ITLS: Questions And Precise Answers (100% Accurate)
DD 5) Tension pneumothorax Right Ans - - Dyspnea
- Anxiety
- Tachypnea
- Distended neck veins
- Tracheal deviation
- Breath sounds diminished
*Hyperresonance if percussed
- Shock with hypotension
- High flow oxygen
- Decompress affected side
* Respiratory distress and cyanosis
* Loss of radial pulse
* Decreasing LOC
- Load and go
Blast Injuries Right Ans - injuries commonly produced by the different
mechanisms associated with an explosion (air blast, shrapnel, burns)
Essential equipment Right Ans - equipment that is worn or carried when
the responders approach the trauma patient. It includes personal protective
equipment, long backboard and strapping, rigid cervical extrication collar,
oxygen and airway equipment, and trauma box
Scene size-up Right Ans - observations made and actions taken at a trauma
scene before actually approaching the patient; the initial step in the ITLS
survey
What is the initial step in the ITLS survey? Right Ans - scene size-up
ITLS Primary Survey Right Ans - Brief exam to find immediately life-
threatening conditions
What steps are a part of the ITLS primary survey Right Ans - scene size-up,
initial assessment, either rapid trauma survey or the focused exam
,Standard Precautions Right Ans - steps each health care worker takes to
protect themselves & their pt from exposure to infectious agents; includes
treating each pt as if they were infectious
What are some examples of standard precautions Right Ans - Always
wearing gloves, frequently requires face shield, occasionally requires a
protective gown
OPIM Right Ans - Other potentially infectious materials - which a
responder may be exposed to other than blood
PPE (personal protective equipment) Right Ans - equipment that an
emergency care provider dons for protection from various dangers that may
be present at the trauma scene
MOI (mechanism of injury) Right Ans - the means by which the pt was
injured i.e fall, MVC, explosion
high-energy event Right Ans - a mechanism of injury in which it is likely
that there was a large release of uncontrolled kinetic energy transmitted to
the patient, thus increasing the chances for serious injury.
Rapid trauma survey Right Ans - a brief exam from head to toe performed
to identify life threatening injuries
Focused exam Right Ans - an exa used when there is a focused (localized)
MOI or an isolated injury. This exam is limited to the area of injury
Index of suspicion Right Ans - medical providers estimate of a disease or
injury being present in a pt
High index of suspicion Right Ans - a high probability an injury is present
Low index of suspicion Right Ans - low risk of the injury
Occupant Restraint Systems Right Ans - systems built into a vehicle to
prevent the driver and passengers from being thrown about the interior of the
vehicle or from being ejected from the vehicle in the event of a collision
, Steps of ITLS scene size-up Right Ans - 1. I am donning my BSI
2. Do i hear, see or smell any hazards?
3. How many pt's do I have?
4. I am requesting backup (1 ambulance, 1 firetruck)
5. What is the MOI?
Two basic mechanisms of motion injury Right Ans - 1. blunt
2. penetrating
What are the 3 collisions associated with MVC's? Right Ans - 1. machine
collision
2. body collision
3. organ collision resulting in rupture, shearing, or bruising
What are the 5 common forms of MVC's? Right Ans - 1. frontal impact/head
on
2. lateral impact/t-bone
3. rear-impact
4. rollover collision
5. rotational collision
What are potential injuries associated with proper and improper use of seat
restraints, headrests, and air bags in a head on collision Right Ans -
Unrestrained driver - airway & spinal injuries from hitting the windshield,
direct trauma to the face and head
- steering wheel injuries for unrestrained driver - face, neck, thoracic, or
abdominal injury
- lacerations of the mouth & chin, contusions of the anterior neck,traumatic
tattoos of the chest wall, abdo bruising
- dashboard injuries - most commonly include face & knees
What are organs susceptible to shearing injuries due to their ligamentous
attachments? (MVC's) Right Ans - aortic arch, liver, spleen, kidneys, bowel
What injuries are sources for occult bleeds and hemorrhagic shock? Right
Ans - aoric arch, liver, spleen, kidneys
What organs are compression injuries common for? Right Ans - lungs,
heart, diaphragm, urinary bladder
DD 5) Tension pneumothorax Right Ans - - Dyspnea
- Anxiety
- Tachypnea
- Distended neck veins
- Tracheal deviation
- Breath sounds diminished
*Hyperresonance if percussed
- Shock with hypotension
- High flow oxygen
- Decompress affected side
* Respiratory distress and cyanosis
* Loss of radial pulse
* Decreasing LOC
- Load and go
Blast Injuries Right Ans - injuries commonly produced by the different
mechanisms associated with an explosion (air blast, shrapnel, burns)
Essential equipment Right Ans - equipment that is worn or carried when
the responders approach the trauma patient. It includes personal protective
equipment, long backboard and strapping, rigid cervical extrication collar,
oxygen and airway equipment, and trauma box
Scene size-up Right Ans - observations made and actions taken at a trauma
scene before actually approaching the patient; the initial step in the ITLS
survey
What is the initial step in the ITLS survey? Right Ans - scene size-up
ITLS Primary Survey Right Ans - Brief exam to find immediately life-
threatening conditions
What steps are a part of the ITLS primary survey Right Ans - scene size-up,
initial assessment, either rapid trauma survey or the focused exam
,Standard Precautions Right Ans - steps each health care worker takes to
protect themselves & their pt from exposure to infectious agents; includes
treating each pt as if they were infectious
What are some examples of standard precautions Right Ans - Always
wearing gloves, frequently requires face shield, occasionally requires a
protective gown
OPIM Right Ans - Other potentially infectious materials - which a
responder may be exposed to other than blood
PPE (personal protective equipment) Right Ans - equipment that an
emergency care provider dons for protection from various dangers that may
be present at the trauma scene
MOI (mechanism of injury) Right Ans - the means by which the pt was
injured i.e fall, MVC, explosion
high-energy event Right Ans - a mechanism of injury in which it is likely
that there was a large release of uncontrolled kinetic energy transmitted to
the patient, thus increasing the chances for serious injury.
Rapid trauma survey Right Ans - a brief exam from head to toe performed
to identify life threatening injuries
Focused exam Right Ans - an exa used when there is a focused (localized)
MOI or an isolated injury. This exam is limited to the area of injury
Index of suspicion Right Ans - medical providers estimate of a disease or
injury being present in a pt
High index of suspicion Right Ans - a high probability an injury is present
Low index of suspicion Right Ans - low risk of the injury
Occupant Restraint Systems Right Ans - systems built into a vehicle to
prevent the driver and passengers from being thrown about the interior of the
vehicle or from being ejected from the vehicle in the event of a collision
, Steps of ITLS scene size-up Right Ans - 1. I am donning my BSI
2. Do i hear, see or smell any hazards?
3. How many pt's do I have?
4. I am requesting backup (1 ambulance, 1 firetruck)
5. What is the MOI?
Two basic mechanisms of motion injury Right Ans - 1. blunt
2. penetrating
What are the 3 collisions associated with MVC's? Right Ans - 1. machine
collision
2. body collision
3. organ collision resulting in rupture, shearing, or bruising
What are the 5 common forms of MVC's? Right Ans - 1. frontal impact/head
on
2. lateral impact/t-bone
3. rear-impact
4. rollover collision
5. rotational collision
What are potential injuries associated with proper and improper use of seat
restraints, headrests, and air bags in a head on collision Right Ans -
Unrestrained driver - airway & spinal injuries from hitting the windshield,
direct trauma to the face and head
- steering wheel injuries for unrestrained driver - face, neck, thoracic, or
abdominal injury
- lacerations of the mouth & chin, contusions of the anterior neck,traumatic
tattoos of the chest wall, abdo bruising
- dashboard injuries - most commonly include face & knees
What are organs susceptible to shearing injuries due to their ligamentous
attachments? (MVC's) Right Ans - aortic arch, liver, spleen, kidneys, bowel
What injuries are sources for occult bleeds and hemorrhagic shock? Right
Ans - aoric arch, liver, spleen, kidneys
What organs are compression injuries common for? Right Ans - lungs,
heart, diaphragm, urinary bladder
