ITLS Course Q’s & A’s 2024

ITLS Course Q’s & A’s 2024 Most Common Causes of Traumatic Death -Answer-Road traffic injury Intentional injury Suicide Falls "Golden period" -Answer-The patient should be receiving definitive hospital care (often surgery) within 1 hour after the incident. [The phrase "golden period" is used rather than "golden hour" because definitive treatment timelines vary between patients and injuries.] "Platinum 10 minutes" -Answer-Most important decisions and life-saving procedures need to be made within first 10 minutes on scene Elements of: ITLS Primary Survey -Answer-1. Perform scene size-up 2. Perform initial assessment 3. Perform rapid trauma survey or focused exam 4. Make critical interventions and transport decision 5. Contact medical direction Elements of: ITLS Secondary Survey -Answer-1. Repeat initial assessment 2. Repeat vital signs and consider monitors 3. Perform neurological exam (PMS) 4. Perform detailed (head-to-toe) exam Elements of: ITLS Reassessment Survey -Answer-1. Repeat initial assessment 2. Repeat vital signs and check monitors 3. Reassess the abdomen 4. Check injuries and interventions First step of ITLS Primary Survey -Answer-Scene Size-Up Elements of: Scene Size-Up -Answer-1. Standard precautions (PPE) 2. Scene safety 3. Initial triage (total # pts) 4. Need for more help or equipment (additional resources) 5. Mechanism of injury Windshield Survey -Answer-Part of assessing scene safety Look for hazards and threats before leaving your response vehicle The baseline of trauma care -Answer-Mechanism of Injury (MOI) Generalized MOI -Answer-May require rapid trauma survey Significant MOI, likely numerous severe injuries to patient Focused MOI -Answer-May only require focused exam Patient only has a localized injury The _________ of the object has the greater effect on traumatic injury -Answer-speed _______________ injuries are responsible for majority of mortality from trauma in US and industrial world -Answer-Motion (mechanical) __________ trauma is more common in rural settings -Answer-Blunt Types of Blunt Injuries -Answer-Rapid forward deceleration Rapid vertical deceleration Blunt instrument energy transfer Rapid forward deceleration -Answer-Usually blunt, may be penetrating Most common example of rapid forward deceleration is ______________ -Answer-Motor vehicle collision (MVC) Rapid vertical deceleration -Answer-Falls ____________ are prevalent in children and older adults due to developmental and age related factors -Answer-Falls Blunt instrument energy transfer -Answer-Risk of high energy transfer to an isolated tissue area (where vital organ may be located) Events of a Motor Vehicle Collision (MVC) -Answer-1. Machine Collision - when vehicle motion is stopped 2. Body Collision - when body motion is stopped (by vehicle) 3. Organ Collision - when organ motion is sto