ITLS Review UPDATED ACTUAL Questions and CORRECT Answers
1. Most common caus- Road traflc injury, Intentional injury, Suicide, Falls
es of traumatic
death
2. Golden Period The critical window of time after trauma where prompt care improves survival
3. Three collisions in Car hits object, Body hits car interior, Organs hit inside of body
MVC
4. Scene Size-Up Standard precautions, Scene safety, MOI, # of patients, Resources needed
5. Generalized MOI Hit by car, ejected from vehicle, rollover
6. Focused MOI Gunshot, stabbing—injury more localized
7. Frontal Impact In- Windshield (head/face), Steering wheel (chest), Dashboard (knees)
juries
8. Lateral Impact Colli- Energy from the side; check both impact and opposite side for injury
sion
9. Rear Impact Colli- Whiplash injuries; assess headrest position
sion
10. Rollover MVC Multiple points of impact, risk of ejection and axial loading
11. Chance of death Increases 25 times
with ejection
12. Fall Injury Factors Height, body part impacted, surface struck, patient age
13. Penetrating Trauma Depends on anatomical area, blade length, angle, and depth
Severity
14. Body part hit, bullet velocity, bullet caliber
, Gunshot Injury Fac-
tors
15. Primary blast injury Caused by pressure wave affecting air-filled organs
16. Secondary blast in- Caused by flying debris/projectiles
jury
17. Tertiary blast injury Patient is thrown by the blast
18. Quaternary blast in- Injuries from heat, burns, inhalation
jury
19. Quinary blast injury Toxic effects (e.g., radiation, bacteria, chemicals)
20. Over-triage Transporting minor trauma to trauma centers
21. Under-triage Missing patients who need trauma center care
22. Interrupt ITLS sur- Unsafe scene, airway obstruction, cardiac arrest, life-threatening bleeding
vey only for
23. ITLS Primary Survey Scene Size-Up, Initial Assessment, Rapid Trauma Survey
24. Signs of Compensat- Weakness, pallor, tachycardia, narrow pulse pressure, delayed cap refill
ed Shock
25. Signs of Decompen- Hypotension, weak/no radial pulse, prolonged cap refill
sated Shock
26. 4 Types of Shock Hypovolemic, Distributive, Obstructive, Cardiogenic
27. Hypovolemic Shock Caused by loss of fluid volume; classic blood loss shock
28. Distributive Shock Vascular space too large; common in sepsis or spinal injury
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1. Most common caus- Road traflc injury, Intentional injury, Suicide, Falls
es of traumatic
death
2. Golden Period The critical window of time after trauma where prompt care improves survival
3. Three collisions in Car hits object, Body hits car interior, Organs hit inside of body
MVC
4. Scene Size-Up Standard precautions, Scene safety, MOI, # of patients, Resources needed
5. Generalized MOI Hit by car, ejected from vehicle, rollover
6. Focused MOI Gunshot, stabbing—injury more localized
7. Frontal Impact In- Windshield (head/face), Steering wheel (chest), Dashboard (knees)
juries
8. Lateral Impact Colli- Energy from the side; check both impact and opposite side for injury
sion
9. Rear Impact Colli- Whiplash injuries; assess headrest position
sion
10. Rollover MVC Multiple points of impact, risk of ejection and axial loading
11. Chance of death Increases 25 times
with ejection
12. Fall Injury Factors Height, body part impacted, surface struck, patient age
13. Penetrating Trauma Depends on anatomical area, blade length, angle, and depth
Severity
14. Body part hit, bullet velocity, bullet caliber
, Gunshot Injury Fac-
tors
15. Primary blast injury Caused by pressure wave affecting air-filled organs
16. Secondary blast in- Caused by flying debris/projectiles
jury
17. Tertiary blast injury Patient is thrown by the blast
18. Quaternary blast in- Injuries from heat, burns, inhalation
jury
19. Quinary blast injury Toxic effects (e.g., radiation, bacteria, chemicals)
20. Over-triage Transporting minor trauma to trauma centers
21. Under-triage Missing patients who need trauma center care
22. Interrupt ITLS sur- Unsafe scene, airway obstruction, cardiac arrest, life-threatening bleeding
vey only for
23. ITLS Primary Survey Scene Size-Up, Initial Assessment, Rapid Trauma Survey
24. Signs of Compensat- Weakness, pallor, tachycardia, narrow pulse pressure, delayed cap refill
ed Shock
25. Signs of Decompen- Hypotension, weak/no radial pulse, prolonged cap refill
sated Shock
26. 4 Types of Shock Hypovolemic, Distributive, Obstructive, Cardiogenic
27. Hypovolemic Shock Caused by loss of fluid volume; classic blood loss shock
28. Distributive Shock Vascular space too large; common in sepsis or spinal injury
2/5
