Advanced Trauma Life support (ATLS) g g g g
1. definition of; - incidents in which nr of pat and
g g g g g g g g g
severity of injuries do not exceed g g g g g g
- multiple casualties capability of facility to render care
g g g g g g
- mass casualties - nr of pat and severity of their in-
g g g g g g g g g
juries exceed capability of facility a g g g g g
nd staff g
2. term; J (Osborn) wave
g g
upward deflection after QRS complex in
g g g g g g
a patient with hypothermia
g g g
3. clinicians can quickly assess A, B, C identify themselves, asking pat for an
g g g g g g g g g g g g
d D in a trauma pat (10 sec assess- his or her name, and asking what
g g g g g g g g g g g g g g g g
ment), how? g happened
4. GCS
5. laryngeal fracture, triad of clinical signs- hoarseness
g g g g g g
- subcutaneous emphysema g
- palpable fracture g
6. laryngeal trauma, triad of clinical signs
g g g g g
- hoarseness
- subcutaneous emphysema g
1g/g51
, Advanced Trauma Life support (ATLS)
g g g g
- palpable fracture g
7. laryngeal trauma, method for securing -
g g g g g
gintubation (flexible endoscopic inairway tubation)
g g g
- emergency tracheostomy, fol- g g
lowed by operative repair
g g g
- cricothyroidotomy
8. objective signs of airway obstruction - agitation (hypoxia), obtunded (hy-
g g g g g g g g g
percarbia), cyanosis (hypoxemia), g g g
use of accessory mm g g g
- noisy breathing (obstructed), snor
g g g
ing, gurgling, stridor (partial occlu
g g g g
sion), hoarseness (functional lary
g g g
ngeal obstruction) g
- abusive and belligerent (hypoxic) g g g
9. term; spinal shock g
referring to flaccidity and loss of refle
g g g g g g
xes that occur immediately after spina
g g g g g
l cord injury, after a period of time, spa
g g g g g g g g
sticity ensues g
10. neurogenic shock, - vasopressors g g
2 types of medications which may be - atropine useful
g g g g g g g g g
11. seesaw pattern of breathing, typically injury to cervical spinal cord below i
g g g g g g g g g g g
ndicates what damage? C3 -> maintenance of diaphrag-
g g g g g g
matic function but loss of IC and ab g g g g g g g
d. mm contribution to resp. g g g g
2g/g51
, Advanced Trauma Life support (ATLS) g g g g
(abdominal breathing or diaphrag g g g
matic breathing) g
12. examples of ventilation compromise -
g g g g
pain with breathing causes if clearing airway does not im-
g g g g g g g g g g
prove pat's breathing
g - intracranial injury
g g g
- cervical spinal cord injury
g g g g
13. failure to recognize inadequate venti- - monitor pat RR and work of lation,
g g g g g g g g g g g g
breathing
how do we prevent this?
g g g g - ABG or VBGs
g g g g
- continuous capnograms
g g
14. LEMON assessment for difficult intu- L= look externally bation
g g g g g g g g
E= evaluate 3-3-2 rule g g g
M= Mallampati
g
O= obstruction
g
N= neck mobility
g g
15. indications for a definitive airway g g g g
16. what is the 3-3-2 rule during intuba-
g g g g g g relationships; tion? g
- distance between incisor sho g g g
uld be at least 3 finger breadths
g g g g g g
- distance between hyoid bone g g g g
and chin should be at least 3 finger
g g g g g g g g
breadths
3g/g51
, Advanced Trauma Life support (ATLS)
g g g g
- distance between thyroid notc g g g
h and floor of mouth should be at le
g g g g g g g g
ast 2 finger breadths
g g g
17. Mallampati classifications
g I- soft palate, uvula, fauces, pillars
g g g g g g
entirely visible g
II- soft palate, uvula, fauces partial
g g g g
-
ly visible
g
III- soft palate, base of uvula visible
g g g g g
4g/g51
1. definition of; - incidents in which nr of pat and
g g g g g g g g g
severity of injuries do not exceed g g g g g g
- multiple casualties capability of facility to render care
g g g g g g
- mass casualties - nr of pat and severity of their in-
g g g g g g g g g
juries exceed capability of facility a g g g g g
nd staff g
2. term; J (Osborn) wave
g g
upward deflection after QRS complex in
g g g g g g
a patient with hypothermia
g g g
3. clinicians can quickly assess A, B, C identify themselves, asking pat for an
g g g g g g g g g g g g
d D in a trauma pat (10 sec assess- his or her name, and asking what
g g g g g g g g g g g g g g g g
ment), how? g happened
4. GCS
5. laryngeal fracture, triad of clinical signs- hoarseness
g g g g g g
- subcutaneous emphysema g
- palpable fracture g
6. laryngeal trauma, triad of clinical signs
g g g g g
- hoarseness
- subcutaneous emphysema g
1g/g51
, Advanced Trauma Life support (ATLS)
g g g g
- palpable fracture g
7. laryngeal trauma, method for securing -
g g g g g
gintubation (flexible endoscopic inairway tubation)
g g g
- emergency tracheostomy, fol- g g
lowed by operative repair
g g g
- cricothyroidotomy
8. objective signs of airway obstruction - agitation (hypoxia), obtunded (hy-
g g g g g g g g g
percarbia), cyanosis (hypoxemia), g g g
use of accessory mm g g g
- noisy breathing (obstructed), snor
g g g
ing, gurgling, stridor (partial occlu
g g g g
sion), hoarseness (functional lary
g g g
ngeal obstruction) g
- abusive and belligerent (hypoxic) g g g
9. term; spinal shock g
referring to flaccidity and loss of refle
g g g g g g
xes that occur immediately after spina
g g g g g
l cord injury, after a period of time, spa
g g g g g g g g
sticity ensues g
10. neurogenic shock, - vasopressors g g
2 types of medications which may be - atropine useful
g g g g g g g g g
11. seesaw pattern of breathing, typically injury to cervical spinal cord below i
g g g g g g g g g g g
ndicates what damage? C3 -> maintenance of diaphrag-
g g g g g g
matic function but loss of IC and ab g g g g g g g
d. mm contribution to resp. g g g g
2g/g51
, Advanced Trauma Life support (ATLS) g g g g
(abdominal breathing or diaphrag g g g
matic breathing) g
12. examples of ventilation compromise -
g g g g
pain with breathing causes if clearing airway does not im-
g g g g g g g g g g
prove pat's breathing
g - intracranial injury
g g g
- cervical spinal cord injury
g g g g
13. failure to recognize inadequate venti- - monitor pat RR and work of lation,
g g g g g g g g g g g g
breathing
how do we prevent this?
g g g g - ABG or VBGs
g g g g
- continuous capnograms
g g
14. LEMON assessment for difficult intu- L= look externally bation
g g g g g g g g
E= evaluate 3-3-2 rule g g g
M= Mallampati
g
O= obstruction
g
N= neck mobility
g g
15. indications for a definitive airway g g g g
16. what is the 3-3-2 rule during intuba-
g g g g g g relationships; tion? g
- distance between incisor sho g g g
uld be at least 3 finger breadths
g g g g g g
- distance between hyoid bone g g g g
and chin should be at least 3 finger
g g g g g g g g
breadths
3g/g51
, Advanced Trauma Life support (ATLS)
g g g g
- distance between thyroid notc g g g
h and floor of mouth should be at le
g g g g g g g g
ast 2 finger breadths
g g g
17. Mallampati classifications
g I- soft palate, uvula, fauces, pillars
g g g g g g
entirely visible g
II- soft palate, uvula, fauces partial
g g g g
-
ly visible
g
III- soft palate, base of uvula visible
g g g g g
4g/g51
