ITLS ADVANCED POST-TEST
QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
Your Exam Plug
, What should be completed upon arriving at the scene? - Answer: Scene Size-up
Prolonged scene times are often related to what factor? - Answer: Ineffective team collaboration
What ETCO2 value would indicate hyperventilation? - Answer: less than 30mmHg
What 2 interventions should be performed on a patient with a flail chest segment? - Answer: 1. C-Spine
precautions
2. Positive Pressure Ventilations w/ a BVM
Can hypovolemic (high-space) shock occur without any obvious trauma? - Answer: YES! Internal
bleeding is a big concern
How do you position the patient and their head when attempting an external jugular IV? - Answer:
Supine with no head elevation. Head turned to the appropriate side
Your patient has an isolated traumatic brain injury. How would you expect their BP and HR to be? -
Answer: BP: elevated
HR: decreased
What motion do you need to avoid when applying a C-collar? - Answer: Neck traction (pulling head
superiorly, stretching the spine)
Does abdominal evisceration indicate a need for immediate transport? - Answer: YES! Do everything
during transport (IV, bandaging, etc.)
Your patient has an extremity trapped. What can you do for them while waiting for extrication? -
Answer: Gather vital signs. Give pain management assuming vitals allow for it.
Do you wanted to establish IV access for a burn patient on scene or during transport? - Answer: On
scene. Ensures you will get it so you can start fluids and pain management.
QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
Your Exam Plug
, What should be completed upon arriving at the scene? - Answer: Scene Size-up
Prolonged scene times are often related to what factor? - Answer: Ineffective team collaboration
What ETCO2 value would indicate hyperventilation? - Answer: less than 30mmHg
What 2 interventions should be performed on a patient with a flail chest segment? - Answer: 1. C-Spine
precautions
2. Positive Pressure Ventilations w/ a BVM
Can hypovolemic (high-space) shock occur without any obvious trauma? - Answer: YES! Internal
bleeding is a big concern
How do you position the patient and their head when attempting an external jugular IV? - Answer:
Supine with no head elevation. Head turned to the appropriate side
Your patient has an isolated traumatic brain injury. How would you expect their BP and HR to be? -
Answer: BP: elevated
HR: decreased
What motion do you need to avoid when applying a C-collar? - Answer: Neck traction (pulling head
superiorly, stretching the spine)
Does abdominal evisceration indicate a need for immediate transport? - Answer: YES! Do everything
during transport (IV, bandaging, etc.)
Your patient has an extremity trapped. What can you do for them while waiting for extrication? -
Answer: Gather vital signs. Give pain management assuming vitals allow for it.
Do you wanted to establish IV access for a burn patient on scene or during transport? - Answer: On
scene. Ensures you will get it so you can start fluids and pain management.
