ITLS 9th Edition Questions and
Answers | 100% Correct Answers |
Verified | Grade A+
• What does "OPIM" stand for? -✓✓Other Potentially Infectious Material
• What equipment should you always take with you for trauma patients? -✓✓-PPE
(Personal Protection Equipment)
-Patient transport device (stretcher, long spine board, and so on) with effective
strapping and head motion-restriction device
-Rigid cervical extrication collar of an appropriate size
-Oxygen and airway equipment, which should include suction equipment and a
BVM (Bag-Valve Mask)
-Trauma box (bandage material, hemostatic agent, tourniquet, blood pressure cuff,
stethoscope)
• What are some of the potential injury patterns for a mechanism of Injury of
frontal impact? (Name 8) -✓✓-Cervical-spine fracture
-Flail chest
-Myocardial contusion
-Pneumothorax
-Aortic disruption
-Spleen or liver laceration
-Posterior hip dislocation
-Knee dislocation
• What are some of the potential injury patterns for a mechanism of lateral impact
(T-bone)? (Name 8) -✓✓-Contralateral neck sprain
-Cervical-spine fracture
-Lateral flail chest
-Pneumothorax
-Aortic disruption
-Diaphragmatic rupture
-Laceration of liver, kidney or spleen
-Pelvic fracture
,• What are potential injury patterns for a mechanism of ejection? -✓✓Exposure to
all mechanisms (and mortality increased)
• What are some of the potential injury patterns for a mechanism of Injury of
pedestrian vs. car? (Name 4) -✓✓-Head injury
-Aortic disruption
-Abdominal visceral injuries
-Fracture pelvis and lower extremities
• What is "index of suspicion"? -✓✓The medical provider's estimate of a disease or
injury being present in a patient. A high index of suspicion means there is a high
probability the injury is present. A low index of suspicion means there is a low risk
of the injury.
• List the two basic mechanisms of motion injury -✓✓Blunt and penetrating
• Identify the three collisions associated with a motor-vehicle collision (MVC) -
✓✓1. Machine collision
2. Body collision
3. Organ collision resulting in rupture, shearing, or bruising
• Name the five common forms of MVCs -✓✓1. Frontal-impact (head-on
collision)
2. Lateral-impact (T-bone collision)
3. Rear-impact collision
4. Rollover collision
5. Rotational collision
• Using the three collisions associated with a MVC, relate at least three frontal-
impact collisions to potential patient injuries to deformity of the vehicle, interior
structures and body structures. -✓✓Machine collision = Deformed front end
Body collision = Spider-web pattern of windshield
Organ collision = Coup/contracoup brain, soft-tissue injury (scalp, face, neck),
hyperextension/flexion of the cervical spine
Machine collision = Deformed front end
Body collision = Steering wheel ring fracture, deformity and column displacement
Organ collision = Traumatic tattooing of patient's skin
,Machine collision = Deformity of vehicle
Body collision = Dashboard fracture and deformity
Organ collision = Facial trauma, coup/contracoup brain, hyperextension/flexion of
the cervical spine, pelvis, hip and knee trauma
• Using the three collisions associated with a MVC, relate at least three lateral-
impact collisions to potential patient injuries to deformity of the vehicle, interior
structures and body structures. -✓✓Machine collision = Deformed driver or
passenger side
Body collision = Degree of door deformity (ex: armrest bent, outward or inward
bowing of door)
Organ collision = This cannot be predicted by external exam alone. Instead,
consider organs beneath areas of external injury:
-Head = Coup/contracoup
-Neck = Ranging from cervical-muscle strain to fracture or subluxation with
neurologic deficit
-Upper arm and shoulder = Injuries appear on the side of the impact and are
common, as are injuries to the lower extremities
-Thorax/abdomen = Injuries from soft-tissue injuries to flail chest, lung contusion,
pneumothorax, hemothorax, or possible traumatic aortic dissection. Injuries
include those to solid and hollow organs
-Pelvis/legs = Pelvic, hip or femur fractures. Pelvic injuries may also include
dislocation, bladder rupture and urethral injuries
• Describe potential injuries associated with proper and improper use of seat
restraints, headrest and air bags in a head-on collision -✓✓Proper use of seat
restraint = Facial, head or neck injuries such as fractures, dislocations or spinal-
cord injuries; Clavicle fractures (at the point where the chest strap crosses) and
chest-wall injuries; Internal organ damage
Improper use of seat restraint = Abdominal or lumbar spine injury; No restraint
could possibly lead to ejection of vehicle
Improper use of headrest = (second impact) Hyperextension of the cervical spine
Proper use of air bags = Injuries from a second impact after deflation can lead to
striking the steering wheel leading to internal injuries (thus, check under the
deflated air bag for mechanical deformity; Leg, pelvis or abdominal injuries;
, Abrasions from the nylon bag, corneal abrasions and superficial burns on arms in
the vicinity of the airbag vents
• Describe at least two potential injuries from rear-end collisions -✓✓-
Hyperextension of the cervical spine (if headrest too low)
-lumbar-spine injury (if the seat breaks and falls backwards)
*Rapid forward deceleration can occur from striking something in front after being
struck from behind, thus leading to front impact injuries.
• How many more times is a person likely to die if they are ejected from a vehicle
during an accident? -✓✓25
• What four questions are used as a checklist in scene stabilization for a tractor
accident? -✓✓1. Is the engine off?
2. Are the rear wheels locked?
3. Has the fuel situation and fire hazards been addressed?
4. Are there hydraulic fluid leaks or radiator leaks?
• Describe the three assessment criteria for falls -✓✓1. Distance of fall
2. Anatomic area impacted
3. Surface struck
• What are at least six anticipated injuries from a fall? -✓✓-Fractures of the feet or
legs
-Hip and/or pelvic injuries
-Axial loading to the lumbar and cervical spine
-Vertebrae compression fracture
-Vertical deceleration forces to the organs
-Colles fractures of the wrists
• Identify the two most common forms of penetrating injuries -✓✓Knife and gun
• Discuss associated mechanisms of the two most common forms of penetrating
injuries and extent of these injuries -✓✓Knife depends on the anatomic area
penetrated, length of the blade, and angle of penetration. Low-energy injury and
tissue damage confined to the direct path of the blade.
Answers | 100% Correct Answers |
Verified | Grade A+
• What does "OPIM" stand for? -✓✓Other Potentially Infectious Material
• What equipment should you always take with you for trauma patients? -✓✓-PPE
(Personal Protection Equipment)
-Patient transport device (stretcher, long spine board, and so on) with effective
strapping and head motion-restriction device
-Rigid cervical extrication collar of an appropriate size
-Oxygen and airway equipment, which should include suction equipment and a
BVM (Bag-Valve Mask)
-Trauma box (bandage material, hemostatic agent, tourniquet, blood pressure cuff,
stethoscope)
• What are some of the potential injury patterns for a mechanism of Injury of
frontal impact? (Name 8) -✓✓-Cervical-spine fracture
-Flail chest
-Myocardial contusion
-Pneumothorax
-Aortic disruption
-Spleen or liver laceration
-Posterior hip dislocation
-Knee dislocation
• What are some of the potential injury patterns for a mechanism of lateral impact
(T-bone)? (Name 8) -✓✓-Contralateral neck sprain
-Cervical-spine fracture
-Lateral flail chest
-Pneumothorax
-Aortic disruption
-Diaphragmatic rupture
-Laceration of liver, kidney or spleen
-Pelvic fracture
,• What are potential injury patterns for a mechanism of ejection? -✓✓Exposure to
all mechanisms (and mortality increased)
• What are some of the potential injury patterns for a mechanism of Injury of
pedestrian vs. car? (Name 4) -✓✓-Head injury
-Aortic disruption
-Abdominal visceral injuries
-Fracture pelvis and lower extremities
• What is "index of suspicion"? -✓✓The medical provider's estimate of a disease or
injury being present in a patient. A high index of suspicion means there is a high
probability the injury is present. A low index of suspicion means there is a low risk
of the injury.
• List the two basic mechanisms of motion injury -✓✓Blunt and penetrating
• Identify the three collisions associated with a motor-vehicle collision (MVC) -
✓✓1. Machine collision
2. Body collision
3. Organ collision resulting in rupture, shearing, or bruising
• Name the five common forms of MVCs -✓✓1. Frontal-impact (head-on
collision)
2. Lateral-impact (T-bone collision)
3. Rear-impact collision
4. Rollover collision
5. Rotational collision
• Using the three collisions associated with a MVC, relate at least three frontal-
impact collisions to potential patient injuries to deformity of the vehicle, interior
structures and body structures. -✓✓Machine collision = Deformed front end
Body collision = Spider-web pattern of windshield
Organ collision = Coup/contracoup brain, soft-tissue injury (scalp, face, neck),
hyperextension/flexion of the cervical spine
Machine collision = Deformed front end
Body collision = Steering wheel ring fracture, deformity and column displacement
Organ collision = Traumatic tattooing of patient's skin
,Machine collision = Deformity of vehicle
Body collision = Dashboard fracture and deformity
Organ collision = Facial trauma, coup/contracoup brain, hyperextension/flexion of
the cervical spine, pelvis, hip and knee trauma
• Using the three collisions associated with a MVC, relate at least three lateral-
impact collisions to potential patient injuries to deformity of the vehicle, interior
structures and body structures. -✓✓Machine collision = Deformed driver or
passenger side
Body collision = Degree of door deformity (ex: armrest bent, outward or inward
bowing of door)
Organ collision = This cannot be predicted by external exam alone. Instead,
consider organs beneath areas of external injury:
-Head = Coup/contracoup
-Neck = Ranging from cervical-muscle strain to fracture or subluxation with
neurologic deficit
-Upper arm and shoulder = Injuries appear on the side of the impact and are
common, as are injuries to the lower extremities
-Thorax/abdomen = Injuries from soft-tissue injuries to flail chest, lung contusion,
pneumothorax, hemothorax, or possible traumatic aortic dissection. Injuries
include those to solid and hollow organs
-Pelvis/legs = Pelvic, hip or femur fractures. Pelvic injuries may also include
dislocation, bladder rupture and urethral injuries
• Describe potential injuries associated with proper and improper use of seat
restraints, headrest and air bags in a head-on collision -✓✓Proper use of seat
restraint = Facial, head or neck injuries such as fractures, dislocations or spinal-
cord injuries; Clavicle fractures (at the point where the chest strap crosses) and
chest-wall injuries; Internal organ damage
Improper use of seat restraint = Abdominal or lumbar spine injury; No restraint
could possibly lead to ejection of vehicle
Improper use of headrest = (second impact) Hyperextension of the cervical spine
Proper use of air bags = Injuries from a second impact after deflation can lead to
striking the steering wheel leading to internal injuries (thus, check under the
deflated air bag for mechanical deformity; Leg, pelvis or abdominal injuries;
, Abrasions from the nylon bag, corneal abrasions and superficial burns on arms in
the vicinity of the airbag vents
• Describe at least two potential injuries from rear-end collisions -✓✓-
Hyperextension of the cervical spine (if headrest too low)
-lumbar-spine injury (if the seat breaks and falls backwards)
*Rapid forward deceleration can occur from striking something in front after being
struck from behind, thus leading to front impact injuries.
• How many more times is a person likely to die if they are ejected from a vehicle
during an accident? -✓✓25
• What four questions are used as a checklist in scene stabilization for a tractor
accident? -✓✓1. Is the engine off?
2. Are the rear wheels locked?
3. Has the fuel situation and fire hazards been addressed?
4. Are there hydraulic fluid leaks or radiator leaks?
• Describe the three assessment criteria for falls -✓✓1. Distance of fall
2. Anatomic area impacted
3. Surface struck
• What are at least six anticipated injuries from a fall? -✓✓-Fractures of the feet or
legs
-Hip and/or pelvic injuries
-Axial loading to the lumbar and cervical spine
-Vertebrae compression fracture
-Vertical deceleration forces to the organs
-Colles fractures of the wrists
• Identify the two most common forms of penetrating injuries -✓✓Knife and gun
• Discuss associated mechanisms of the two most common forms of penetrating
injuries and extent of these injuries -✓✓Knife depends on the anatomic area
penetrated, length of the blade, and angle of penetration. Low-energy injury and
tissue damage confined to the direct path of the blade.
