Download Advanced Trauma Life Support (ATLS) Exam With 100% Correct Verified Answers 2024 and more Exams Nursing in PDF only on Docsity! Advanced Trauma Life Support (ATLS) Exam With 100% Correct Verified Answers 2024 What is included in the Primary survey of a trauma patient? - Correct Answer--Airway and C-Spine -Breathing and Ventilation -Circulation/bleeding control -Disability (Neuro Eval) -Exposure and Environmental control. What are adjuncts to Primary Survey and Resuscitation? - Correct Answer-ECG monitoring Urinary/Gastric Catheters Other Monitoring X-ray and Dx studies. What makes up the Secondary Survey? - Correct Answer-History and Physical Exam Mechanism of Injury Head and Maxillofacial C-spine Chest Abdomen Perineum/Rectum/Vagina Musculoskeletal Neurologic Basic Outline of ATLS Protocol? - Correct Answer-1. Preparation 2. Triage 3. Primary survey 4. Adjunct to Primary survey 5. Re-assess ABCDE and consider need for transfer 6. Transfer if needed 7. Secondary Survey 8. Adjuncts to second Survey 9. Pt. re-evaluation 10. Definitive Care. What is something you could do to get a quick assessment of ABCD? - Correct Answer- Ask 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 assumption can safely be made in a pt. with blunt multisystem trauma above the clavicle or Altered mental status? - Correct Answer-That the C-spine is compromised. 4 Steps to manage A? - Correct Answer-Assess for patency Establish airway Maintain C-spine Reinstate Proper C-spine devices. 2 steps to Breathing? - Correct Answer-1.Expose Neck and chest to inspect and palpate. Percuss chest for presence of dullness or hyperresonance, auscultate chest bilaterally. All this checking for Tension Pneumo, Flail chest, Hemothorax, Open Pneumothorax. 2. Administer High concentration O2, ventilate with bag, alleviate Tension Pneumo, attach CO2 monitor to ET tube, Pulse ox. What is the predominant cause of preventable deaths after injury? - Correct Answer- Hemorrhage. 2 steps to managing C? - Correct Answer-1. Identify any sources of external/internal bleeding bleeding. The four big areas for massive bleeding include: Chest, Abdomen, Pelvis, Femur Fx. Assess Pulse quality, color of skin level of consciousness, BP. 2. Large bore IVs and obtain blood samples. Type and cross, ABG. Warm Fluids/blood. T or F: Aggressive and continued volume resuscitation is not a substitute for definitive control of hemorrhage. - Correct Answer-True. Blood loss Classifications? - Correct Answer-Class 1: 750mL Loss= 15% Class 2: 750-1500mL Loss=15-30% Class 3: 1500-2000mL Loss= 30-40% Class 4: >2000mL Loss= >40% Urine output will be less. HR will increase. BP decreases, Respiratory Rate Increases. At what class Should you start Blood transfusing? - Correct Answer-Class 3 or higher. 3 Steps to D? - Correct Answer-Establish Level of consciousness, Pupillary size and reaction, Lateralizing signs and spinal cord injury level. 1. Glascow score. 2. Pupil size and reaction Blown and dilated pupils indicate intracranial hemorrhage or swelling with increased ICP
