A+)
Most Common Causes of Traumatic Death - ANSWERRoad traffic injury
Intentional injury
Suicide
Falls
"Golden period" - ANSWERThe patient should be receiving definitive hospital care (often surgery)
within 1 hour after the incident.
[The phrase "golden period" is used rather than "golden hour" because definitive treatment
timelines vary between patients and injuries.]
"Platinum 10 minutes" - ANSWERMost important decisions and life-saving procedures need to be
made within first 10 minutes on scene
Elements of:
ITLS Primary Survey - ANSWER1. Perform scene size-up
2. Perform initial assessment
3. Perform rapid trauma survey or focused exam
4. Make critical interventions and transport decision
5. Contact medical direction
Elements of:
ITLS Secondary Survey - ANSWER1. Repeat initial assessment
2. Repeat vital signs and consider monitors
3. Perform neurological exam (PMS)
, 4. Perform detailed (head-to-toe) exam
Elements of:
ITLS Reassessment Survey - ANSWER1. Repeat initial assessment
2. Repeat vital signs and check monitors
3. Reassess the abdomen
4. Check injuries and interventions
First step of ITLS Primary Survey - ANSWERScene Size-Up
Elements of:
Scene Size-Up - ANSWER1. Standard precautions (PPE)
2. Scene safety
3. Initial triage (total # pts)
4. Need for more help or equipment (additional resources)
5. Mechanism of injury
Windshield Survey - ANSWERPart of assessing scene safety
Look for hazards and threats before leaving your response vehicle
The baseline of trauma care - ANSWERMechanism of Injury (MOI)
Generalized MOI - ANSWERMay require rapid trauma survey
Significant MOI, likely numerous severe injuries to patient
Focused MOI - ANSWERMay only require focused exam