Advanced Trauma Life Support (ATLS) Practice Exam 2025 - Free ATLS Practice Questions and Study Guide

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Which of the following indicates hypovolemia when assessing pulse?

Bounding pulse

Rapid, thready pulse

The indication of hypovolemia when assessing pulse is characterized by a rapid, thready pulse. This type of pulse is typically weak and difficult to detect, reflecting a state of reduced blood volume in the body. In situations of hypovolemia, the heart rate may increase as the body attempts to compensate for the reduced blood volume and maintain adequate circulation to vital organs. The thready nature of the pulse indicates that there is less blood being pumped with each heartbeat, which aligns with the physiological responses seen in hypovolemic states.

In contrast, a bounding pulse often suggests conditions of increased blood volume or pressure, such as fever or anxiety, rather than hypovolemia. A bradycardic pulse, which is a slower heart rate, will most often occur in different clinical scenarios, such as increased vagal tone or certain cardiac abnormalities, but is not typically associated with hypovolemia. A regular pulse may not provide any specific information about blood volume status, as it can be seen in a variety of medical conditions including those that are normovolemic. Understanding these distinctions is crucial for accurate assessment in trauma and emergency care settings.

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Bradycardic pulse

Regular pulse

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