GUIDE 2026 ADVANCED TRAUMA LIFE
SUPPORT PRINCIPLES AND PROTOCOLS
◉ GCS score.
Answer: Glasgow Coma Scale; measures consciousness level.
◉ Tension pneumothorax.
Answer: Life-threatening condition requiring immediate needle
decompression.
◉ Spinal cord injury below T-10.
Answer: Usually spares bowel and bladder function.
◉ Indication for chest tube insertion.
Answer: Conditions like pneumothorax or massive hemothorax.
◉ Immediate management of head injury.
Answer: Prevent secondary brain injury post-trauma.
◉ Celiotomy.
,Answer: Surgical procedure for abdominal exploration.
◉ Diagnostic peritoneal lavage.
Answer: Procedure to assess intra-abdominal bleeding.
◉ Central venous pressure line.
Answer: Used for monitoring venous blood pressure.
◉ Frostbite treatment.
Answer: Initial treatment involves warm (40°C) water immersion.
◉ Shock diagnosis criteria.
Answer: Systolic blood pressure below 90 mm Hg.
◉ Hyperflexion fractures.
Answer: Inherently unstable injuries in upper thoracic spine.
◉ Spinal immobilization.
Answer: Use scoop stretcher or long spine board.
◉ Signs of hemothorax.
Answer: Absence of breath sounds and dullness to percussion.
, ◉ Volume replacement guide.
Answer: Blood pressure is most reliable indicator.
◉ Magnetic resonance imaging.
Answer: Used to diagnose spinal cord injuries.
◉ Respiratory rate in shock.
Answer: May be elevated due to compensatory mechanisms.
◉ Pneumatic antishock garment.
Answer: Used to stabilize patients in shock.
◉ Diaphragmatic rupture.
Answer: Contraindication for nasogastric intubation.
◉ Central cord syndrome.
Answer: Most common spinal cord injury in children.
◉ Endotracheal intubation.
Answer: Indicated for patients with severe head injuries.