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kinetic energy ✔Correct Answer-the energy an object has as a result of being in motion
Pneumonic to assess a fall ✔Correct Answer-Symptoms before the fall
Previous falls
Location of the Fall
Activity at time of fall
Time of day of fall
temporary cavity ✔Correct Answer-a space created behind the high energy bullet as tissue
moves rapidly away from the bullet's path
wound track ✔Correct Answer-the path through the tissue made by a projectile.
ITLS Primary Survey ✔Correct Answer-A brief exam to find immediately life-threatening
conditions.
Standard precautions
POPP
# of pts
additional resources
MOI
ITLS Initial Assessment ✔Correct Answer-General Impression
Pt movement
Obvious injuries
ABC Skin (consider x spine control)
LOC
CC
IS the bleeding controlled?
ITLS Rapid Trauma Survey ✔Correct Answer-head & neck - JVD, Tracheal deviation
chest - paradoxical movements, = rise/fall
breath sounds - present? equal? unequal: percussion
heart tones -muffled/normal
abdomen- tender, rigidity, distention, eviscerations
pelvis- TIC: if any, stop and put pelvic binder
lower/upper extremities- motor sensory, deformities
posterior- deformities, penetrations
,vitals
pupils
GCS
ITLS Focused Exam ✔Correct Answer-Focused exam of the identified injury
evaluate spine if possibility of injury
vitals
pupils
GCS
What are the only 4 things that allow you to stop your ITLS primary survey? ✔Correct Answer-
(1) scene becomes unsafe
(2) you are alone and must treat hemorrhage
(3) airway obstruction
(4) cardiac arrest
How long should it take you to complete your primary survey? ✔Correct Answer-2 minutes
What should be your on scene time for trauma? ✔Correct Answer-5 min or less
When Should you do a rapid trauma survey ? ✔Correct Answer-if there is a dangerous
generalized MOI that could result in multisystem trauma like a car accident or if the patient is
unconscious and you don't know the MOI
When should you perform a focused trauma exam? ✔Correct Answer-if there is a dangerous
focused MOI suggesting an isolated injury such as a bullet wound to thigh or amputation of a
limb, any injury which is limited to the area affected by the injury.
if there is no significant MOI after initial assessment is normal you may also perform a focused
based on pts CC
priority pts trauma ✔Correct Answer-dangerous MOI
high risk group (very young-very old-chronically ill)
Altered LOC
Abnormal Breathing
Abnormal Circulation (shock or uncontrolled bleeding)
History shows: loss of consciousness, difficulty breathing, severe pain of head, neck or torso
neck veins engorged (JVD) possible causes ✔Correct Answer-positive pressure in chest
possibly indicating pneumothorax or cardiac tamponade
breath sounds not equal possible causes ✔Correct Answer-pneumothorax, hemothorax, flail
chest, tension pneumothorax, sucking chest wound
, what should be done to all pts with altered mental status? ✔Correct Answer-glucose levels
check as part of the neurological exam during transport
signs discovered during the rapid trauma survey of conditions that can rapidly lead to shock
✔Correct Answer-penetrating wounds to the torso
abnormal chest exam (flail chest, tension pneumothorax, hemothorax, open wound)
tender distended abdomen
pelvic instability
bilateral femur fractures
poor general health
significant MOI
death of someone in the same vehicle
When should ITLS reassessment exam occur ✔Correct Answer-should be performed every
5min for critical pts
and every 15min for stable pts
or: anytime pt condition changes, if pt is moved, when an intervention is performed
PMS ✔Correct Answer-pulses, motor function, sensation
ITLS Reassessment Exam ✔Correct Answer-pt history- complete SAMPLE if needed
LOC (AVPU) Pupils
If altered LOC - check glucose levels
GCS
Vital signs- RR, HR, BP, Sp02, cardiac monitor, CO2, temp
ABC Skin
Bleeding still controlled?
Neck- JVD, tracheal deviation, DCAP BLS TIC
Chest- asymmetry, DCAP BLS TIC
Breath sounds
Abdomen - DCAP BLS TIC
Recheck identified injuries
Check any interventions performed
recheck monitors put on
When should ITLS Secondary Survey be performed ? ✔Correct Answer-If the primary survey
has not revealed a critical condition it can be performed on scene. (stable pts with no
dangerous MOI do not need one)
If pt is critical this assessment should be done during transport not on scene.
assisted ventilation is required of RR is what? ✔Correct Answer-<8
if pt is bradycardic during trauma assessment what kind of shock could they be in ? ✔Correct
Answer-spinal shock