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10 Cards in this Set

  • Front
  • Back

3 Underlying concepts of the ATLS program

1. Treat the greatest threat to life first.


2. The lack of a definitive diagnosis should never impede the application of an indicated treatment.


3.A detailed history is not essential to begin the evaluation of a patient with acute injuries.

GCS : Eye

1 : Does not open eyes


2 : Opens eyes in response to painful stimuli


3 : Opens eyes in response to voice


4 : Opens eyes spontaneously

GCS : Verbal

1: Makes no sounds


2 : Incomprehensible sounds


3 : Utters inappropriate words


4 : Confused, disoriented


5 : Oriented, converses normally

GCS : Movement

1 : Makes no movements


2 : Extension to painful stimuli (decerebrate response)


3 : Abnormal flexion to painful stimuli (decorticate response)


4 : Flexion / Withdrawal to painful stimuli


5 : Localizes painful stimuli


6 : Obeys commands

Indwelling Bladder Catheter : contraindicated when..

1 : Blood at the urethral meatus


2 : Perineal ecchymosis


3 : High-riding or nonpalpable prostate



pg 12


MOI : frontal impact MVC - what are suspected injury patterns

-cervical spine fx


-anterior flail chest


-myocardial contusion


-pneumothorax


-traumatic aortic disruption


-fractured spleen or liver


-posterior fracture/dislocation of hip and/or knee



pg15


MOI : side impact MVC - what are suspected injury patterns

-contralateral neck sprain


-cervical spine fx


-lateral flail chest


-pneumothorax


-traumatic aortic disruption


-diaphragmatic rupture


-fractured spleen or liver, and/or kidney depending on side of impact


-fractured pelvis or acetabulum



pg15

MOI : Rear impact MVC : what are suspected injury patterns

-cervical spine injury


-soft tissue injury to neck



pg15

MOI : MVC vs pedestrian - what are suspected injury patterns

-head injury


-traumatic aortic disruption


-abdominal visceral injuries


-fractured lower extremities/pelvis



pg15

Cardiac Tamponade : Becks Triad

1) Muffled heart sounds


2) JVD (rising CVP)


3) Narrowing pulse pressure



also...Pulsus Paradoxus (a drop of at least 10 mmHg in arterial blood pressure on inspiration)