€1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
What are rates of fluid administration measured by? - âœâ€Ã¢Å“â€Size and length of catheter
Minimum flow rate of oxygen reservoir mask - âœâ€Ã¢Å“â€11 L/min
MCC of shock in trauma pt - âœâ€Ã¢Å“â€Hypovolemia due to hemorrhage
Describe the 3 for 1 rule - âœâ€Ã¢Å“â€Replace each mL of blood loss with 3 ml of crystalloid solution
What metabolic state can result from continued hemorrhage or decreased perfusion? - âœâ€Ã¢Å“â€Metabolic
acidosis
In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption - âœâ€Ã¢Å“â€Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
What imaging study is preferred for penetrating abdominal trauma? - âœâ€Ã¢Å“â€CT
What can FAST rapidly diagnose? - âœâ€Ã¢Å“â€Abdominal hemorrhage
When is a laparotomy indicated? - âœâ€Ã¢Å“â€Fascial penetration with intraperitoneal bleeding or peritonitis
What does the Monro Kellie doctrine describe? - âœâ€Ã¢Å“â€The relationship between IC volume and pressure
Normal resting ICP - âœâ€Ã¢Å“â€10 mm Hg
How do you reduce elevated ICP? - âœâ€Ã¢Å“â€Mannitol in a 20% solution
How do you temporarily control pelvic hemorrhage and instability? - âœâ€Ã¢Å“â€Internal traction and external
counter-pressure
How do you initially manage major arterial injury? - âœâ€Ã¢Å“â€Direct pressure and fluid resuscitation