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Science / Medicine / Surgery
ATLS
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ATLS
Terms in this set (340)
A 22-year-old man is re-examine the chest
hypotensive and tachycardic
after a shotgun wound to the
left shoulder. His blood
pressure is initially 80/40 mm
Hg. After initial fluid
resuscitation his blood
pressure increases to 122/84
mm Hg. His heart rate is now
100 beats per minute and his
respiratory rate is 28 breaths
per minute. A tube
thoracostomy is performed for
decreased left chest breath
sounds with the return of a
small amount of blood and no
air leak. After chest tube
insertion, the most appropriate
next step is:
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A construction worker falls two complete spine x-ray series
stories from a building and
ATLS Study
sustains bilateral calcaneal
fractures. In the emergency
department, he is alert, vital
signs are normal, and he is
complaining of severe pain in
both heels and his lower back.
Lower extremity pulses are
strong and there is no other
deformity. The suspected
diagnosis is most likely to be
confirmed by:
00:02 01:14
What is true regarding the Evidence of improved perfusion after fluid
initial resuscitation of a trauma resuscitation could include improvement in Glasgow
patient? Coma Scale score on reevaluation
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In managing a patient with a secure the airway
severe traumatic brain injury,
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the most important initial step
is to:
A previously healthy, 70-kg
(154-pound) man suffers an
estimated acute blood loss of
2 liters. What applies to this
patient?
An ABG would demonstrate a base deficit between
-6 and -10 mEq/L.
The physiological
hypervolemia of pregnancy
has clinical significance in the
management of the severely
injured, gravid woman by:
increasing the volume of blood loss to produce
maternal hypotension.
The best assessment of fluid
resuscitation of the adult burn
patient is:
urinary output of 0.5 mL/kg/hr
The diagnosis of shock must
include:
evidence of inadequate organ perfusion
A 7-year-old boy is brought to
the emergency department by
his parents several minutes
after he fell through a window.
He is bleeding profusely from
a 6-cm wound of his medial
right thigh. Immediate
management of the wound
should consist of:
direct pressure on the wound
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For the patient with severe cerebral vasoconstriction with diminished perfusion
traumatic brain injury, profound
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hypocarbia should be avoided
to prevent:
After being involved in a motor
vehicle crash, a 25-year-old
man is brought to a hospital
that has surgery capabilities
available.. Computed
tomography of the chest and
abdomen shows an aortic
injury and splenic laceration
with free abdominal fluid. His
blood pressure falls to 70 mm
Hg after CT. The next step is:
perform an exploratory laparotomy
What statements regarding
abdominal trauma in the
pregnant patient is TRUE?
Leakage of amniotic fluid is an indication for
hospital admission.
The first maneuver to improve
oxygenation after chest injury
is:
administer supplemental oxygen
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A 25-year-old man, injured in a 9
motor vehicular crash, is
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admitted to the emergency
department. His pupils react
sluggishly and his eyes open to
pressure. He does not follow
commands, but he does moan
periodically. His right arm is
deformed and does not
respond to pressure; however,
his left hand reaches
purposefully toward the
stimulus. Both legs are stiffly
extended. His GCS score is:
A 20-year-old woman who is at
32 weeks gestation, is stabbed
in the upper right chest. In the
emergency department, her
blood pressure is 80/60 mm
Hg. She is gasping for breath,
extremely anxious, and yelling
for help. Breath sounds are
diminished in the right chest.
The most appropriate first step
is to:
perform needle or finger decompression of the
right chest
What findings in an adult is
most likely to require
immediate management during
the primary survey?
respiratory rate of 40 breaths per minute
The most important, immediate
step in the management of an
open pneumothorax is:
placement of an occlusive dressing over the wound
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The following are history of neurological reaction or severe
contraindications for tetanus hypersensitivity to the product
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toxoid administration:
A 56-year-old man is thrown
violently against the steering
wheel of his truck during a
motor vehicle crash. On arrival
in the emergency department
he is diaphoretic and
complaining of chest pain. His
blood pressure is 60/40 mm
Hg and his respiratory rate is
40 breaths per minute. What
best differentiates cardiac
tamponade from tension
pneumothorax as the cause of
his hypotension?
breath sounds
Bronchial intubation of the
right or left mainstem bronchus
can easily occur during infant
endotracheal intubation
because:
The trachea is relatively short.
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A 23-year-old man sustains 4 urgently transfer the patient to the operating room
stab wounds to the upper right
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chest during an altercation and
is brought by ambulance to a
hospital that has full surgical
capabilities. His wounds are all
above the nipple. He is
endotracheally intubated,
closed tube thoracostomy is
performed, fluid resuscitation
is initiated through 2 large-
caliber IVs. FAST exam does
not reveal intraabdominal
injuries. His blood pressure
now is 60/0 mm Hg, heart rate
is 160 beats per minute, and
respiratory rate is 14 breaths
per minute (ventilated with
100% O2). 1500 mL of blood has
drained from the right chest.
The most appropriate next
step in managing this patient is
to:
A 39-year-old man is admitted
to the emergency department
after an automobile collision.
He is cyanotic, has insufficient
respiratory effort, and has a
GCS score of 6. His full beard
makes it difficult to fit the
oxygen facemask to his face.
The most appropriate next
step is to:
restrict cervical motion and attempt orotracheal
intubation using 2 people [Show Less]