ITLS WRITTEN FINAL REVIEW
QUESTIONS AND ANSWERS
Windshieldxsurveyxisxdonexwhen?x-xanswer--duringxscenexsize-up
Signsxandxsymptomsxofxaxtensionxpneumothoraxxinclude:x-xanswer---xAMS
-xsignsxofxshockx(P/C/D,xhypotension)
-xJVD
-xdiminished/absentxlungxsoundsxonxaffectedxside
Whatxpriorityxisxincreasedxbagxresistancexinxtrauma?x-xanswer--thexlowest
Whatxsortxofxassessmentxisxdonexforxanxelderlyxpatientxinvolvedxinxaxmoderatexautoxac
cident?x-xanswer--axrapidxtraumaxassessment
Whichxisxconsideredxax"load-and-
go"xsituation:xopenxfemurxfracturexorxbilateralxfemurxfractures?x-xanswer--
bilateralxfemurxfractures
Axtensionxpneumothoraxxisxconsideredxwhatxkindxofxshock?x-xanswer--mechanical
AllxtraumaxpatientsxEXCEPTxwhichxarexfluidxresuscitatedxuntilxaxsystolicxBPxofx80-90:x-
xanswer--headxinjuryxpatients
Pleuralxdecompressionxentailsxwhat?x-xanswer---xmid-clavicular
-xsecondxintercostalxspace
-
xabovexthexthirdxribx(*doxnotxgoxunderxthexsecondxribxtoxavoidxdamagextoxthexbloodxves
selsxandxnerves)
Ifxyouxhavexaxpediatricxpatientxwhoxisxgrunting,xthisxisxindicativexofxwhat?xHowxtoxtreat?
x-xanswer--respiratoryxfailure;xMUSTxprovidexvent.xsupportx(BVM)
Ifxyou'rexpresentedxwitxhaxpatientxwhoxcomesxoutxofxaxhousexfirexwithxnoxobviousxburns
,xwhoxisxcomplainingxofxbeingxlight-headedxandxdizzy,xsuspectxwhat?x-xanswer--
toxicxinhalationxexposure
Kneexdislocationsxarexmostxlikelyxtoxbexassociatedxwithxwhatxotherxdamage?x-
xanswer--damagextoxnervesxandxarteries
IfxyouxarexpresentedxwithxaxtraumaxpatientxwhoxhasxaxBPxabovex90,xwhatxratexisxthexIV
xtoxflow?x-xanswer--"KVO"
Axpregnantxtraumaxpatientxwithxhypovolemiaxisxtreatxhow?x-xanswer--
placexherxonxherxleftxlateralxsidexinxorderxtoxgetxthexfetusxoffxthexvenaxcava
QUESTIONS AND ANSWERS
Windshieldxsurveyxisxdonexwhen?x-xanswer--duringxscenexsize-up
Signsxandxsymptomsxofxaxtensionxpneumothoraxxinclude:x-xanswer---xAMS
-xsignsxofxshockx(P/C/D,xhypotension)
-xJVD
-xdiminished/absentxlungxsoundsxonxaffectedxside
Whatxpriorityxisxincreasedxbagxresistancexinxtrauma?x-xanswer--thexlowest
Whatxsortxofxassessmentxisxdonexforxanxelderlyxpatientxinvolvedxinxaxmoderatexautoxac
cident?x-xanswer--axrapidxtraumaxassessment
Whichxisxconsideredxax"load-and-
go"xsituation:xopenxfemurxfracturexorxbilateralxfemurxfractures?x-xanswer--
bilateralxfemurxfractures
Axtensionxpneumothoraxxisxconsideredxwhatxkindxofxshock?x-xanswer--mechanical
AllxtraumaxpatientsxEXCEPTxwhichxarexfluidxresuscitatedxuntilxaxsystolicxBPxofx80-90:x-
xanswer--headxinjuryxpatients
Pleuralxdecompressionxentailsxwhat?x-xanswer---xmid-clavicular
-xsecondxintercostalxspace
-
xabovexthexthirdxribx(*doxnotxgoxunderxthexsecondxribxtoxavoidxdamagextoxthexbloodxves
selsxandxnerves)
Ifxyouxhavexaxpediatricxpatientxwhoxisxgrunting,xthisxisxindicativexofxwhat?xHowxtoxtreat?
x-xanswer--respiratoryxfailure;xMUSTxprovidexvent.xsupportx(BVM)
Ifxyou'rexpresentedxwitxhaxpatientxwhoxcomesxoutxofxaxhousexfirexwithxnoxobviousxburns
,xwhoxisxcomplainingxofxbeingxlight-headedxandxdizzy,xsuspectxwhat?x-xanswer--
toxicxinhalationxexposure
Kneexdislocationsxarexmostxlikelyxtoxbexassociatedxwithxwhatxotherxdamage?x-
xanswer--damagextoxnervesxandxarteries
IfxyouxarexpresentedxwithxaxtraumaxpatientxwhoxhasxaxBPxabovex90,xwhatxratexisxthexIV
xtoxflow?x-xanswer--"KVO"
Axpregnantxtraumaxpatientxwithxhypovolemiaxisxtreatxhow?x-xanswer--
placexherxonxherxleftxlateralxsidexinxorderxtoxgetxthexfetusxoffxthexvenaxcava