Download Advanced Trauma Life Support 2024-2025: Questions and Correct Answers and more Exams Nursing in PDF only on Docsity! Advanced Trauma Life Support 2024-2025. Questions & Correct Answers. Graded A+ 18 Steps to Secondary Survey? - ANS1. AMPLE Hx 2. Mechanism of injury (Blunt/penetrating?) 3. Head/Maxillofacial (lacerations, contusions, pupils, Ears, nose and mouth for blood or CSF, eyes, CN function. Reassess GCS., Visual acuity 4. Maintain airway, Control hemorrhage, Prevent Secondary brain injury like anoxic or cerebral edema. Remove contact lenses. 5. C-spine and neck. Tracheal deviation, blunt or penetrating trauma, Respiratory muscles, carotid arteries for bruits, symmetry of pulses. Obtain CT of cervical spine or a lateral, cross-table spine xray. 6. In-line immobilization and protection of C- spine. 7- Chest: Palpate, Auscultate, Percuss, check for flail chest, contusion, bleeding, breathing. 8- Chest management: Needle decompression, Chest tube, Pericardiocentesis, Dressing any chest wounds. 9- Abdomen: Rigidness, AAA, Tenderness, Ultrasound, muscle guarding, bowel sounds, percussion, palpation, signs of blunt or penetrating trauma. Pelvic Xray, CT of abdomen. 10. Management of abdomen Immediate surgery for exploratory laparotomy, Pelvic compression binder. pregnancy. 11. Perineal Assessment for contusions, lacerations or bleeding. 12. Rectal assessment Bleeding, sphincter tone, bowell wall integrity, bony fragments, prostate position. 13. Vaginal Assessment in select pts. Presence of blood. Pregnancy. Exploratory surgery. 14. Musculoskeletal Assessment: Inspect extremities for blunt or penetrating trauma, deformities, lacerations, sensation, Pulses, fractures, control any bleeding if not done yet. Inspect and palpate throacic and lumbar spines for injury, deformity. X rays for suspected fracture sites. 15. Musculoskeletal management: Immobilization of thoracic spine, splinting, wrap sheet around pelvis for compression binder to help control pelvic bleeding. CONSIDER COMPARTMENT SYNDROME!!!!!! 16. Neurologic: Determine GCS ag 2 steps to Breathing? - ANS1.Expose Neck and chest to inspect and palpate. Percuss chest for presence of may be used during primary survey? - ANSECG, ABGs, ET CO2, FAST ultrasound, DPL, Chest and pelvic Xrays, Urinary/Gastric Catheters What assumption can safely be made in a pt. with blunt multisystem trauma above the clavicle or Altered mental status? - ANSThat the C-spine is compromised. What comes after the Secondary survey? - ANSContinued monitoring for any changes in pts. responsiveness and vital signs, urine output. Transfer to definitive care. Direct communication provider to provider. What is assessed in glasgow? - ANSeyes response= 4 Verbal response=5 Motor Response=6 What is included in the Primary survey of a trauma patient? - ANS-Airway and C-Spine - Breathing and Ventilation -Circulation/bleeding control - Disability (Neuro Eval) -Exposure and Environmental control. What is something you could do to get a quick assessment of ABCD? - ANSAsk the pt. a question. If they can respond it can give you an idea about their airway and mental status. Failure to respond tells you there are abnormalities in ABCD. What is the predominant cause of preventable deaths after injury? - ANSHemorrhage. What makes up the Secondary Survey? - ANSHistory and Physical Exam Mechanism of Injury Head and Maxillofacial C-spine Chest Abdomen Perineum/Rectum/Vagina Musculoskeletal Neurologic When can the Secondary survey begin? - ANSWhen the Primary survey is completed, resuscitative efforts are underway and normalization of Vital functions has been demonstrated.
