ITLS ADVANCED PRE TEST 2026 TRAUMA
LIFE SUPPORT ASSESSMENT QUESTIONS
SOLUTIONS FINAL STUDY GUIDE
◉ When to do spinal mobilization in initial assessment
Answer: Right after airway
A,(C-spine)B,C,(Control bleeding)
◉ 3 things that stop your assessment right away.
Answer: scene hazard, airway obstruction, cardiac arrest
◉ During the Primary Survey, when do you Control major bleeding
Answer: In the Initial assessment
Airway, breathing, circulation, control bleeding
◉ When the injury occurs, what clock just started?
Answer: The "Golden Period" (used to be the golden hour)
◉ Max length of your initial assessment
Answer: 2 min.
,◉ Max length of "load and go" scene time?
Answer: Critical trauma scene time is 5 min. or less.
◉ ELM stands for?
Answer: External Laryngeal Manipulation
◉ Selick vs. ELM
Answer: Selick is when you close the esophagus to prevent air in the
gastric.
ELM is a manipulation technique to move the airway into alignment
for intubation.
◉ SMR stands for?
Answer: Spinal Mobilization RESTRICTION
◉ Best GCS score is?
Answer: Eyes 4
Verbal 5
Motor 6
Total 15
, ◉ 1st action of initial assessment?
Answer: Scene safety
◉ Who is responsible for assessments of the patient?
Answer: Team leader only
◉ Focused or Rapid trauma survey for a generalized, significant
MOI?
Answer: Rapid trauma assessment
◉ How much does the tube move with neck flexion or extension?
Answer: 2-2.5cm
◉ What team member can determine level of consciousness?
Answer: team leader only
◉ Most important thing to do when a child is unresponsive with
obvious respiratory disress, tachypneic and shallow, weak slow
pulse?
Answer: assist ventilations
◉ What angle and position do you tip or roll a pregnant woman?
LIFE SUPPORT ASSESSMENT QUESTIONS
SOLUTIONS FINAL STUDY GUIDE
◉ When to do spinal mobilization in initial assessment
Answer: Right after airway
A,(C-spine)B,C,(Control bleeding)
◉ 3 things that stop your assessment right away.
Answer: scene hazard, airway obstruction, cardiac arrest
◉ During the Primary Survey, when do you Control major bleeding
Answer: In the Initial assessment
Airway, breathing, circulation, control bleeding
◉ When the injury occurs, what clock just started?
Answer: The "Golden Period" (used to be the golden hour)
◉ Max length of your initial assessment
Answer: 2 min.
,◉ Max length of "load and go" scene time?
Answer: Critical trauma scene time is 5 min. or less.
◉ ELM stands for?
Answer: External Laryngeal Manipulation
◉ Selick vs. ELM
Answer: Selick is when you close the esophagus to prevent air in the
gastric.
ELM is a manipulation technique to move the airway into alignment
for intubation.
◉ SMR stands for?
Answer: Spinal Mobilization RESTRICTION
◉ Best GCS score is?
Answer: Eyes 4
Verbal 5
Motor 6
Total 15
, ◉ 1st action of initial assessment?
Answer: Scene safety
◉ Who is responsible for assessments of the patient?
Answer: Team leader only
◉ Focused or Rapid trauma survey for a generalized, significant
MOI?
Answer: Rapid trauma assessment
◉ How much does the tube move with neck flexion or extension?
Answer: 2-2.5cm
◉ What team member can determine level of consciousness?
Answer: team leader only
◉ Most important thing to do when a child is unresponsive with
obvious respiratory disress, tachypneic and shallow, weak slow
pulse?
Answer: assist ventilations
◉ What angle and position do you tip or roll a pregnant woman?
