ATLS Practice-2024-Perfectly Solved
Definitive control of the airway is achieved by ____________ - ANS-Endotracheal intubation
How do you treat hypothermia in the ED? - ANS-crystalloid fluids at 102.2 degrees F and warmed
treatment area
What does definitive hemorrhage control refer to?
(3) - ANS-1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
What are rates of fluid administration measured by? - ANS-Size and length of catheter
Minimum flow rate of oxygen reservoir mask - ANS-11 L/min
MCC of shock in trauma pt - ANS-Hypovolemia due to hemorrhage
Describe the 3 for 1 rule - ANS-Replace each mL of blood loss with 3 ml of crystalloid solution
What metabolic state can result from continued hemorrhage or decreased perfusion? - ANS-Metabolic
acidosis
In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption - ANS-Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
What imaging study is preferred for penetrating abdominal trauma? - ANS-CT
, What can FAST rapidly diagnose? - ANS-Abdominal hemorrhage
When is a laparotomy indicated? - ANS-Fascial penetration with intraperitoneal bleeding or peritonitis
What does the Monro Kellie doctrine describe? - ANS-The relationship between IC volume and pressure
Normal resting ICP - ANS-10 mm Hg
How do you reduce elevated ICP? - ANS-Mannitol in a 20% solution
How do you temporarily control pelvic hemorrhage and instability? - ANS-Internal traction and external
counter-pressure
How do you initially manage major arterial injury? - ANS-Direct pressure and fluid resuscitation
Full thickness burn - ANS-Third degree burn
What is used to estimate the size and depth of burns? - ANS-Rule of 9's
Head= 9%
Each arm=9%
Front Trunk= 18%
Back Trunk= 18%
Upper leg= 9%
Lower leg= 9%
What type of burns appear wet and blistered? - ANS-Partial thickness burns (second degree)
How do you treat CO exposed pt? - ANS-100% oxygen flow through non re-breather mask
Definitive control of the airway is achieved by ____________ - ANS-Endotracheal intubation
How do you treat hypothermia in the ED? - ANS-crystalloid fluids at 102.2 degrees F and warmed
treatment area
What does definitive hemorrhage control refer to?
(3) - ANS-1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
What are rates of fluid administration measured by? - ANS-Size and length of catheter
Minimum flow rate of oxygen reservoir mask - ANS-11 L/min
MCC of shock in trauma pt - ANS-Hypovolemia due to hemorrhage
Describe the 3 for 1 rule - ANS-Replace each mL of blood loss with 3 ml of crystalloid solution
What metabolic state can result from continued hemorrhage or decreased perfusion? - ANS-Metabolic
acidosis
In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption - ANS-Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
What imaging study is preferred for penetrating abdominal trauma? - ANS-CT
, What can FAST rapidly diagnose? - ANS-Abdominal hemorrhage
When is a laparotomy indicated? - ANS-Fascial penetration with intraperitoneal bleeding or peritonitis
What does the Monro Kellie doctrine describe? - ANS-The relationship between IC volume and pressure
Normal resting ICP - ANS-10 mm Hg
How do you reduce elevated ICP? - ANS-Mannitol in a 20% solution
How do you temporarily control pelvic hemorrhage and instability? - ANS-Internal traction and external
counter-pressure
How do you initially manage major arterial injury? - ANS-Direct pressure and fluid resuscitation
Full thickness burn - ANS-Third degree burn
What is used to estimate the size and depth of burns? - ANS-Rule of 9's
Head= 9%
Each arm=9%
Front Trunk= 18%
Back Trunk= 18%
Upper leg= 9%
Lower leg= 9%
What type of burns appear wet and blistered? - ANS-Partial thickness burns (second degree)
How do you treat CO exposed pt? - ANS-100% oxygen flow through non re-breather mask
