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ATLS Trauma Transfer Guidelines: Questions and Answers, Exams of Nursing

A concise overview of the key considerations and protocols for transferring trauma patients to definitive care. It covers essential aspects such as patient stabilization, communication between transferring teams, and the abc-sbar template for effective handover. The document also addresses the responsibilities of the referring physician and factors influencing the mode of transportation. It includes questions and answers related to patient assessment, radiographic studies, and priorities in managing trauma cases, making it a valuable resource for medical professionals involved in trauma care and transfer processes. Useful for medical students and professionals.

Typology: Exams

2024/2025

Available from 05/15/2025

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ATLS Module 13 2025 -
Transfer to Definitive Care
With questions + answers
Guaranteed 100%pass
Graded A+
evidence supports that trauma outcome is enhanced if critically injured pts are
treated in trauma centers - ✔✔✔red text
what patients require the highest level of care and will likely benefit from
timely transfer? - ✔✔✔evidence of shock, significant physiologic deterioration,
progressive deterioration in neurological status
red text
how is patient outcome related to timeliness of transfer? - ✔✔✔patient
outcome is directly related to time elapsed between injury and properly delivered
definitive care
red text
if resources are available and necessary procedures can be performed
expeditiously, life threatening injuries should be treated before patient transport. this
may require operative intervention to ensure the patient is in the best possible
condition for transfer.
intervention before requires judgement - ✔✔✔red text
what are the responsibilites of referring physician in a patient transfer
situation? - ✔✔✔1. initiate transfer during resuscitation
2. consult w receiving doctor
3. maintain familiarity w transporting agencies
4. select appropriate transport mode
5. determine level of care required during transfer
6. stabilize pt's condition before transfer
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ATLS Module 13 2025 -

Transfer to Definitive Care

With questions + answers

Guaranteed 100 %pass

Graded A+

evidence supports that trauma outcome is enhanced if critically injured pts are treated in trauma centers - ✔✔✔red text what patients require the highest level of care and will likely benefit from timely transfer? - ✔✔✔evidence of shock, significant physiologic deterioration, progressive deterioration in neurological status red text how is patient outcome related to timeliness of transfer? - ✔✔✔patient outcome is directly related to time elapsed between injury and properly delivered definitive care red text if resources are available and necessary procedures can be performed expeditiously, life threatening injuries should be treated before patient transport. this may require operative intervention to ensure the patient is in the best possible condition for transfer. intervention before requires judgement - ✔✔✔red text what are the responsibilites of referring physician in a patient transfer situation? - ✔✔✔1. initiate transfer during resuscitation

  1. consult w receiving doctor
  2. maintain familiarity w transporting agencies
  3. select appropriate transport mode
  4. determine level of care required during transfer
  5. stabilize pt's condition before transfer 1
  1. provide pt summary
  2. ensure adequately trained personnel accompany pt
  3. ensure pediatric pts are transferred to facilities with special expertise when available how do you prevent inadequate handover between tx and transferring teams?
  • ✔✔✔-use transfer checklist to ensure all key aspect of care are properly communicated
  • verify copies of medical records and x rays are prepared and provided to transfer team what is the ABC-SBAR template for transfer of trauma pts? - ✔✔✔ABC = airway, breathing, circulation problems identified and interventions performed *S = situation (name, age, referring facility & physcian, indication for transfer, IV access site, IV fluid and rate, other interventions) *B = Background (event hx, AMPLE, blood products, meds give, imaging performed, splinting) *A = assessment (vitals, physical exam findings, pt response to tx) *R = recommendation (transport mode, level of transport care, meds during transfer, needed assessments/interventions) what factors determine mode of transportation? - ✔✔✔distance, weather, availability, ability to manage intubated pt what form of transfer is superior? - ✔✔✔no one mode is superior to others 50 yo male brought to facility which is small hospital without surgical services. He was involved in MVC in which his car sustained significant front end damage. The pt was not wearing seatbelt and complains of abdominal pain. He has GCS of 13. What are the most radiographic studies the pt should receive before transfer? - ✔✔✔chest x ray, pelvic x ray, FAST exam 50 yo female in MVC is brought to hospital with general surgical but no neurosurgical capability. it was reports there was significant damage to driver's side of care with significantly starred windshield. GCS of 8, decreased breath sounds on left and abdominal tenderness. On fast, she clearly has fluid in peritoneum. what are the priorities priot to sending pt to facility with neurosurgical capabilities? - ✔✔✔endotracheal tube, chest tube, and exploratory laparotomy *pt is unstable... with hypotensive pt and + FAST, an exploratory laparotomy is mandatory to control bleeding and correct hypotension as this will worsen neurologic outcome if not corrected 2