Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ATLS > Chapter 1 Primary Survey > Flashcards

Chapter 1 Primary Survey Flashcards

1
Q

Name the ABC’s of prim survey

A

A - Airway Maintenance (C-spine protection) B - Breathing and ventilation C- Circulation D - Disability (neurologic status) E- Exposure/Environmental control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

GCS < 8 You must ______

A

Intubate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are some factors that can compromise airway

A

Facial, mandibular, tracheal/laryngeal fx, FB in airway (think about teeth)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some factors that can compromise breathing and ventilation?

A

Tension PTX Flail chest w/ pulmonary contusion Massive hemothorax Open pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are some factors that can compromise Circulation?

A

Blood volume after considering Tension PTX as cause of shock consider hypovolemia Cardiac output Bleeding (internal and external fx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GCS of 13-15 indicates?

A

Mild TBI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GCS of 9-12 indicates?

A

Mod TBI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GCS of 3-8 indicates?

A

Severe TBI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the three sections of GCS eval?

A

E - Eye opening (4) V - Verbal response (5) M - Motor Response (6)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe and quantify Eye opening in GCS

A

(1-4) 4 - Spontaneous 3 - To speech 2 - To Pain 1 - None

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe and quantify Verbal response in GCS

A

(1-5) 5 - Oriented 4 - Confused conversation 3 - Inappropriate Words 2 - Incomprehensible Sounds 1 - None

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe and Quantify Motor Response in GCS

A

(1-6) 6 - Obeys Command 5 - Localized pain 4 - Flexion withdrawal 3 - Abnormal flexion (decorticate) 2 - Abnormal Extension (decerebrate) 1 - Flaccid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Patient presents to trauma s/p MVC. Upon initial presentation he is looking directly at you aware of his surroundings, he is unsure how he got here or what exactly happened but tells you that he “crashed his car” when the nurse asks him to lift his arm to put on his hospital wristband he does so immediately. What is his GCS?

A

4 (E) + 5 (V) + 6 (M) = 15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Patient presents to trauma s/p drug OD. Upon initial assessment she opens her eyes when you rub your knuckles on top of hers but otherwise closes them again immediately. She is unable to answer your questions and continues to tell you only yell out the name “Andrew” repeatedly, if you ask her to squeeze your hand she does not react however she does continue to grasp her stomach and roll on to her side. What is her GCS?

A

2 (E) + 3 (V) + 5 (M) = 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Patient presents to trauma s/p drug OD. Upon initial assessment she opens her eyes when you rub your knuckles on top of hers but otherwise closes them again immediately. She is unable to answer your questions and continues to tell you only yell out the name “Andrew” repeatedly, if you ask her to squeeze your hand she does not react however she does continue to grasp her stomach and roll on to her side. What is her GCS?

A

2 (E) + 3 (V) + 5 (M) = 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Patient presents to trauma s/p gunshot wound to the head. His eyes do not open, he does not respond to anything and does not follow any commands. He makes no sounds and does not attempt to follow any directions or draw away from painful stimuli. What is his GCS?

A

1 (E) + 1 (V) + 1 (M) = 3

17
Q

How is the E component (environment and exposure) completed in the primary survey?

A

Expose the pt, log roll and examine all extremities, keep the pt WARM!

18
Q

Resuscitation should happen at the same time as what?

A

the primary survey

19
Q

secondary survey history taking should include what acronym with accompanying definition

A

AMPLE Allergies Meds Past illnesses/pregnancy Last Meal Events, environment relative to injury

20
Q

Skill Station IA Steps 1-4

A
  1. Assessment
  • Ascertain patency
  • Rapidly assess for obstruction
  1. Management
  • Perform a chin-lift or jaw thrust
  • clear airway
  • insert OP airway
  • Establih definitive airway w/ inubation or cric
  • describe jet insufflation of airway, note that this is only temporary maneuver
  1. Maintain c spine in neutral position w/ manual immob as necesaray when establishing airway
  2. Reinstate immoblization c-spine w approprate devices after establishing airway
21
Q

Skill station IA Breathing Ventilation and Oxygenation steps 1 and 2

A

1 Assessmet

  • Expose neck, and chest, esnure immob of head and neck
  • Determine rate and depth of respiration
  • Inspect, and palpate neckand chest for tracheal deviation, unilat and bilat chest movement, use of accessory muscles and injury
  • Percuss chest for dullness or hyperresonance
  • Ausculatate bilaterally
  1. Management
  • Admin High conc O2
  • Ventilate w/ bag mask
  • Alleviate Tension PTX
  • Seal open PTX
  • Attach CO2 monitor
  • Attach pulse ox
22
Q

Skill station IA Circulation w/ hemorrhage control Step 1 and 2

A
  1. Assessment
  • ID sourse of ext, exsanguinating hemorrhage
  • ID potential internal hemorrhage
  • Assess pulse: quality, rate, regularity and paradox
  • Eval skin color
  • Measure BP if time permits
  1. Management:
  • Applx direct pressure to ext bleeding sites
  • Cosnider internal hemorrhage and obtain surgical consult
  • Insert 2 large cal IV cath
  • Simultaneously obtain blood for heme and chem analysis; pregnancy test, T&C, and ABC’s
  • Initiate IV w/ warm crystalloiid sol and blood replacemtn
  • Prevent hypothermia
23
Q

Skill Station IA Disability Step 1-3

A

1 - Determine lOC using GCS

  1. -Check pupils for size and reaction
  2. Assess for laterlizing signs and spinal cord injury
24
Q

Skill station IA Exposure/environmental control step 1

A
  1. completely undress and log roll pt, prevent hypothermia
25
Q

Skill Station IA Adjuncts to Primary survery and resusciation Step 1-6

A
  1. Obtain ABG and ventilatory rate
  2. Mon exhaled CO2 w/ monitoring device
  3. Attach ECG monitor to pt
  4. Insert urinary gastric cath unless contraindicated and monitor pt’s hourly output of urine
  5. Consider need for and obtain AP Chest and Pelvic X-rays
  6. Consider need for and perform FAST or DPL
26
Q

Skill Station IB Sec survey; Just name the body parts that are examined

A
  1. Head and maxillofacial
  2. C-spine and neck
  3. Chest
  4. Abdomen
  5. Perineum/rectum/vagina
  6. MSK
  7. Neuro
27
Q

For adult pt’s maintenance of urinary output at ______ mL/kg/h is desireable?

A

0.5mL/Kg/h

28
Q

Acronym for a hand-over by EMS personel

A

Mechanism (at time) of injury

Injuries found and suspected

Symptoms and Signs

Treatmentinitiated

(MIST)

29
Q
A

ATLS (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions