ATLS D1

Question 1

CT scan shows extravasation into pelvis. COA?

Answer 1

Stable -> IR

UNstable -> OR

Question 2

Eyes open to pain
Confused
Flexion to pain

GCS?

Answer 2

9

Question 3

No eye movement
Inappropriate words
Localizes to pain

GCS

Answer 3

9

Question 4

Eyes open to verbal stim
Incomp sounds
Withdraws to pain

GCS

Answer 4

9

Question 5

What preg patients get rhogam?

Answer 5

Preg
Rh-
Torso/ab/pelvic trauma

Question 6

When do you assess the fetus in preg patient?

Answer 6

After primary survey - before secondary survey

Question 7

SHOCK:

15%

Answer 7

Class I

Question 8

SHOCK

15-30%
Normal-tachy
Decrease pulse pressure
-2 - 6 base def

Answer 8

Class II

Crystalloids

Question 9

SHOCK

30-40%
Tachy
Hypotension
Tahcypneic
GCS
Uop

Answer 9

Class III

Blood products

Question 10

SHOCK

> 40%

Answer 10

Class IV

MASSIVE TRANSFUSION

Question 11

GCS

Answer 11

Write out

Question 12

Loss of motor strength in upper extremities greater than lower extremities

Answer 12

Central cord syndrome

Often hyperextension in pre-existing cervical canal stenosis

Question 13

Paraplegia and bilateral loss of pain and temp sensation

But preserved vibrations and deep pressure sense

Answer 13

Anterior cord syndrome - preserves posterior columns

Question 14

Ipsilateral motor loss

Contralateral lain and temp loss two levels below

Answer 14

Brown sequard

Usually penetrating trauma causing hemisection

Question 15

Blown pupil - which side is the bleed on?

Answer 15

The same side as the blown - non contracting- pupil