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ATLS 2026 (updated) Flash Cards Study Guide
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Quick facts about Class I hemorrhagic shock - correct answer BP is fine Quick facts about Class II hemorrhagic shock - correct answer Narrowed pulse pressure, tachycardia Quick facts about Class III hemorrhagic shock - correct answer New onset hypotension Quick facts about Class IV hemorrhagic shock - correct answer Lethargic/comatose + hypotension GCS for Eye - correct answer (1) None (2) By pain (3) By command (4) Spontaneous GCS for Verbal - correct answer (1) None (2) Incoherent sounds (3) Inappropriate words (4) Confusion (5) Speaking normally GCS for Motor - correct answer (1) None (2) Extension (decerebrate) (3) Flexion (decorticate) (4) Flexion/withdrawl to pain (5) Localize pain (6) Obeys commands Minor brain injury GCS - correct answer 13+ Moderate brain injury GCS - correct answer 9- Severe brain injury GCS - correct answer < 8 What confirms correct ET tube placement? - correct answer CXR What confirms proper intubation of airway? - correct answer CO2 capnography or colorimeter
Succinylcholine intubation dose - correct answer 2 mg/kg (~100 mg) Etomidate intubation dose - correct answer 0.3 mg/kg (~20 mg) Is needle cricothyroidotomy a definitive airway? - correct answer No Surgical cricothyroidotomy is not recommend for children under... - correct answer 12 years of age Flow rate after intubation - correct answer At least 11 L/min What does pulse ox measure? (a) Oxygen saturation of arterial blood (b) Partial pressure of oxygen - correct answer (a) Oxygen saturation of arterial blood Definitive airway requirements - correct answer (1) Tube in trachea (2) Cuff inflated below vocal cords (3) Tube on O2 enriched vent (4) Tape secure RSI is good for patients with... - correct answer active gag reflex Compensatory mechanism can preclude a measurable fall in systolic pressure up until ___% of pt's blood vol is lost - correct answer 30% What additional adjunctive test do all pts with blunt thoracic trauma need? - correct answer EKG How do you best manage cardiac tamponade? - correct answer Thoracotomy Tension PTX causes venous return to... - correct answer decrease Failure of fluid resus to restore organ perfusion suggests... - correct answer Continuing hemorrhage Neurogenic shock Unexplained hypotension or dysrhythmias in a trauma pt - correct answer Gastric dilation Mgmt of hemothorax with immediate 1500cc evacuated - correct answer Early thoracotomy Most common pelvic injury - correct answer Lateral compression Mechanism of injury for lateral compression pelvic fractures? - correct answer MVCs
Neck How long can you oxygenate a pt with a needle cricothyroidotomy - correct answer 30- 45 min What's the earliest measurable circulatory sign of shock? - correct answer Tachycardia Can you use vasopressors in hemorrhagic shock? - correct answer No Tamponade is best managed by... - correct answer thoracotomy You should initially treat neurogenic shock like... - correct answer hypovolemic shock Official definition of hemorrhage - correct answer Acute loss of circulating blood volume Target urine goal for a kid < 1 yr in shock - correct answer 2 cc/kg/hr CVP elevated in... - correct answer Overtransfusion Cardiac dysfxn Tamponade TPTX Catheter malpos What does CVP monitor? - correct answer Right heart fxn Initial mgmt of open PTX - correct answer 3 sided occlusive dressing Mgmt of flail chest - correct answer Adequate O Pain meds Improve vent Is there tracehal deviation in massive HTX? - correct answer No Mgmt for > 1500 cc coming out of a chest tube of a HTX - correct answer Autotransfusion Thoracotomy Why do you need to do a CXR once you put a chest tube into someone with a PTX? - correct answer See reexpansion of lung Majority of rib trauma happens in which ribs? - correct answer Ribs 4- Blunt trauma in the abdomen most often injures which organ? - correct answer Spleen Stab wounds in the abdomen most often injures which organ? - correct answer Liver
GSWs in the abdomen most commonly injures what organ? - correct answer Small bowel Chance fractures are associated with what kind of injuries? - correct answer Hollow viscus injuries in the abdomen Complication of a lateral compression pelvic fracture - correct answer Bladder and urethra injury AP pelvic compression fracture mechanisms - correct answer Auto vs Peds MVC Crush Fall > 12 ft Meningeal arteries lie in the _______ space - correct answer epidural CSF is produced by ependymal cells between what two layers? - correct answer Arachnoid and Pia How does reducing PaCO2 help with decreasing ICP? - correct answer Cerebral vasoconstriction Contraindications for giving mannitol - correct answer Hypotension Criteria for brain death - correct answer GCS 3 Nonrxt Pupils No brainstem reflex No spont vent Most common C1 fracture of spine - correct answer Jefferson fracture Most common C2 fracture of the spine - correct answer Odontoid fractures In spinal cord injuries, iv. Incidence of neurological injury increases dramatically with... - correct answer facet dislocations What cervical spine XRs should you get to clear C-spine? - correct answer AP Lateral Odontoid Muscle wont tolerate lack of arterial blood flow for > ____ hrs before necrosis begins - correct answer 6 hrs