LATEST ITLS Final Exam CORRECT SOLUTIONS 2023//2024

What is the Golden Hour? - ANSWER First 60 minutes after traumatic injury Describe Platinum 10 minutes: - ANSWER Time that it should take to load and go Describe the windshield survey: - ANSWER When arriving on scene, scan through the windshield to look at what is all involved in the scene. This is a crucial part of scene safety. Describe the fix it process: - ANSWER If something is injured like a sucking chest wound, fix it and move on to the next injury. Basically, when you see it fix it. What are the signs of a Tension Pneumothorax? - ANSWER JVD Tachycardia Abnormal or diminished lung sounds Tachypnea Hyper-resonance to percussion Tracheal Deviation What is the number one cause of airway obstruction? - ANSWER Tongue What is the treatment for an evisceration: - ANSWER Apply wet dressing, then apply dry dressing and secure it. Difference between compensated and decompensated shock: - ANSWER Compensated leads into decompensated. In decompensated you will have hypotension, ALOC and absent or weak peripheral pulses. Name three types of mechanical shock: - ANSWER Obstructive: Cardiac Tamponade, Tension Pneumothorax, Massive Pulmonary Embolism Cardiogenic: Myocardial contusion, Myocardial Infarction What are signs and symptoms of Hemothorax? - ANSWER Flat neck veins Tachypnea Tachycardia Dullness to percussion ALOC Hypotension Three signs of Becks Triad: - ANSWER JVD Muffled Heart Tones Shock(hypotension) Normal EtCO2: - ANSWER 35-45 mmHg What are the 3 types of High Space shock? - ANSWER Neurogenic Septic OD What is BOOTS - ANSWER Beards Obesity Older patients Teethlessness Snoring, Stridor Ventilation rate for intubated patient: - ANSWER 8-10 breaths per minute Ventilation rate for non intubated patient: - ANSWER 10-12 breaths per minute Patient with closed head injury should have systolic BP maintained above: - ANSWER 90 mmHg 3 signs of inhalation burn: - ANSWER Soot Coughing Hoarse voice Signs of neurogenic shock - ANSWER Hypotension Pulse Decrease Warm pink dry What are the 3 signs of Cushings Response - ANSWER Pulse decrease Increase BP Abnormal respiration