Atls Indonesia Edisi Indonesia.pdf

E.secure the airway.immobilize the neck.support the circulation. Control scalp hemorrhage.determine the Glasgow Coma Scale Score.A&E ATLS TEST answers at the end1-1. A 22-year-old man sustains a shotgun wound to the left shoulder. His blood pressure is initially 80/40. After two liters of Ringer's lactate solution his blood pressure increases to 122/84. His pulse rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. His breath sounds are decreased in the left hemithorax, and a closed tube thoracostomy is performed with the return of a small amount of blood with no air leak.

• Atls Indonesia Edisi Indonesia.pdf Islam

Epub Atls Indonesia 2016 pdf. 2016 Advanced Trauma Life Support (atls). Indonesia 2016 - oakfieldwoodcraft.comdokter azmi: ebook atls edisi 9atls.

The most appropriatenext step is toa. Re-examine the chest.b. Perform an aortogram.c. Obtain a CT scan of the chest.d. Obtain arterial blood gas analyses.e.

Perform transesophageal echocardiography.;1-2. A four-year-old girl, weighing approximately 20 kg (44 pounds), is admitted in shock after an automobile crash. The initial fluid challenge or bolus should consist of Ringer's lactate solution in the volume ofa.200 mL.b.400 mL.c.440 mL.d.600 mL.e.880 mL.1-3. All of the following are considered minimal precautions for the prevention of the spread of communicable diseases during resuscitation EXCEPTa. Water-impervious gown. Water-impervious leggings.e. Needle-impenetrable sterile gloves.1-4.

In managing the head-injured patient, the most important initial step is to1-5. A previously healthy, 70 kg (175 pound) man suffers an estimated acute blood loss of two liters.

Which one of the following statements apply to this patient?a.His pulse pressure will be widened.b.His urinary output will be at the lower limits of normal.c.He will have tachycardia, but no change in his systolic blood pressure.d.His systolic blood pressure will be decreased with a narrowed, pulse pressure.e.His systolic blood pressure will be maintained with an elevated diastolic pressure.a. E.a scoop stretcher.a long spine board.

A short spine board. Cervical traction tongs.the pneumatic antishock garment.1-6. The 'physiologic hypervolemia' of pregnancy has clinical significance in the management of the severely injured, gravid woman bya.reducing the need for blood transfusion.b.increasing the risk of pulmonary edema.c.complicating the management of closed head injury.d.increasing the volume of blood loss to produce shock.e.reducing the volume of crystalloid required for resuscitation.1-7. A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad side by an automobile at an intersection. He arrives in the emergency department with a blood pressure of 140/92, pulse rate of 88.

Beats per minute, a respiratory rate of 18 breaths per minute, and a Glasgow Coma Scale Score of seven. Appropriate initial immobilization of this patient should include a semi-rigid cervical collar and1-8. A 34-year-old man is brought to the hospital after being pinned to the wall of a building by a cement truck.

He is in obvious shock, and has deformities and marked swelling of both thighs, although no open wounds are present. His shocka.cannot be explained without concomitant pelvic fracture.b.signifies a loss of approximately 15% of his blood volume.c.is consistent with blood loss from bilateral femoral fractures.d.will likely be reversed if appropriate traction splints are applied.e.cannot be explained by his observed injuries unless a major arterial injury exists.a b.C.d.

Prior to passage of a urinary catheter in a man, it is essential toexamine the abdomen.determine pelvic stability. Examine the rectum and perineum. Perform a retrograde urethrogram.know the history and mechanism of injury.1-10.

The best guide for adequate fluid resuscitation of the burn patient isa.adequate urinary output.b.reversal of systemic acidosis.c.normalization of the heart rate.d.a normal central venous pressure.e.four ml/kg/percent body burn/24 hours.1-11. The LEAST likely cause of a depressed level of consciousness in the multisystem injured patient isa.shock.b.head injury.c.hyperglycemia.d.impaired oxygenation.e.alcohol and other drugs.1-12. Establishing a diagnosis of shock must includea.confirming hypoxemia.b.the finding of acidosis.c.confirming increased vascular resistance.d.documenting hypotension and low cardiac output.e.evidence of inadequate perfusion of the body's organs.1-13. A seven-year-old boy is brought to the emergency department by his parents several minutes after he fell through a window.

Atls Indonesia Edisi Indonesia.pdf Islam

He is bleeding profusely from a 6-cm (2.4-inch) wound of his medial right thigh. Immediate management of the wound should consist ofa.application of a tourniquet.b.direct pressure on the wound.c.apply a hemostat to bleeding vessels.d.direct pressure on the femoral artery at the groin.e.application of the pediatric PASG and inflation of the right leg compartment.1-14. For the trauma patient with cerebral edema, hypercarbia should be avoided to preventa.metabolic acidosis.b.respiratory acidosis.c.cerebral vasodilatation.d.neurogenic pulmonary edema.e.reciprocal high levels of PaCO2.1-15. A 25-year-old man is brought to the hospital after being involved in a motor vehicular crash when his car struck a bridge abutment. He is intoxicated, has a Glasgow Coma Scale Score of 13, and complains of abdominal pain.

His blood pressure was 80 mm Hg systolic by palpation on admission to the hospital, but it rapidly increased to 110/70 with the administration of intravenous fluids. His heart rate is now 120 beats per minute. The chest roentgenogram shows loss of the aortic knob, widening of the mediastinum, no rib fractures, and no hemopneumothorax. Contrast angiographya.is not indicated.b.should be performed after a CT scan of the chest.c.is not necessary if the CT scan of the chest is normal.d.should be performed.after diagnostic peritoneal lavage.e.is positive for aortic rupture in 80% of similar cases.1-16. Which one of the following statements regarding abdominal trauma in the pregnant patient is TRUE?a.The fetus is in jeopardy only with major abdominal trauma.b.Leakage of amniotic fluid is an indication for hospital admission.c.Indications for peritoneal lavage are different from those in the nonpregnantpatient.d.Penetration of an abdominal hollow viscus is more common in late than in early pregnancy.e.The secondary survey follows a different pattern from that of the nonpregnant patient.1-17. The first maneuver to improve oxygenation after chest injury isa.intubate the patient.b.assess arterial blood gases.C.administer supplemental oxygen.d.ascertain the need for a chest tube.e.obtain a lateral cervical spine roentgenogram.1-18. A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency department.

His pupils react sluggishly and his eyes open to painful stimuli. He does not follow commands, but he does moan periodically. His right arm is deformed and.does not respond to painful stimulus; however, his left hand reaches toward it.

Both legs are stiffly,ended. His Glasgow Coma Scale Score isa. Which one of the following statements concerning massive hemothorax is TRUE?a.It is usually caused by blunt thoracic trauma.b.It is commonly confused with a pneumothorax.c.The diagnosis should be confirmed by upright, plain chest roentgenograms prior to treatment.d.The initial draining of 1,000 mL of blood after chest tube insertion requires immediate thoracotomy.e.The condition should be suspected in situations associated with shock and unilateral absent breath sounds.1-20. Which one of the following findings should prompt immediate management during the primary survey?a.Distended abdomenb.Glasgow Coma Scale Score of 11c.Pulse rate of 120 beats per minuted.Temperature of 36.5' C (97.8' F)e.Respiratory rate of 32 breaths per minute.1-21. During the primary and secondary surveys, the patient injured by blunt trauma should be completely immobilized untila.the neurologic examination has been completed.b.the patient is transferred to a definitive care area.c.the patient is able to indicate that he has no neck pain.d.a spinal fracture has been excluded by roentgenograms.e.the patient complains of potential pressure sores due to the spine board.1-22. The most important, immediate step in the management of an open pneumothorax isa.endotracheal intubation.b.operation to close the wound.c.placing a chest tube through the chest wound.d.

Placement of an occlusive dressing over the wound.e.initiation of two, large-caliber IVs with Ringer's lactate.1-23.