Answers Rated A
Mechanism (and time) of Injury
Injuries found and suspected
MIST Pneumonic [10.1]
Symptoms and signs
Treatment Initiated
A-airway/cervical spine,
B-breathing,
Primary Survey (ABCDE) [10.1] c-circulation with hemorrhage control
d-disability (assess Neuro status)
e-exposure/environmental control
Reasons for deterioration in an intubated patient
Dislodgement
DOPE [Ultimate ATLS Prep] Obstruction
Pneumothorax
Equipment Failure
HR/SBP
Shock index calculation [Ultimate ATLS Prep]
Normal = 0.5=0.7
Volume Loss = >0.9
(Allergies, Medications, Past Illnesses/Pregnancy, Last
AMPLE [10.1]
Meal, Events/Environment related to injury)
Tube placed in trachea with cutt inflated below vocal cords,
tube connected to a form of oxygen enriched assisted
ventilation and the airway secured in place with an appro-
Definitive airway definition
priate stabilizing method.
[10.2, pg24]
Hoarseness (dysphonia)
Subcutaneous Emphysema
Laryngeal Trauma Triad of Signs
Palpable fracture
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, Advanced Trauma Life Support (ATLS) 10th Edition Test with Verified
Answers Rated A
Tx: flexible endoscopic intubation
Dx : CT scan
[10.2, pg25]
Injury to below C3.
These maintain diaphragmatic function, but lose inter-
"abdominal breathing" or "diaphragmatic breathing"
costal and abdominal muscle contribution to respiration.
could be caused by
These patients display a seesaw pattern of breathing.
[10.2, pg26]
Assessment for Diflcult Intubation
Look Externally - small mouth, overbite, facial trauma
Evaluate the 3-3-2 Rule - evaluates alignment of pharyn-
geal, laryngeal, and oral aes. 3FB between teeth, 3FB be-
tween hyoid bone and chin(tip of mentum), 2FB between
LEMON pneumonic
throid notch and floor of mouth.
Mallampati (PUSH)
Opstruction
Neck mobility
[10.2, pg28]
95%
Pulse Oximetry that correllates with PaO2 of >70mmHg 100% = >90mmHg
90% = >60mmHg
[10.2, pg38]
an abnormality of the circulatory system that results in
inadequate organ perfusion and tissue oxygenation
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