ITLS | Actual Questions and Answers | 2026
Update | 100% Correct - Verified
• Mechanical Shock Assesment -✓✓Initial:
LOC- Decreased?
A-
B- Rapid/Laboured
C- Rapid/Thready Skin Cool, Clammy, Pale
Rapid Trauma Survey:
Neck- Flat
Trachea - Midline
Chest - Contusion or Injury
Abdomen - Distended, Rigid, Tender
Pelvis- Unstable/Painful
Extremities - Possible Femur Fracture
• Two basic MOI for motion injury -✓✓Blunt force injury
Penetrating injury
• Three collisions of a MVC -✓✓Vehicle collision
Body collision
Organ collision
• 5 forms of MVC -✓✓Frontal impact
Lateral impact
Rear-impact
Rollover
Rotational
• Most common tractor injury -✓✓Rollover
• 3 factors of a fall -✓✓Distance
Anatomy area impacted
Surface struck
• Bullet factors that contribute to tissue damage -✓✓Missile size
Missile deformity
Semi jacket (expands to add SA)
Tumbling
Yaw
, • 3 wounds caused by a bullet -✓✓Entry wound
Exit wound (larger and more ragged)
Internal wound (temporary cavity)
• 5 factors of a blast injury -✓✓Primary - caused by initial air blast (affects lungs, ears, gi
tract)
Secondary - struck by shrapnel
Tertiary - body being thrown
Quaternary - explosion fireball - burn injuries
Quinary - exposure to contaminants
• Most common types of penetrating injuries -✓✓Knife
Bullet
• Ideal ETCO2 -✓✓35-45 mm Hg
• Ideal SPO2 -✓✓95%
• Normal respiration rates -✓✓Adults 10-20
Small child 15-30
Infant 25-50
• When to choose a focused exam -✓✓No significant MOI
Normal initial assessment
No loss of consciousness
Normal breathing
Radical pulse less than 120
• Brief neurological exam -✓✓Pupils
GCS
signs of cerebral herniation
• Frequency of ongoing exam -✓✓5 minutes for critical
15 for stable
Any time the patient is moved
Any time an intervention is performed
Any time patients condition worsens
• Primary goals of treating patient with chest injury -✓✓ensure open airway
High flow O2
Update | 100% Correct - Verified
• Mechanical Shock Assesment -✓✓Initial:
LOC- Decreased?
A-
B- Rapid/Laboured
C- Rapid/Thready Skin Cool, Clammy, Pale
Rapid Trauma Survey:
Neck- Flat
Trachea - Midline
Chest - Contusion or Injury
Abdomen - Distended, Rigid, Tender
Pelvis- Unstable/Painful
Extremities - Possible Femur Fracture
• Two basic MOI for motion injury -✓✓Blunt force injury
Penetrating injury
• Three collisions of a MVC -✓✓Vehicle collision
Body collision
Organ collision
• 5 forms of MVC -✓✓Frontal impact
Lateral impact
Rear-impact
Rollover
Rotational
• Most common tractor injury -✓✓Rollover
• 3 factors of a fall -✓✓Distance
Anatomy area impacted
Surface struck
• Bullet factors that contribute to tissue damage -✓✓Missile size
Missile deformity
Semi jacket (expands to add SA)
Tumbling
Yaw
, • 3 wounds caused by a bullet -✓✓Entry wound
Exit wound (larger and more ragged)
Internal wound (temporary cavity)
• 5 factors of a blast injury -✓✓Primary - caused by initial air blast (affects lungs, ears, gi
tract)
Secondary - struck by shrapnel
Tertiary - body being thrown
Quaternary - explosion fireball - burn injuries
Quinary - exposure to contaminants
• Most common types of penetrating injuries -✓✓Knife
Bullet
• Ideal ETCO2 -✓✓35-45 mm Hg
• Ideal SPO2 -✓✓95%
• Normal respiration rates -✓✓Adults 10-20
Small child 15-30
Infant 25-50
• When to choose a focused exam -✓✓No significant MOI
Normal initial assessment
No loss of consciousness
Normal breathing
Radical pulse less than 120
• Brief neurological exam -✓✓Pupils
GCS
signs of cerebral herniation
• Frequency of ongoing exam -✓✓5 minutes for critical
15 for stable
Any time the patient is moved
Any time an intervention is performed
Any time patients condition worsens
• Primary goals of treating patient with chest injury -✓✓ensure open airway
High flow O2
