ITLS Advanced
what are the three seperate events of a MVC? - answer machine collision, body
collision and organ collision
what are the five common forms of MVC's? - answer frontal impact, lateral impact, rear
impact, rollover, rotational
occupants ejected from the vehicle are how many times more likely to have serious
injury? - answer3x more likely
what three factors need to be taken into account for fall injuries? - answer height,
anatomic area impacted and the surface struck
knife wound severity depends on what? - answer anatomic area penetrated, length of
the blade, and angle of penetration
stab wounds below what intercostal space may have abdominal trauma? - answerthe
4th intercostal space
what info is good to have about firearm injuries? - answertype of gun, caliber and
distance from which it was fired
what is a low velocity weapon? - answeranything slower than 2000fps
what factors contribute to tissue damage from a bullet? - answersize,missle deformity,
semijacket,tumbling and yaw
what are the three wound from a bullet? - answerentry,exit and internal
mechanism of injury by blast is due to what 5 factors? - answerPrimary
( pressure),Secondary (shrapnel) , tertiary (body is thrown), Quaternary ( burns, toxic
dust ,fumes), Quniary ( chemical,biological and radiological material )
what three things stop the primary survey? - answerscene is unsafe, FBAO,Cardiac
arrest
critical patients how long should on scene time be? - answerless than 5 min
what is normal resp rate for adult ,children and infant? - answer10-20,15-30 and 25-30
, when should the ongoing exam be preformed? - answerwhen the pt is moved, when
intervention is preformed and any time pts condition worsens
the adult thoracic cavity can contain how much blood on each side? - answerup to 3
litres
blunt or penetrating trauma below T4 / fourth intercostal may cause what? -
answerintrathoracic and intrabdominal injuries
what is the deadly dozen? - answerobstruction,flail chest,open pneumothorax, massive
hemothorax, tension pneumo, cardiac tamponade,myocardial contusion , aortic rupture,
tracheal or bronchial tree injury, diaphragmatic tears, pulmonary contusion, blast injuries
what will a pt have with a flail chest? - answerpulmonary contusion
what is gold care for flail segment? - answerintubation with PEEP, or CPAP if small
segment
what is criteria for open pneumothorax? - answer>3cm in diameter ( wound 2/3rds size
of the trachea )
what is a massive hemothorax? - answerthe presence of at least 1500ml of blood loss
into the pleural space of the thoracic cavity
what is the difference between hemo and tension pneumothorax? - answertension neck
veins are distended with possible tracheal deviation, hyper resonance on affected side
as opposed to dull
what is criteria for needle decompression? - answerrespiratory distress and cyanosis,
loss of radial pulse , altered loc
how much blood is required to cause pericardial tamponade ? - answeras little as 75cc
what are signs of cardiac tamponade? - answerdistended neck veins, trachea midline,
hypotension, narrowed pulse pressure , normal breath sounds
what is beck's triad? - answerdistended neck veins, muffled heart tones, pulses
paradoxus
how to differentiate between cardiac tamponade and tension pneumo? -
answertamponade pt will be in shock, with equal breath sounds and midline trachea
in myocardial contusion, what part of the heart is frequently injured? - answerright
atrium and ventricle
what are the three seperate events of a MVC? - answer machine collision, body
collision and organ collision
what are the five common forms of MVC's? - answer frontal impact, lateral impact, rear
impact, rollover, rotational
occupants ejected from the vehicle are how many times more likely to have serious
injury? - answer3x more likely
what three factors need to be taken into account for fall injuries? - answer height,
anatomic area impacted and the surface struck
knife wound severity depends on what? - answer anatomic area penetrated, length of
the blade, and angle of penetration
stab wounds below what intercostal space may have abdominal trauma? - answerthe
4th intercostal space
what info is good to have about firearm injuries? - answertype of gun, caliber and
distance from which it was fired
what is a low velocity weapon? - answeranything slower than 2000fps
what factors contribute to tissue damage from a bullet? - answersize,missle deformity,
semijacket,tumbling and yaw
what are the three wound from a bullet? - answerentry,exit and internal
mechanism of injury by blast is due to what 5 factors? - answerPrimary
( pressure),Secondary (shrapnel) , tertiary (body is thrown), Quaternary ( burns, toxic
dust ,fumes), Quniary ( chemical,biological and radiological material )
what three things stop the primary survey? - answerscene is unsafe, FBAO,Cardiac
arrest
critical patients how long should on scene time be? - answerless than 5 min
what is normal resp rate for adult ,children and infant? - answer10-20,15-30 and 25-30
, when should the ongoing exam be preformed? - answerwhen the pt is moved, when
intervention is preformed and any time pts condition worsens
the adult thoracic cavity can contain how much blood on each side? - answerup to 3
litres
blunt or penetrating trauma below T4 / fourth intercostal may cause what? -
answerintrathoracic and intrabdominal injuries
what is the deadly dozen? - answerobstruction,flail chest,open pneumothorax, massive
hemothorax, tension pneumo, cardiac tamponade,myocardial contusion , aortic rupture,
tracheal or bronchial tree injury, diaphragmatic tears, pulmonary contusion, blast injuries
what will a pt have with a flail chest? - answerpulmonary contusion
what is gold care for flail segment? - answerintubation with PEEP, or CPAP if small
segment
what is criteria for open pneumothorax? - answer>3cm in diameter ( wound 2/3rds size
of the trachea )
what is a massive hemothorax? - answerthe presence of at least 1500ml of blood loss
into the pleural space of the thoracic cavity
what is the difference between hemo and tension pneumothorax? - answertension neck
veins are distended with possible tracheal deviation, hyper resonance on affected side
as opposed to dull
what is criteria for needle decompression? - answerrespiratory distress and cyanosis,
loss of radial pulse , altered loc
how much blood is required to cause pericardial tamponade ? - answeras little as 75cc
what are signs of cardiac tamponade? - answerdistended neck veins, trachea midline,
hypotension, narrowed pulse pressure , normal breath sounds
what is beck's triad? - answerdistended neck veins, muffled heart tones, pulses
paradoxus
how to differentiate between cardiac tamponade and tension pneumo? -
answertamponade pt will be in shock, with equal breath sounds and midline trachea
in myocardial contusion, what part of the heart is frequently injured? - answerright
atrium and ventricle
