ATCN Exam review ACTUAL EXAM TEST
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The approach to trauma care notification that a trauma patient is arriving
typically begins with what?
When preparing to receive a safe practice, safe care
trauma patient, what should you
keep in mind?
What does "Safe practice" mean take into consideration the protection of the team (universal
when receiving trauma patients? precautions/PPE/preparing equipment prior to patient arrival)
What does "Safe care" mean that the patient is going to the right hospital, in the right time, for
when receiving trauma patients? the right care
airway and alertness with simultaneous cervical spinal
Trauma primary survey for "A"?
stabilization
Trauma primary survey for "B"? breathing and ventilation
Trauma primary survey for "C"? circulation and hemorrhage control
Trauma primary survey for "D"? disability (neurological status: AVPU/GCS)
Trauma primary survey for "E"? exposure and environmental control
Trauma primary survey for "F"? full set of vital signs and family presence
Trauma primary survey for "G"? get resuscitation adjuncts (LMNOP)
Which resuscitation adjunct laboratory studies (ABG's/Type and cross)
under the "G" primary
assessment is this?
-"L"
Which resuscitation adjunct monitor for continuous cardiac rhythm and rate assessment
under the "G" primary
assessment is this?
-"M"
, Which resuscitation adjunct naso/orogastric tube consideration
under the "G" primary
assessment is this?
-"N"
Which resuscitation adjunct oxygenation and ventilation analysis (pulse
under the "G" primary oximetry/ETCO2/capnography)
assessment is this?
-"O"
Which resuscitation adjunct pain assessment and management
under the "G" primary
assessment is this?
-"P"
Trauma primary survey for "H"? history and head to toe assessment
Trauma primary survey for "I"? inspect posterior surfaces
1.chest pain 10 Signs and sx of tension pneumothorax
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from
injury
7.unilateral absence of breath
sounds
8.elevated hemithorax w/out
respiratory movement
9.neck vein distention
10.cyanosis (late sign)
1. Becks Triad= increased venous Signs and sx of cardiac tamponade
pressure(distended neck veins),
decreased arterial
pressure(hypotension), muffled
heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
Careful assessment of the pt's tension pneumothorax can often be confused with cardiac
breath sounds is paramount to tamponade, how do you differentiate?
differentiate the two
1. Needle decompression- large Tx of tension pneumothorax
bore needle 2nd intercostal
space midclavicular line 2. chest
tube 4 or 5th intercostal space
mid axillary
-Acidosis triad of death
- Hypothermia
- Coagulopathy (blood can't
clot resulting in continued
bleeding)