L1: Polytrauma

Question 1

Def of Polytrauma

Answer 1

Question 2

Incidence of Polytrauma

Answer 2

Question 3

Causes of Mortality in Polytrauma

Answer 3

Question 4

Causes of Mortality in Polytrauma

• Immediate Death

Answer 4

Question 5

Causes of Mortality in Polytrauma

• Early Death

Answer 5

Question 6

Causes of Mortality in Polytrauma

• Late Death

Answer 6

Question 7

Mechanism of Trauma in Polytrauma

Answer 7

Question 8

Mechanism of Trauma in Polytrauma

• Penetrating

Answer 8

Question 9

Mechanism of Trauma in Polytrauma

• Blunt Trauma

Answer 9

Question 10

Injury can occur at:

• Sitewise

Answer 10

Question 11

The American College of Surgeons developed the Advanced Trauma Life Support (ATLS) which is an internationally accepted protocol for the management of major trauma victims.

• Steps:

Answer 11

Question 12

ATLS

• Pre-Hospital Management

Answer 12

Question 13

ATLS

• During Transportation

Answer 13

Question 14

ATLS During Transportation

• The patient is mobilized as …..

Answer 14

1 block

Question 15

ATLS During Transportation

• Care should be paid not to dislocate a possible unstable fracture spine.

Answer 15

….

Question 16

ATLS During Transportation

• Avoid ….. of lumber spine.

Answer 16

Flexion

Question 17

ATLS During Transportation

• Cervical spine fracture should be splinted by ……

Answer 17

cervical collar

Question 18

ATLS During Transportation

• In case of head injury —> Transport patient in …. position with the head up to avoid airway obstruction

Answer 18

midprone

Question 19

ATLS During Transportation

• Resuscitation of the seriously injured patient is maintained during transportation & avoiding air way obstruction.

Answer 19

…..

Question 20

ATLS

• Hospital Care

Answer 20

• 1ry & 2ry Survey

Question 21

1ry Survey in ATLS

• Airway

Answer 21

Question 22

Airway 1ry Survey in ATLS

• Manifestations of Airway obstruction

Answer 22

Question 23

Airway 1ry Survey in ATLS

• Managemnet

Answer 23

Question 24

Airway 1ry Survey in ATLS

• Indications of ETT

Answer 24

Question 25

Breathing 1ry Survey in **ATLS**

Answer 25

Question 26

Breathing 1ry Survey in **ATLS** - Cardiac Tamponade

Answer 26

Question 27

Breathing 1ry Survey in **ATLS** - Flail Chest

Answer 27

Question 28

Breathing 1ry Survey in **ATLS** - Tension Pneumothorax

Answer 28

Question 29

Breathing 1ry Survey in **ATLS** - Open Pneumothorax

Answer 29

Question 30

Breathing 1ry Survey in **ATLS** - Massive Hemothorax

Answer 30

Question 31

Circulation 1ry Survey in **ATLS**

Answer 31

Question 32

Circulation 1ry Survey in **ATLS** - Control Bleeding

Answer 32

Question 33

Circulation 1ry Survey in **ATLS** - 2 wide bore cannulas

Answer 33

Question 34

Circulation 1ry Survey in **ATLS** - Blood Samples

Answer 34

Question 35

Circulation 1ry Survey in **ATLS** - IV Fluids

Answer 35

Question 36

Circulation 1ry Survey in **ATLS** - Cross Matched Blood

Answer 36

When cross matched blood is available it is to be infused immediately.

Question 37

Disability 1ry Survey in **ATLS**

Answer 37

Question 38

Exposure in 1ry Survey in **ATLS**

Answer 38

Question 39

Exposure in 1ry Survey in **ATLS** - Clothes

Answer 39

All clothes of the trauma victim are removed using sharp large scissors.

Question 40

Exposure in 1ry Survey in **ATLS** - Warmth

Answer 40

Keeping the emergency room warm & using blankets to prevent hypothermia.

Question 41

Exposure in 1ry Survey in **ATLS** - Insert

Answer 41

Question 42

2ry Survey in **ATLS**

Answer 42

Question 43

2ry Survey in **ATLS** - Timing

Answer 43

Once resuscitation efforts are under way.

Question 44

2ry Survey in **ATLS** - Items

Answer 44

Question 45

2ry Survey in **ATLS** - Indications of Diagnostic Peritoneal Lavage (DPL)

Answer 45

Question 46

2ry Survey in **ATLS** - Investigations

Answer 46

Question 47

Definitive TTT in **ATLS**

Answer 47