Advanced Trauma Life Support (ATLS) 10th Edition Study Guide, Exams of Nursing

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ATLS 10

th

study ahead solution

Primary survey - (A) Airway with cervical spine protection (restrict) (B) Breathing and ventilation (C) Circulation - stop the bleeding (D) Disability - neurological status (E) Exposure - undress and environment (temp control) REPEAT IF ANYTHING GOES WRONG Secondary survey - (A) Allergies (M) Medications (P) PMH and Pregnancies (L) Last meal (E) Environment and Events 3 - 3 - 2 Rule - 3 finger lengths between upper and lower incisors 3 finger lengths between hyoid and chin 2 finger lengths between thyroid notch and floor of mouth LEMON - (L) Look (visualize) (E) Evaluate 3- 3 - 2 Rule (M) Mallampati (tongue obstruction) (O) Obstruction (N) Neck mobility MIST - (M) Mechanism (I) Injury pattern (S) Signs (T) Treatment given Rapid assessment - Initial assessment lasting 10 seconds

• Touch the patient
• Identify yourself
• Ask the patient's name
• Ask what happened

Massive transfusion - - 4 units over 1 hour

• 10 units over 24 hours Urine output goals - Adults - 0.5 ml/kg/hr Kids - 1.0 ml/kg/hr Infants - 2.0 ml/kg/hr Urine output goal in electrical injury - 1 - 1.5 ml/kg/hr in all ages Basilar skull fracture classic findings - - Rhinorrhea
• Otorrhea
• Hearing loss
• Facial paralysis Burn fluid resuscitation formula - (2ml x ?kg x ?TSBA) ÷ 2 ÷ 8 How many people needed to log roll? - 4 Classes of hemorrhagic shock - Class 1 (0-14% blood loss)
• no hemodynamic changes.
• no treatment necessary. Class 2 (15-30% blood loss)
• ↔/↑ HR
• ↔ BP
• ↔ RR
• ↔ UO
• Crystalloids and +/- blood Class 3 (31-40% blood loss
• ↑ HR
• ↔/↓ BP
• ↔ RR
• ↓ UO

Ipsilateral pupillary dilation w/ contralateral hemiparesis is a classical sign of? - Uncal herniation

• hyperventilation or hyperosmolar treatment