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Neck
Is there DCAP-BTLS of the neck?
Are the neck veins normal, flat or distended?
Is the trachea midline or deviated?
Circulation
What is the rate and quality of the pulse at the wrist or neck?
What is the skin colour, condition and temperature? Are capillaries refilling
quickly?
Is all external bleeding still controlled?
Chest
Is there DCAP-BTLS of the chest?
Are there any open wounds or paradoxical movement?
Are the breath sounds present and equal?
(If unequal) Is the chest hyperresonant or dull?
Are heart sounds normal or decreased?
(If intubated) Is the ET tube still in good position?
Abdomen
Is there DCAP-BTLS of the abdomen?
Is the abdomen soft, rigid or distended?
Pelvis (Skip)
Lower Extremities
Is there DCA
,1/16/26, 6:26 AM ITLS Exam Preparation EXAM Questions with 100% Correct Answers | Verified | Updated (Actual Exam) 2025\2026 Flashcards | Q…
Describe the ITLS ONGOING EXAM
Subjective Changes
Are you feeling better or worse now?
Mental Status
What is the LOC?
What is the pupillary size? Are they equal? Do they react to light?
(If altered mental status) "The Glasgow Coma Score now is..."
Reassess ABCs
Airway
("Can you open your mouth and stick out your tongue for me?") Is the airway
open and clear?
(If there are burns of the face) Are there signs of inhalation injury?
Breathing and Circulation
What is the rate and quality of the respiration?
What is the rate and quality of the pulse at the wrist or neck?
What is the blood pressure?
What is the skin colour, condition and temperature? Are capillaries refilling
quickly?
Neck
Is the trachea midline or deviated?
Are the neck veins normal, flat or distended?
Is there increased swelling of the neck?
Chest
Are breath sounds present and equal?
(If unequal), is the chest hyperresonant or dull?
Are heart sounds still normal or have they become muffled?
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,1/16/26, 6:26 AM ITLS Exam Preparation EXAM Questions with 100% Correct Answers | Verified | Updated (Actual Exam) 2025\2026 Flashcards | Q…
What is a Scene Size-Up?
Observations made and actions taken at a trauma scene before actually
approaching the patient. It is the initial step in the ITLS Primary Survey
What does "OPIM" stand for?
Other Potentially Infectious Material
What equipment should you always take with you for trauma patients?
-PPE (Personal Protection Equipment)
-Patient transport device (stretcher, long spine board, and so on) with effective
strapping and head motion-restriction device
-Rigid cervical extrication collar of an appropriate size
-Oxygen and airway equipment, which should include suction equipment and a
BVM (Bag-Valve Mask)
-Trauma box (bandage material, hemostatic agent, tourniquet, blood pressure c
Describe the ITLS DETAILED EXAM
(If critical) PATCH: Let medical Direction know early of our status
(if haven't received) SAMPLE History
"I have a few questions for you: " (What is the SAMPLE history of the patient?)
VITALS
What are the vital signs? (GCS, Resp, BP, Pulse, Skin, Temp, SP02)
LOC
What is the LOC? "Level of Consciousness"
(If altered mental status) What is the blood glucose?
Are the pupils equal? Do they respond to light?
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, 1/16/26, 6:26 AM ITLS Exam Preparation EXAM Questions with 100% Correct Answers | Verified | Updated (Actual Exam) 2025\2026 Flashcards | Q…
"Can you wiggle all your fingers? Can you feel me squeezing your fingers? Can
you wiggle your toes? Can you feel me squeezing your toes?"
Do we need a pulse oximeter, cardiac, EtCO2 monitor, naloxone?
(If altered mental status) "The Glasgow Coma Score now is..."
Head
Is there DCAP-BTLS of the face or head? "B is for Burns"
Are Battle's sign or Raccoon eyes present?
Is there blood or fluid draining from the ears or nose?
Is there pallor, cyanosis or diaphoresis?
Airway
("Can you open your mouth and stick out your tongue for me?") Is the airway
open and clear?
(If there are burns of the face) Are there signs of burns in the mouth or nose?
Breathing
What is the rate and quality of respiration?ff, stethoscope)
What are some of the potential injury patterns for a mechanism of Injury of
frontal impact? (Name 8)
-Cervical-spine fracture
-Flail chest
-Myocardial contusion
-Pneumothorax
-Aortic disruption
-Spleen or liver laceration
-Posterior hip dislocation
-Knee dislocation
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