ATCN ADVANCED TRAUMA
MANAGEMENT SCRIPT 2026 FULL
ANSWERS GUARANTEED A+
⩥ Signs and sx of cardiac tamponade. Answer: 1. Becks Triad=
increased venous pressure(distended neck veins), decreased arterial
pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
⩥ tension pneumothorax can often be confused with cardiac tamponade,
how do you differentiate?. Answer: Careful assessment of the pt's breath
sounds is paramount to differentiate the two
⩥ Tx of tension pneumothorax. Answer: 1. Needle decompression- large
bore needle 2nd intercostal space midclavicular line 2. chest tube 4 or
5th intercostal space mid axillary
⩥ triad of death. Answer: -Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
, ⩥ rule of 9's adult. Answer: Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%)
⩥ Rule of 9's - Pediatric. Answer: Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
Anterior/Posterior Arms - 4.5% Each
Anterior/Posterior Legs - 7% Each
⩥ signs and symptoms of compartment syndrome. Answer: Early signs
and sx
1. increased pain, greater than expected and out of proportion to the
injury
2. Palpable tenseness of the compartment
3. asymmetry of the muscle compartment
4. pain on passive stretch
5.altered sensation
MANAGEMENT SCRIPT 2026 FULL
ANSWERS GUARANTEED A+
⩥ Signs and sx of cardiac tamponade. Answer: 1. Becks Triad=
increased venous pressure(distended neck veins), decreased arterial
pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
⩥ tension pneumothorax can often be confused with cardiac tamponade,
how do you differentiate?. Answer: Careful assessment of the pt's breath
sounds is paramount to differentiate the two
⩥ Tx of tension pneumothorax. Answer: 1. Needle decompression- large
bore needle 2nd intercostal space midclavicular line 2. chest tube 4 or
5th intercostal space mid axillary
⩥ triad of death. Answer: -Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
, ⩥ rule of 9's adult. Answer: Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%)
⩥ Rule of 9's - Pediatric. Answer: Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
Anterior/Posterior Arms - 4.5% Each
Anterior/Posterior Legs - 7% Each
⩥ signs and symptoms of compartment syndrome. Answer: Early signs
and sx
1. increased pain, greater than expected and out of proportion to the
injury
2. Palpable tenseness of the compartment
3. asymmetry of the muscle compartment
4. pain on passive stretch
5.altered sensation
