ITLS Exam Preparation
1. 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
2. What does "OPIM" stand for?: Other Potentially Infectious Material
3.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 cuff, stethoscope)
4. 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
5. What are some of the potential injury patterns for a mechanism of
lateral impact (T-bone)? (Name 8): -Contralateral neck sprain
-Cervical-spine fracture
-Lateral flail chest
-Pneumothorax
-Aortic disruption
-Diaphragmatic rupture
-Laceration of liver, kidney or spleen
-Pelvic fracture
6. What are potential injury patterns for a mechanism of ejection?:
Exposure to all mechanisms (and mortality increased)
7. What are some of the potential injury patterns for a mechanism of Injury
of pedestrian vs. car? (Name 4): -Head injury
,-Aortic disruption
-Abdominal visceral injuries
-Fracture pelvis and lower extremities
, 8. What is "index of suspicion"?: The medical provider's estimate of a
disease or injury being present in a patient. A high index of suspicion
means there is a high probability the injury is present. A low index of
suspicion means there is a low risk of the injury.
9. List the two basic mechanisms of motion injury: Blunt and penetrating
10.Identify the three collisions associated with a motor-vehicle
collision (MVC): 1. Machine collision
2. Body collision
3. Organ collision resulting in rupture, shearing, or bruising
11. Name the five common forms of MVCs: 1. Frontal-impact (head-on
collision)
2. Lateral-impact (T-bone collision)
3. Rear-impact collision
4. Rollover collision
5. Rotational collision
12.Using the three collisions associated with a MVC, relate at least three
frontal-impact collisions to potential patient injuries to deformity of the vehi-
cle, interior structures and body structures.: Machine collision = Deformed
front end
1. 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
2. What does "OPIM" stand for?: Other Potentially Infectious Material
3.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 cuff, stethoscope)
4. 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
5. What are some of the potential injury patterns for a mechanism of
lateral impact (T-bone)? (Name 8): -Contralateral neck sprain
-Cervical-spine fracture
-Lateral flail chest
-Pneumothorax
-Aortic disruption
-Diaphragmatic rupture
-Laceration of liver, kidney or spleen
-Pelvic fracture
6. What are potential injury patterns for a mechanism of ejection?:
Exposure to all mechanisms (and mortality increased)
7. What are some of the potential injury patterns for a mechanism of Injury
of pedestrian vs. car? (Name 4): -Head injury
,-Aortic disruption
-Abdominal visceral injuries
-Fracture pelvis and lower extremities
, 8. What is "index of suspicion"?: The medical provider's estimate of a
disease or injury being present in a patient. A high index of suspicion
means there is a high probability the injury is present. A low index of
suspicion means there is a low risk of the injury.
9. List the two basic mechanisms of motion injury: Blunt and penetrating
10.Identify the three collisions associated with a motor-vehicle
collision (MVC): 1. Machine collision
2. Body collision
3. Organ collision resulting in rupture, shearing, or bruising
11. Name the five common forms of MVCs: 1. Frontal-impact (head-on
collision)
2. Lateral-impact (T-bone collision)
3. Rear-impact collision
4. Rollover collision
5. Rotational collision
12.Using the three collisions associated with a MVC, relate at least three
frontal-impact collisions to potential patient injuries to deformity of the vehi-
cle, interior structures and body structures.: Machine collision = Deformed
front end
