ITLS INTERNATIONAL TRAUMA LIFE SUPPORT – Q&A
Mechanical Shock Assesment Right Ans - Initial:
LOC- Decreased?
A-
B- Rapid/Laboured
C- Rapid/Thready Skin Cool, Clammy, Pale
Rapid Trauma Survey:
Neck- Flat
Trachea - Midline
Chest - Contusion or Injury
Abdomen - Distended, Rigid, Tender
Pelvis- Unstable/Painful
Extremities - Possible Femur Fracture
Two basic MOI for motion injury Right Ans - Blunt force injury
Penetrating injury
Three collisions of a MVC Right Ans - Vehicle collision
Body collision
Organ collision
5 forms of MVC Right Ans - Frontal impact
Lateral impact
Rear-impact
Rollover
Rotational
Most common tractor injury Right Ans - Rollover
3 factors of a fall Right Ans - Distance
Anatomy area impacted
Surface struck
Bullet factors that contribute to tissue damage Right Ans - Missile size
Missile deformity
Semi jacket (expands to add SA)
,Tumbling
Yaw
3 wounds caused by a bullet Right Ans - Entry wound
Exit wound (larger and more ragged)
Internal wound (temporary cavity)
5 factors of a blast injury Right Ans - Primary - caused by initial air blast
(affects lungs, ears, gi tract)
Secondary - struck by shrapnel
Tertiary - body being thrown
Quaternary - explosion fireball - burn injuries
Quinary - exposure to contaminants
Most common types of penetrating injuries Right Ans - Knife
Bullet
Ideal ETCO2 Right Ans - 35-45 mm Hg
Ideal SPO2 Right Ans - 95%
Normal respiration rates Right Ans - Adults 10-20
Small child 15-30
Infant 25-50
When to choose a focused exam Right Ans - No significant MOI
Normal initial assessment
No loss of consciousness
Normal breathing
Radical pulse less than 120
Brief neurological exam Right Ans - Pupils
GCS
signs of cerebral herniation
, Frequency of ongoing exam Right Ans - 5 minutes for critical
15 for stable
Any time the patient is moved
Any time an intervention is performed
Any time patients condition worsens
Primary goals of treating patient with chest injury Right Ans - ensure open
airway
High flow O2
Stabilize Flails
Seal Sucking wounds
Decompress chest
Load and Go
Obtain venous access
Transport to appropriate level of care
Notify Medical Direction
Components of perfusion of body tissues Right Ans - Intact Vascular system
Air Exchange in lungs
Blood Volume
Functioning Pump
Management of post traumatic shock Right Ans - control bleeding
High flow O2
Load and Go
Shock Management when bleeding is controlled Right Ans - Patient in
horizontal position
High flow O2
Transport Immediately
Large Bore IV
Give Saline to normalize BP
ECG
Pulse Oximetry, Capnography
Ongoing Exams
Shock management for External Hemorrhage that you cannot control Right
Ans - Apply Direct preassure
Mechanical Shock Assesment Right Ans - Initial:
LOC- Decreased?
A-
B- Rapid/Laboured
C- Rapid/Thready Skin Cool, Clammy, Pale
Rapid Trauma Survey:
Neck- Flat
Trachea - Midline
Chest - Contusion or Injury
Abdomen - Distended, Rigid, Tender
Pelvis- Unstable/Painful
Extremities - Possible Femur Fracture
Two basic MOI for motion injury Right Ans - Blunt force injury
Penetrating injury
Three collisions of a MVC Right Ans - Vehicle collision
Body collision
Organ collision
5 forms of MVC Right Ans - Frontal impact
Lateral impact
Rear-impact
Rollover
Rotational
Most common tractor injury Right Ans - Rollover
3 factors of a fall Right Ans - Distance
Anatomy area impacted
Surface struck
Bullet factors that contribute to tissue damage Right Ans - Missile size
Missile deformity
Semi jacket (expands to add SA)
,Tumbling
Yaw
3 wounds caused by a bullet Right Ans - Entry wound
Exit wound (larger and more ragged)
Internal wound (temporary cavity)
5 factors of a blast injury Right Ans - Primary - caused by initial air blast
(affects lungs, ears, gi tract)
Secondary - struck by shrapnel
Tertiary - body being thrown
Quaternary - explosion fireball - burn injuries
Quinary - exposure to contaminants
Most common types of penetrating injuries Right Ans - Knife
Bullet
Ideal ETCO2 Right Ans - 35-45 mm Hg
Ideal SPO2 Right Ans - 95%
Normal respiration rates Right Ans - Adults 10-20
Small child 15-30
Infant 25-50
When to choose a focused exam Right Ans - No significant MOI
Normal initial assessment
No loss of consciousness
Normal breathing
Radical pulse less than 120
Brief neurological exam Right Ans - Pupils
GCS
signs of cerebral herniation
, Frequency of ongoing exam Right Ans - 5 minutes for critical
15 for stable
Any time the patient is moved
Any time an intervention is performed
Any time patients condition worsens
Primary goals of treating patient with chest injury Right Ans - ensure open
airway
High flow O2
Stabilize Flails
Seal Sucking wounds
Decompress chest
Load and Go
Obtain venous access
Transport to appropriate level of care
Notify Medical Direction
Components of perfusion of body tissues Right Ans - Intact Vascular system
Air Exchange in lungs
Blood Volume
Functioning Pump
Management of post traumatic shock Right Ans - control bleeding
High flow O2
Load and Go
Shock Management when bleeding is controlled Right Ans - Patient in
horizontal position
High flow O2
Transport Immediately
Large Bore IV
Give Saline to normalize BP
ECG
Pulse Oximetry, Capnography
Ongoing Exams
Shock management for External Hemorrhage that you cannot control Right
Ans - Apply Direct preassure
