ITLS FINAL EXAM Questions and Answers, Latest Updated 2024/2025 | 100% Correct | Verified

rapid exam and transport Vitals and non critical treatments done during transport - ANSWER if unsure or multiple system trauma, what should you do trauma with a single system injury that presents with a stable patient, what should you do? - ANSWER focused exam what are trauma injuries involved with hitting chest on a steering wheel - ANSWER pulmonary contusion, pneumothorax, pericardial fusion, flail chest, cardiac tamponade rapid trauma survey - ANSWER head and neck chest breath sounds abdomen pelvis lower and upper extremities obvious swelling and deforming posterior vital signs pupils GCS Glasgow Coma Scale (GCS) score - ANSWER Eyes 4 Verbal 5 Motor 6 what is an ongoing exam - ANSWER reassessment critical and non critical secondary itls assessment - ANSWER DCAP BTLS of everything, with Battle signs, racoon eyes, Flail segments etc team collaboration will lead to lower scene times - ANSWER yes ITLS FINAL EXAM Questions and Answers Updated 2024/2025 | 100% Correct | Verified aloc assessment includes GCS, blood glucose, and pupillary assessment - ANSWER yes the primary survey intended to identify immediate life threatening injuries within 2 minutes - ANSWER yes higher scene times maybe from poor collaboration - ANSWER yes find the cause of abnormal findings to determine load and go situations - ANSWER yes only four things stop the primary survey- safety, bleeding, airway obstruction, cardiac arrest - ANSWER safety, bleeding, airway obstruction, cardiac arrest first priority in trauma management- stop bleeding. delegate it or do it yourself - ANSWER stop bleeding, delegate it or do it yourself thoracic region injury - ANSWER life threatening hemorrhage: liver, spleen retroperitoneal abdomen trauma - ANSWER -severe hemorrhage hidden, major vessels penetrating abdominal injury - ANSWER -abdominal injury is chest; chest is abdominal -gluteal area in 50 percent of significant injuries when palpating, where do you want to start - ANSWER start away from the injury and palpate towards injury splenic injury - ANSWER referred left posterior shoulder pain (KEHRS SIGN) Liver injury - ANSWER Referred right posterior shoulder pain severe hemorrhage - ANSWER -distension in the abdomen FAST exam - ANSWER portable ultrasound to the abdomen for paramedics. looking for bleeding in the abdomen Tranexamic acid TXA - ANSWER fluid. -itls recommends use in uncontrolled bleeding Open book fracture - ANSWER pelvis fracture. partially unstable. what are contraindication for pelvic binder - ANSWER -only for open book fracture -impaled object Cullen signs - ANSWER bruising sign around the umbeliccous. bleeding in the abdomen KERN sign - ANSWER referred pain to the shoulder Great Turners signs - ANSWER flank bruising. what does the hot belly mean - ANSWER bleeding. will be firm Abdominal evisceration treatment - ANSWER includes sterile moist dressings, rapid transport, IVS enroute, and short scene time. SMR is only indicated with neurologic deficits - ANSWER truth the kidneys are located in the retroperitoneal region - ANSWER truth blunt trauma is the most common mechanism of abdominal injury - ANSWER truth is two femur trauma life threatening - ANSWER yes, life threatening. compartment syndrome - ANSWER blood accumulation in a compartment. effects the nerves there. closed pelvic fracture - ANSWER -extensive bleeding into abdomen or retroperitoneal how much of blood can you loose with each femur - ANSWER 1L extended time of entrapment with isolated crush injury - ANSWER sodium bicarb 1 mEq/kg bolus and infusion of .25 mEq/kg per hour splint the joints above and below the fracture site - ANSWER truth absent pulses with extended transport times? - ANSWER maneuver to restore pulses maybe indicated apply tourniquet proximal to an isolated crush injured patient who is trapped. - ANSWER truth how much of blood can you loose with each femur - ANSWER 1L is two femur trauma life threatening - ANSWER truth extremity trauma - ANSWER truth Great Turners signs - ANSWER flank bruising. Abdominal evisceration treatment - ANSWER includes sterile moist dressings, rapid transport, IVS enroute, and short scene time. SMR is only indicated with neurologic deficits - ANSWER truth what does the hot belly mean - ANSWER bleeding. will be firm how do you measure lung compliancy - ANSWER chest rise and fall Great Turners signs - ANSWER flank bruising. what is the best way to know if you have intubated - ANSWER capnography what does BIAD stand for - ANSWER Blind insertion airway device Tranexamic acid TXA - ANSWER fluid. -itls recommends use in uncontrolled bleeding what are some BIAD - ANSWER -esophageal tracheal combitude -King LTD -intubating laryngeal airway (ILA;air) -I gel -Aerongeal true abdomen injury - ANSWER -infection, peritonitis, shock, intestines -severe hemorrhage with signs what is the measurement if 3-3-1 - ANSWER measures chin to hyoid bone opening of mouth lower jaw protrusion thoracic region injury - ANSWER life threatening hemorrhage: liver, spleen Atlanta occipital extension - ANSWER only with cervical injuries What is P in MMAP - ANSWER physiology. is there any physical obstruction in the throat what does ventilation mean - ANSWER ventilation means moving air in and out what does oxygenation mean - ANSWER is giving oxygen what is the normal ventilation for carbon dioxide - ANSWER 35 to 45 hypoventilation on pCO2 - ANSWER higher number hyperventilation on pCO2 - ANSWER is low number what does boots stand for and what is it for - ANSWER beards obesity older patients toothlessness snores or stridor its for hard ventilation if you hear snores or stridor, think what? - ANSWER obstruction how do you confirm adequate ventilation - ANSWER chest rise what should you remember for ELM - ANSWER endotracheal laryngal manipulation Backwards upwards rightward pressure what is the most distracting injury - ANSWER thoracic injury when should you SMR - ANSWER only when there is neurological defecites. massive pneumothorax - ANSWER neck veins will be flat. hypovolemia what is the correct fluid administration titration - ANSWER titrate until peripheral pressure is 80 to 90 mmhg for ITLS, where does needle decompression go - ANSWER third intercostal space. For side decompression 4th intercostal decompression do we got above or below the rib for needle decompression - ANSWER above the rib what does Becks triad mean - ANSWER means cardiac tamponade JVD hypotension heart sounds muffled diaphragmatic tear - ANSWER -severe blow to abdomen -herniation of abdominal organs pulmonary contusion - ANSWER -very common chest injury -hours do develop when the bronchioles become hemorrhage traumatic asphyxia - ANSWER -severe compression of the thoracic cavity. when the thoracic cavity gets compressed so much that blood back flows into your right side of your heart and into your brain what is the primary injury to the brain - ANSWER trauma to the brain What is flail chest - ANSWER when two or more ribs are fractures, producing parodical movement of the chest open pneumothorax - ANSWER accumulation of air in the pleural space secondary to penetrating injury presenting as an open or sucking chest wound how do you treat an open chest wound - ANSWER washerman chest seal dressing with three sides closed off massive hemothorax - ANSWER presence of at least 1500 ml of blood loss into the pleural space of the thoracic cavity presentation of massive hemothorax - ANSWER hypoventilation flat neck veins shock shortness of breath absent breath sounds