Advanced Trauma Life Support

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  • Advanced Trauma Life Support
As an ambulance physician, you and your crew are coming to a traffic accident. It is a crash of a passenger car into a solid obstacle. There was only a 29-year-old man in the driver's seat in the car. Looking into the interior of the vehicle, you can see the massive intrusion. He is now rescued by firefighters, has a neck collar and is placed on the spine board. He is conscious, complaining of pain in the left chest, abdomen and right leg. What will you do?

ABCDE examination, oxygen administration by face mask, securing IV lines.

Correct answer

For access under the ATLS protocol, patient evaluation by the acronym ABCDE is crucial. A (airway maintenance with cervical spine protection), B (breathing and ventilation), C (circulation with haemorrhage control), D (disability: neurologic status), E (exposure: completely undress the patient, but prevent hypothermia). In this step, we start oxygen therapy (A), treat any tension pneumothorax (B) and ideally secure two IV lines (C).


Continue

If the patient looks stable, we do not refrain from examining the patient and transport immediately to the nearest hospital.

Wrong answer

A basic examination of the patient is always necessary. Results also determine the destination.


Try again Bury the patient

ABCDE examination, oxygen administration by face mask, if the patient is stable, it is not necessary to secure the IV line.

Wrong answer

According to the ATLS protocol, at least two IV lines must be secured for a seriously injured patient in the risk of unpredictable deterioration.


Back

We first intubate the patient and continue the ABCDE examination.

Wrong answer

The patient has open airways and is breathing spontaneously. But we have not evaluated his condition yet.


Back

 
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