ATLS EXAM-with 100% verified solutions-2023-2024
Patients with a GSC of less than ___ usually require intubation.
8
The "A" in ABCD stands for _______.
Airway maintenance with CERVICAL SPINE PROTECTION
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?
Cervical spine injury
Flail chest is invariably accompanied by ______ which can interfere with blood oxygenation.
pulmonary contusion - do NOT over fluid resuscitate these patients!
Hypotension is caused by _____ until proven otherwise.
hypovolemia
When you don't have/can't get a blood pressure, what are three things to look for when
evaluating perfusion.
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 ______ to compensate for blood loss.
increase heart rate
Resuscitation fluids should be warmed 39 degrees Celsius (102.2 F). Can you use a
microwave to do this?
YES - for CRYSTALLOID ONLY (but NOT for blood products).
11/12/23, 5:46 PM ATLS EXAM-with 100% verified solutions-2023-2024
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Urinary catheters are good for assessing renal perfusion and volume status. List 5 signs of
urethral injury that might prevent you from inserting one.
Blood at urethral meatus, perineal ecchymosis, blood in scrotum, high-riding/non-palpable
prostate, pelvic fracture
Which arm should you NOT put a pulse-ox on?
The arm with a blood pressure cuff on it
Name two anatomical things that can interfere with doing a FAST scan.
Obesity & intraluminal bowel gas
When should radiographs be obtained?
During the SECONDARY survey.
How do you get an ample patient history?
A=Allergies, M=Medications, P=PMH/Pregnancy, L=Last meal, E=Events/Environment of
injury
Why might you want a Bair Hugger for a patient who smells of alcohol?
Vasodilation can lead to hypothermia
What things are you looking for when you do a DRE in a trauma?
Blood, high-riding prostate (in males), and sphincter ton
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