ITLS Exam (International Trauma Life Support) – Q&A
Which is considered a "load-and-go" situation: open femur fracture or
bilateral femur fractures? Right Ans - bilateral femur fractures
A tension pneumothorax is considered what kind of shock? Right Ans -
mechanical
All trauma patients EXCEPT which are fluid resuscitated until a systolic BP of
80-90: Right Ans - head injury patients
Windshield survey is done when? Right Ans - during scene size-up
Signs and symptoms of a tension pneumothorax include: Right Ans - - AMS
- signs of shock (P/C/D, hypotension)
- JVD
- diminished/absent lung sounds on affected side
What priority is increased bag resistance in trauma? Right Ans - the lowest
What sort of assessment is done for an elderly patient involved in a moderate
auto accident? Right Ans - a rapid trauma assessment
Pleural decompression entails what? Right Ans - - mid-clavicular
- second intercostal space
- above the third rib (*do not go under the second rib to avoid damage to the
blood vessels and nerves)
If you have a pediatric patient who is grunting, this is indicative of what? How
to treat? Right Ans - respiratory failure; MUST provide vent. support (BVM)
If you're presented with a patient who comes out of a house fire with no
obvious burns, who is complaining of being light-headed and dizzy, suspect
what? Right Ans - toxic inhalation exposure
Knee dislocations are most likely to be associated with what other damage?
Right Ans - damage to nerves and arteries
, If you are presented with a trauma patient who has a BP above 90, what rate
is the IV to flow? Right Ans - "KVO"
A pregnant trauma patient with hypovolemia is treat how? Right Ans -
place her on her left lateral side in order to get the fetus off the vena cava
A patient with spinal precautions begins to vomit; how to treat? Right Ans -
1. tilt backboard
2. suction
If you are presented with a head injury patient who is showing signs and
symptoms of cerebral herniation, how to treat? Right Ans - 1. maintain
them at a CO2 level of 30-35 and,
2. O2 sat of 95% or greater
A brief neurological exam consists of what? Right Ans - 1. pupils
2. GCS
3. BGL
If you have a patient who is on capnography that suddenly drops, what is
going on? Right Ans - circulatory collapse
If you cannot control bleeding with direct pressure, ITLS says what? Right
Ans - use a hemostatic agent along WITH continuous direct pressure
Difference(s) between a pneumothorax and a tension pneumothorax: Right
Ans - signs of shock
Emergency rescue is done in which environments? Right Ans - toxic
environments
How to manage cerebral herniation? Right Ans - hyperventilate w/ BVM at
20 bpm
Signs and Symptoms of cerebral herniation: Right Ans - 1. hypertension
2. bradycardia
3. decr. LOC that rapidly progresses to coma
4. decerebrate posturing
5. dilated pupils
Which is considered a "load-and-go" situation: open femur fracture or
bilateral femur fractures? Right Ans - bilateral femur fractures
A tension pneumothorax is considered what kind of shock? Right Ans -
mechanical
All trauma patients EXCEPT which are fluid resuscitated until a systolic BP of
80-90: Right Ans - head injury patients
Windshield survey is done when? Right Ans - during scene size-up
Signs and symptoms of a tension pneumothorax include: Right Ans - - AMS
- signs of shock (P/C/D, hypotension)
- JVD
- diminished/absent lung sounds on affected side
What priority is increased bag resistance in trauma? Right Ans - the lowest
What sort of assessment is done for an elderly patient involved in a moderate
auto accident? Right Ans - a rapid trauma assessment
Pleural decompression entails what? Right Ans - - mid-clavicular
- second intercostal space
- above the third rib (*do not go under the second rib to avoid damage to the
blood vessels and nerves)
If you have a pediatric patient who is grunting, this is indicative of what? How
to treat? Right Ans - respiratory failure; MUST provide vent. support (BVM)
If you're presented with a patient who comes out of a house fire with no
obvious burns, who is complaining of being light-headed and dizzy, suspect
what? Right Ans - toxic inhalation exposure
Knee dislocations are most likely to be associated with what other damage?
Right Ans - damage to nerves and arteries
, If you are presented with a trauma patient who has a BP above 90, what rate
is the IV to flow? Right Ans - "KVO"
A pregnant trauma patient with hypovolemia is treat how? Right Ans -
place her on her left lateral side in order to get the fetus off the vena cava
A patient with spinal precautions begins to vomit; how to treat? Right Ans -
1. tilt backboard
2. suction
If you are presented with a head injury patient who is showing signs and
symptoms of cerebral herniation, how to treat? Right Ans - 1. maintain
them at a CO2 level of 30-35 and,
2. O2 sat of 95% or greater
A brief neurological exam consists of what? Right Ans - 1. pupils
2. GCS
3. BGL
If you have a patient who is on capnography that suddenly drops, what is
going on? Right Ans - circulatory collapse
If you cannot control bleeding with direct pressure, ITLS says what? Right
Ans - use a hemostatic agent along WITH continuous direct pressure
Difference(s) between a pneumothorax and a tension pneumothorax: Right
Ans - signs of shock
Emergency rescue is done in which environments? Right Ans - toxic
environments
How to manage cerebral herniation? Right Ans - hyperventilate w/ BVM at
20 bpm
Signs and Symptoms of cerebral herniation: Right Ans - 1. hypertension
2. bradycardia
3. decr. LOC that rapidly progresses to coma
4. decerebrate posturing
5. dilated pupils
