EMR ITLS Trauma Scenario UPDATED ACTUAL Questions and
CORRECT Answers
1. ITLS PRIMARY - Scene Size Up
SURVEY - Initial Assessment
- C-Spine
- LOC
- ABCs
*Action Decision: Focused or Rapid Trauma Survey
- Interventions
2. Scene Size Up - I am donning my BSI (body substance isolation)
- Do I hear, see, or smell any hazards?
- How many patients do I have?
- Am I requesting back up?
- What is the MOI (mechanism of injury)?
3. Initial Assess- - Are there bystanders who have any information?
ment - What is the general impression of patient (age, sex, weight, etc.)?
- Any obvious injuries or life-threatening bleeding?
4. C-Spine - Take initial c-spine control
- Establish if c-spine is required
- If no significant signs & symptoms, release c-spine
5. LOC - Assess AVPU (alert, verbal, painful, unconscious)
(Level of Con- - What is chief complaint?
sciousness) - What are the signs & symptoms?
6. ABCs - Is the airway open & clear?
(Airway, Breath- - Is there snoring, gurgling, stridor, or silence?
ing, Circulation)
- Is breathing present?
- Rate, depth, & effort?
- I am administering oxygen via
, - Is circulation present?
- Rate, rhythm, quality at radial & carotid?
- Skin colour, condition, temperature, & cap refill?
- Has the bleeding been controlled?
- Is this a focused or rapid trauma assessment?
7. Interventions Any actions taken to correct or manage a patient's problems
8. RAPID TRAUMA - Head & Neck
SURVEY - Chest
- Abdomen
- Pelvis
- Lower/Upper Extremities
- Back
*Action Decision: Ongoing Exam or Secondary Survey
9. Head & Neck - I am looking & feeling for DCAP BLS TIC (deformities, contusions, abrasions,
penetrations, burns, lacerations, swelling, tenderness, instability, crepitus)
- Is there any JVD (jugular vein distention)?
- Is the trachea midline?
- I am applying a c-collar
10. Chest - I am looking & feeling for DCAP BLS TIC (deformities, contusions, abrasions,
penetrations, burns, lacerations, swelling, tenderness, instability, crepitus)
- Is the chest asymmetrical?
- Is there any paradoxical motion?
- Is there any subcutaneous emphysema?
- Auscultating for lung & heart sounds - if decreased, percuss
11. Abdomen - I am looking & feeling for DRT (distention, rigidity, tenderness)
- Is there any evisceration, bruising, or penetrations?
12. Pelvis - I am looking & feeling for TIC (tenderness, instability, crepitus)
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CORRECT Answers
1. ITLS PRIMARY - Scene Size Up
SURVEY - Initial Assessment
- C-Spine
- LOC
- ABCs
*Action Decision: Focused or Rapid Trauma Survey
- Interventions
2. Scene Size Up - I am donning my BSI (body substance isolation)
- Do I hear, see, or smell any hazards?
- How many patients do I have?
- Am I requesting back up?
- What is the MOI (mechanism of injury)?
3. Initial Assess- - Are there bystanders who have any information?
ment - What is the general impression of patient (age, sex, weight, etc.)?
- Any obvious injuries or life-threatening bleeding?
4. C-Spine - Take initial c-spine control
- Establish if c-spine is required
- If no significant signs & symptoms, release c-spine
5. LOC - Assess AVPU (alert, verbal, painful, unconscious)
(Level of Con- - What is chief complaint?
sciousness) - What are the signs & symptoms?
6. ABCs - Is the airway open & clear?
(Airway, Breath- - Is there snoring, gurgling, stridor, or silence?
ing, Circulation)
- Is breathing present?
- Rate, depth, & effort?
- I am administering oxygen via
, - Is circulation present?
- Rate, rhythm, quality at radial & carotid?
- Skin colour, condition, temperature, & cap refill?
- Has the bleeding been controlled?
- Is this a focused or rapid trauma assessment?
7. Interventions Any actions taken to correct or manage a patient's problems
8. RAPID TRAUMA - Head & Neck
SURVEY - Chest
- Abdomen
- Pelvis
- Lower/Upper Extremities
- Back
*Action Decision: Ongoing Exam or Secondary Survey
9. Head & Neck - I am looking & feeling for DCAP BLS TIC (deformities, contusions, abrasions,
penetrations, burns, lacerations, swelling, tenderness, instability, crepitus)
- Is there any JVD (jugular vein distention)?
- Is the trachea midline?
- I am applying a c-collar
10. Chest - I am looking & feeling for DCAP BLS TIC (deformities, contusions, abrasions,
penetrations, burns, lacerations, swelling, tenderness, instability, crepitus)
- Is the chest asymmetrical?
- Is there any paradoxical motion?
- Is there any subcutaneous emphysema?
- Auscultating for lung & heart sounds - if decreased, percuss
11. Abdomen - I am looking & feeling for DRT (distention, rigidity, tenderness)
- Is there any evisceration, bruising, or penetrations?
12. Pelvis - I am looking & feeling for TIC (tenderness, instability, crepitus)
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