Advanced Trauma Life support (ATLS) m m m m
1. definition of; - incidents in which nr of pat and
m m m m m m m m m
severity of injuries do not exceed m m m m m m
- multiple casualties mcapability of facility to render care m m m m m
- mass casualties - nr of pat and severity of their in-
m m m m m m m m m
juries exceed capability of facility m m m m m
and staff m
2. term; J (Osborn) wave
m m
upward deflection after QRS complex i
m m m m m
n a patient with hypothermia
m m m m
3. clinicians can quickly assess A, B, C identify themselves, asking pat for
m m m m m m m m m m m m
and D in a trauma pat (10 sec assess- his or her name, and asking what
m m m m m m m m m m m m m m m m
ment), how?
m happened
4. GCS
5. laryngeal fracture, triad of clinical signs-
m m m m m
hoarseness m
- subcutaneous emphysema m
- palpable fracture m
6. laryngeal trauma, triad of clinical signs
m m m m m
- hoarseness
1m/m51
, Advanced Trauma Life support (ATLS)
m m m m
- subcutaneous emphysema m
- palpable fracture m
7. laryngeal trauma, method for securing -
m m m m m
mintubation (flexible endoscopic inairwaytubation)
m m m
- emergency tracheostomy, fol- m m
lowed by operative repair
m m m
- cricothyroidotomy
8. objective signs of airway obstruction - agitation (hypoxia), obtunded (hy-
m m m m m m m m m
percarbia), cyanosis (hypoxemia), m m
use of accessory mm m m m m
- noisy breathing (obstructed), sno
m m m
ring, gurgling, stridor (partial occl
m m m m
usion), hoarseness (functional la
m m m
ryngeal obstruction) m
- abusive and belligerent (hypoxic)
m m m
9. term; spinal shockm
referring to flaccidity and loss of refl
m m m m m m
exes that occur immediately after spi
m m m m m
nal cord injury, after a period of time,
m m m m m m m m
spasticity ensues m
10. neurogenic shock, - vasopressors m m
2 types of medications which may be - atropine useful
m m m m m m m m m
11. seesaw pattern of breathing, typically injury to cervical spinal cord below
m m m m m m m m m m
indicates what damage?
m m C3 -> maintenance of diaphrag-
m m m m m
2m/m51
, Advanced Trauma Life support (ATLS)
m m m m
matic function but loss of IC and a
m m m m m m m
bd. mm contribution to resp.
m m m m
(abdominal breathing or diaphragm m m
matic breathing)
m
12. examples of ventilation compromise -
m m m m
mpain with breathing causes if clearing airway does not im-
m m m m m m m m m
prove pat's breathing
m m - intracranial injury m m
- cervical spinal cord injury
m m m m
13. failure to recognize inadequate venti- -
m m m m m
mmonitor pat RR and work of lation, breathing
m m m m m m
how do we prevent this?
m m m m - ABG or VBGs
m m m m
- continuous capnograms
m m
14. LEMON assessment for difficult intu- L= look externally bation
m m m m m m m m
E= evaluate 3-3-2 rule m m m
M= Mallampati
m
O= obstruction
m
N= neck mobility
m m
15. indications for a definitive airway
m m m m
16. what is the 3-3-2 rule during intuba-
m m m m m m relationships; tion? m
- distance between incisor sho m m m
uld be at least 3 finger breadths
m m m m m m
3m/m51
, Advanced Trauma Life support (ATLS)
m m m m
- distance between hyoid bone m m m
mand chin should be at least 3 fing
m m m m m m m
er breadths
m
- distance between thyroid not m m m
ch and floor of mouth should be at
m m m m m m m
mleast 2 finger breadths
m m m
17. Mallampati classifications
m I- soft palate, uvula, fauces, pillars
m m m m m m
entirely visible m
II- soft palate, uvula, fauces partia
m m m m
l-
ly visible
m
III- soft palate, base of uvula visibl
m m m m m
e
4m/m51
1. definition of; - incidents in which nr of pat and
m m m m m m m m m
severity of injuries do not exceed m m m m m m
- multiple casualties mcapability of facility to render care m m m m m
- mass casualties - nr of pat and severity of their in-
m m m m m m m m m
juries exceed capability of facility m m m m m
and staff m
2. term; J (Osborn) wave
m m
upward deflection after QRS complex i
m m m m m
n a patient with hypothermia
m m m m
3. clinicians can quickly assess A, B, C identify themselves, asking pat for
m m m m m m m m m m m m
and D in a trauma pat (10 sec assess- his or her name, and asking what
m m m m m m m m m m m m m m m m
ment), how?
m happened
4. GCS
5. laryngeal fracture, triad of clinical signs-
m m m m m
hoarseness m
- subcutaneous emphysema m
- palpable fracture m
6. laryngeal trauma, triad of clinical signs
m m m m m
- hoarseness
1m/m51
, Advanced Trauma Life support (ATLS)
m m m m
- subcutaneous emphysema m
- palpable fracture m
7. laryngeal trauma, method for securing -
m m m m m
mintubation (flexible endoscopic inairwaytubation)
m m m
- emergency tracheostomy, fol- m m
lowed by operative repair
m m m
- cricothyroidotomy
8. objective signs of airway obstruction - agitation (hypoxia), obtunded (hy-
m m m m m m m m m
percarbia), cyanosis (hypoxemia), m m
use of accessory mm m m m m
- noisy breathing (obstructed), sno
m m m
ring, gurgling, stridor (partial occl
m m m m
usion), hoarseness (functional la
m m m
ryngeal obstruction) m
- abusive and belligerent (hypoxic)
m m m
9. term; spinal shockm
referring to flaccidity and loss of refl
m m m m m m
exes that occur immediately after spi
m m m m m
nal cord injury, after a period of time,
m m m m m m m m
spasticity ensues m
10. neurogenic shock, - vasopressors m m
2 types of medications which may be - atropine useful
m m m m m m m m m
11. seesaw pattern of breathing, typically injury to cervical spinal cord below
m m m m m m m m m m
indicates what damage?
m m C3 -> maintenance of diaphrag-
m m m m m
2m/m51
, Advanced Trauma Life support (ATLS)
m m m m
matic function but loss of IC and a
m m m m m m m
bd. mm contribution to resp.
m m m m
(abdominal breathing or diaphragm m m
matic breathing)
m
12. examples of ventilation compromise -
m m m m
mpain with breathing causes if clearing airway does not im-
m m m m m m m m m
prove pat's breathing
m m - intracranial injury m m
- cervical spinal cord injury
m m m m
13. failure to recognize inadequate venti- -
m m m m m
mmonitor pat RR and work of lation, breathing
m m m m m m
how do we prevent this?
m m m m - ABG or VBGs
m m m m
- continuous capnograms
m m
14. LEMON assessment for difficult intu- L= look externally bation
m m m m m m m m
E= evaluate 3-3-2 rule m m m
M= Mallampati
m
O= obstruction
m
N= neck mobility
m m
15. indications for a definitive airway
m m m m
16. what is the 3-3-2 rule during intuba-
m m m m m m relationships; tion? m
- distance between incisor sho m m m
uld be at least 3 finger breadths
m m m m m m
3m/m51
, Advanced Trauma Life support (ATLS)
m m m m
- distance between hyoid bone m m m
mand chin should be at least 3 fing
m m m m m m m
er breadths
m
- distance between thyroid not m m m
ch and floor of mouth should be at
m m m m m m m
mleast 2 finger breadths
m m m
17. Mallampati classifications
m I- soft palate, uvula, fauces, pillars
m m m m m m
entirely visible m
II- soft palate, uvula, fauces partia
m m m m
l-
ly visible
m
III- soft palate, base of uvula visibl
m m m m m
e
4m/m51
