Advanced Life Support ATLS Study guides, Class notes & Summaries

A 23-year-old man is brought immediately to the ED from the hospitals parking lot where he was shot in the lower abdomen. Examination reveals a single bullet wound. He is breathing and has a thready pulse. However, he is unconsious and has no detectable blood pressure. Optimale immediate management is to: A. Perform a FAST B. Initiate infusion of packed red blood cells C. Insert a nasogastric tube and urinary catheter D. Transfer the patient to the operating room, while initiating fluid th...

Regarding airway compromise, which of the following is NOT a sign/symptom of this emergency?: Change in voice tone. Stridor. Decreased pulse pressure. Dyspnea and agitation. Tachypnea. Decreased pulse pressure. A 26 year • old woman is brought to the Emergency Department after being involved in a motor vehicle crash. She is 30 weeks pregnant. She was restrained with a lap and shoulder belt, and an airbag deployed. Which one of the following statements best describes the risk of i...

A 22yo M is hypotensive and tachycardia after a shotgun wound to the L shoulder. His BP is initially 80/40. After 2L of fluids his BP increases to 122/84. HR is 100bpm and his RR is 28. Breath sounds are decreased in the left hemithorax, and a closed tube thoracotomy is performed with a small amount of blood return and no air leak. What is the next step? Reexamine the chest A construction worker falls 2 stories and suffers bilateral calcanea fractures. He now is having back pain. What would c...

A 19 year old man hiking in the forest fell 10 feet through at rotten plan on an old wooden bridge to the rocky stream below. He was transported to the ED within 30 mins complaining of chest pain. He is hypotensive on arrival to the ED. What do you do? A. 2L bolus crystalloid B. Send to OR C. 1L bolus crystalloid D. CT chest/abd/pelvis D. 1L bolus crystalloid In a severely injured patient, the risk of coagulopathy is high. Which of the following is correct: A. TXA should no be reduc...

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