2024 ATLS – Trauma Guaranteed A+ Study Guide | Actual Questions and Answers, Complete 100%
- Pts with maxillofacial or head trauma should be presumed to have a injury
Answer: C spine injury >> C collar
- Objective signs of airway obstruction
Answer: Agitation (sign of hypoxia), Obtunded (hypercarbia), Snoring, gurgling,
stridor hoarseness
- Signs of inadequate ventilation
Answer: asymmetrical chest rise/fall, decreased/absent breath sounds, capnography
- Mnemonic for evaluating difficult airway
Answer:
LEMON Look
Evaluate: 3-2-2
Mallampati Obstruction Neck Mobility
- RSI etomidate dosing
Answer: .3 mg/kg (generally 20 mg)
- RSI succ dosing
Answer: 1-2 mg/kg (generally 100 mg)
- Contraindications for succ in trauma
Answer:
Severe crush injuries Major burns Electrical injuries Hyperkalemia
- RSI Roc dosing
Answer: 1 mg/kg
- Most common cause of shock
Answer: Hemorrhagic
- / 2
- Non-hemorrhagic types of shock
Answer:
Cardiogenic Tamponade Tension pneumo Neurogenic (shock is 2/2 brainstem damage) Septic
- Presentation of neurogenic shock
Answer: Hypotension without tachycardia
- Hemorrhagic shock classes
Answer:
Class I = normal vitals Class II = tachycardia Class III = hypotension Class IV = AMS (decreased GCS)
- What effects can hypothermia have on pt in shock
Answer: Coagulopathy and acidosis
- How can you assess response to fluid resuscitation
- mL/kg in Adults
Answer: Urinary output, should be:
.5 mL/kg in Peds 2 mL/kg in infants
- What blood type is given to young females
Answer: O- (prevent cross reaction in pregnancy)
- signs of tension pneumothorax
Answer:
Deviated trachea Distended neck veins Absent breath sounds Hyperresonant to percussion
- Indicators for thoracotomy in setting of hemothorax
Answer:
> 1500 mL upon place- ment of chest tube > 100 mL in an hour x 2 hours persistently unstable post chest tube placement
- / 2