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

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