SUMMARY ATLS EXAMINATION ATLS Chapters 1-3 ( LATEST) 2024

The "A" in ABCD stands for . You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? Airway maintenance with CERVICAL SPINE PROTECTION Cervical spine injury Flail chest is invariably accompanied by pulmonary contusion - do NOT over fluid which can interfere with blood oxygenation. Hypotension is caused by until proven otherwise. When you don't have/can't get a blood pressure, what are three things to look for when evaluating perfusion. resuscitate these patients! hypovolemia 1. Level of consciousness (brain perfusion), 2. Skin color (ashen face/grey extremities) 3. Pulse (bilateral femoral - thready/tachy) Elderly patients have a limited ability to increase heart rate to compensate for blood loss. Resuscitation fluids should be warmed 39 degrees Celsius (102.2 F). Can you use a microwave to do this? Urinary catheters are good for assessing renal perfusion and volume status. List 5 signs of urethral injury that might prevent you from inserting one. Which arm should you NOT put a pulse-ox on? Name two anatomical things that can interfere with doing a FAST scan. When should radiographs be obtained? How do you get an ample patient history? Why might you want a Bair Hugger for a patient who smells of alcohol? What things are you looking for when you do a DRE in a trauma? What should you do for every female patient? Adult patients should maintain UOP of at least YES - for CRYSTALLOID ONLY (but NOT for blood products). Blood at urethral meatus, perineal ecchymosis, blood in scrotum, high- riding/non-palpable prostate, pelvic fracture The arm with a blood pressure cuff on it Obesity & intraluminal bowel gas During the SECONDARY survey. A=Allergies, M=Medications, P=PMH/Pregnancy, L=Last meal, E=Events/Environment of injury Vasodilation can lead to hypothermia Blood, high-riding prostate (in males), and sphincter tone Pregnancy test (females of childbearing age) Adults 0.5 mL/kg/hr, Kids 1.0 ml/kg/hr