INTERNATIONAL TRAUMA LIFE SUPPORT (ITLS) –
Questions With Solutions
ITLS patient assessment Right Ans - Scene sizeup, --> initial assessment -->
mechanism of injury? --> generalized or unknown MOI= rapid trauma OR
localized MOI= focused exam --> load and go? ---> ITLS secondary survey OR
itls ongoing exam
Initial assessment Right Ans - general impression, LOC, ABC
"fix it" process Right Ans - Used because experience shows that most
mistakes occu because the tram leaser stops to perform an intervention and
forgets to perform part of the assessment. To prevent this, when an
immediate intervention is needed, delegate it to your team members while
you continue the assessment
Adult normal repiratory rate Right Ans - 10-20
adult abnormal respiratory rate Right Ans - <8 and >24
normal small child respiratory rate Right Ans - 15-30
abnormal small child respiratory rate Right Ans - <15 and >35
normal infant respiratory rate Right Ans - 25-50
abnormal infant respiratopry rate Right Ans - <25 and >60
Ongoing exam Right Ans - each time the patient is moved
each time an intervention if performed
any time the patient's condition worsens
Ask the patient how they feel
LOC
ABCs
Abdomen
check each indentified injury
check interventions
, Secondary survey Right Ans - Meant to pick up additonal injuries
repeat initial assessment
consider using a monitor
record vital signs
do a brief neuro exam- LOC, GCS, pupils, motor skills, sensation
flail chest Right Ans - occurs with the fx in two or more places causing
instability of the chest wall and paradoxical movement on the "flail segment".
needs PEEP.
purpose of the primary survey Right Ans - to determine if immediately life-
threatening conditions exist and to identify those patients who should have
immediate transport to the hospital. Should happen in less than two minutes
when to stop your assessment Right Ans - scene becomes unsafe
cardiac arrest
airway obstruction
on scene goal time for critical patients Right Ans - five minutes
If cannot speak or is unconscious, further evaluation of airway should follow
Right Ans - Look, listen, and feel for movement of air.
GCS and when Right Ans - To be done at the end of every rapid trauma
survey
Eye opening Verbal motor
Spontaneous...4 Oriented...5 obeys commands..6
to voice...3 confused...4 localizes to pain..5
to pain...2 inappropriate word...3 withdraws..4
none...1 incomprehensible sounds..2 flexion..3
silence...1 extension..2
none...1
abnormal flexion Right Ans - decorticate
abnormal extension Right Ans - decerebrate
load and go patients Right Ans - Dangerous mechanism of injury
Questions With Solutions
ITLS patient assessment Right Ans - Scene sizeup, --> initial assessment -->
mechanism of injury? --> generalized or unknown MOI= rapid trauma OR
localized MOI= focused exam --> load and go? ---> ITLS secondary survey OR
itls ongoing exam
Initial assessment Right Ans - general impression, LOC, ABC
"fix it" process Right Ans - Used because experience shows that most
mistakes occu because the tram leaser stops to perform an intervention and
forgets to perform part of the assessment. To prevent this, when an
immediate intervention is needed, delegate it to your team members while
you continue the assessment
Adult normal repiratory rate Right Ans - 10-20
adult abnormal respiratory rate Right Ans - <8 and >24
normal small child respiratory rate Right Ans - 15-30
abnormal small child respiratory rate Right Ans - <15 and >35
normal infant respiratory rate Right Ans - 25-50
abnormal infant respiratopry rate Right Ans - <25 and >60
Ongoing exam Right Ans - each time the patient is moved
each time an intervention if performed
any time the patient's condition worsens
Ask the patient how they feel
LOC
ABCs
Abdomen
check each indentified injury
check interventions
, Secondary survey Right Ans - Meant to pick up additonal injuries
repeat initial assessment
consider using a monitor
record vital signs
do a brief neuro exam- LOC, GCS, pupils, motor skills, sensation
flail chest Right Ans - occurs with the fx in two or more places causing
instability of the chest wall and paradoxical movement on the "flail segment".
needs PEEP.
purpose of the primary survey Right Ans - to determine if immediately life-
threatening conditions exist and to identify those patients who should have
immediate transport to the hospital. Should happen in less than two minutes
when to stop your assessment Right Ans - scene becomes unsafe
cardiac arrest
airway obstruction
on scene goal time for critical patients Right Ans - five minutes
If cannot speak or is unconscious, further evaluation of airway should follow
Right Ans - Look, listen, and feel for movement of air.
GCS and when Right Ans - To be done at the end of every rapid trauma
survey
Eye opening Verbal motor
Spontaneous...4 Oriented...5 obeys commands..6
to voice...3 confused...4 localizes to pain..5
to pain...2 inappropriate word...3 withdraws..4
none...1 incomprehensible sounds..2 flexion..3
silence...1 extension..2
none...1
abnormal flexion Right Ans - decorticate
abnormal extension Right Ans - decerebrate
load and go patients Right Ans - Dangerous mechanism of injury
