ATLS Practice Exam 2025 – Complete Guide for Exam Preparation

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Which type of IV access is preferred for trauma patients requiring resuscitation?

Small bore IVs

2 large bore IVs

For trauma patients requiring resuscitation, having two large bore intravenous (IV) lines is preferred because they allow for rapid administration of fluids and blood products. In a trauma scenario, patients often present with significant blood loss, necessitating immediate and substantial volume resuscitation to maintain hemodynamic stability. Large bore IVs facilitate the rapid infusion of isotonic crystalloids or blood transfusions, which is critical in stabilizing a trauma patient's condition.

The use of two lines instead of just one enhances the ability to administer multiple infusions simultaneously. This is particularly important in emergencies where time is of the essence, and other interventions may also be required alongside fluid resuscitation.

While other methods of access, such as central lines or PICC lines, do have their place in clinical practice, they typically require more time and expertise for placement. Additionally, these methods may not be necessary or practical in the acute setting of trauma resuscitation where speed and efficiency are paramount.

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Central line access

Peripherally inserted central catheter (PICC)

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