ATLS – Flashcard
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Airway and C-spine
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Talking: Good! Give O2 If not talking: Jaw thrust; look in mouth Conscious: Consider NPA Unconscious: Consider BVM w/ OPA; ET tube; surgical airway
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Breathing
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Check chest rise for depth Auscultate for rate and symmetric lung sounds Check O2 sats
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Circulation and Hemorrhage Control
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Check radial pulse Skin temp/color Cap refill JVD Look/palpate ENTIRE BODY for external bleeding Sling pelvis/splint extremities Draw blood for CBC, CMP, amylase, HCG CXR, pelvic x-ray
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Disability
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Pupils for size and reactivity Check grip/sensation in hands Ankle strength/sensation AVPU Lat spine xray
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Expose
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Flip patient Look at back Palpate C-spine and back DRE
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After primary and before secondary survey
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Place NG and Foley Surgical consult Transfer?
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Secondary survey
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SAMPLE Hx Palpate skull, face, eyes, nose, neck Otoscope for ears, nose and maybe mouth Tracheal deviation JVD Auscultate heart and lungs Palpate upper extremities for deformity, crepitus, swelling Palpate abdomen Check hips but not "open book" Palpate legs Distal pulses, cap refill
