Advanced Trauma Life Support (ATLS) Practice Exam

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Which examination is essential for assessing rectal tone in trauma patients?

Primary survey

Secondary survey

The examination that is essential for assessing rectal tone in trauma patients is the secondary survey. This part of the trauma assessment is designed to be a thorough evaluation of the patient after immediate life-threatening conditions have been addressed. During the secondary survey, healthcare providers perform a detailed head-to-toe examination to identify any injuries that may not have been apparent during the initial evaluation. Assessing rectal tone is important in trauma patients, particularly those with suspected spinal injuries or neurological deficits. It helps in evaluating the integrity of the spinal cord and can provide critical information about the neurological status of the patient. If a patient has lost rectal tone, it can indicate a significant injury that requires immediate attention. The primary survey focuses on identifying and managing life-threatening conditions, such as airway, breathing, and circulation. It prioritizes critical interventions, meaning that assessments like rectal tone, which are non-life-threatening, are conducted during the secondary survey. The tertiary assessment is typically performed after the initial care and stabilization of the patient and may involve additional imaging or consultations. While important for a comprehensive understanding of the patient's condition, the primary and secondary surveys are more focused on immediate assessment and intervention. In summary, the secondary survey is the appropriate phase for evaluating rectal tone as part

Both primary and secondary surveys

Tertiary assessment

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