International Trauma Life Support (ITLS) Test Questions With Correct Answers

International Trauma Life Support (ITLS) Test Questions With Correct Answers What makes up the ITLS Primary Survey - ANSWER Scene size up Initial assessment Rapid trauma survey or Focused exam Critical interventions and transport decisions Contact medical direction What makes up the ITLS Secondary Survey - ANSWER Repeat initial assessment Repeat vital signs Perform neuro exam Perform head to toe exam What makes up the ITLS Ongoing Exam - ANSWER Repeat initial assessment Repeat vital signs Reassess abdomen Check injuries and interventions What are the steps of the Scene Size Up - ANSWER Standard precautions Scene safety Initial triage Assess need for help / equipment Mechanism of injury What is the purpose of the Primary Survey - ANSWER To determine if immediately life threatening conditions exist and to identify those patients who should have immediate transport to the hospital What is the purpose of the Ongoing Exam - ANSWER It is meant to identify changes in the patient's condition When do you perform a Rapid Trauma Survey - ANSWER For generalized mechanisms of injury When do you perform a Focused Exam - ANSWER For injuries that are localized to a discrete area What are the 3 types of collisions that occur during an MVC - ANSWER Machine Body Organ What is a secondary collision that occurs during an MVC - ANSWER Objects that are in the vehecile that hit the occupents What is machine collision - ANSWER Damage to the vehicle What is body collision - ANSWER Damage to a person in the vehicle What is organ collision - ANSWER Internal organs that are damaged from the sudden decelearation What is Primary Blast - ANSWER The initial air blast from an explosion. Usually affects air-filled organs What is Secondary Blast - ANSWER The patient being struck by material propelled by the blast force What is Tertiary Blast - ANSWER The body being thrown and impacting on ground or other objects What is Quanternary Blast - ANSWER Thermal burns from the explosion or respiratory injuries from inhalation of toxic dust or fumes What is Quniary Blast - ANSWER Contamination by chemical, biological, or radiological material that was dispersed by the explosion What are the reasons that would interrupt the Primary Survey - ANSWER Scene becomes unsafe, Obstructed airway, Cardiac arrest For critical patients, the goal of the Primary Survey should be how long - ANSWER < 2 and on scene time < 5 What is the purpose of the Initial Assessment - ANSWER To prioritize the patient and to determine the existence of immediately life threatening conditions What is External Laryngeal Manipulation (ELM) - ANSWER A maneuver to improve visulization of the vocal cords during endotracheal intubation What is Sellick maneuver - ANSWER Posterior pressure on the cricoid cartilage to prevent gastricc insufflation and vomiting How much does the endotracheal tube move if the patient's head is flexed or extended - ANSWER 2 to 2.5cm What does "BOOTS" mean - ANSWER It is used to predict difficulties during mask ventilation What does the mnemonic BOOTS stand for - ANSWER B Beards O Obesity O Older patients T Toothlessness S Snores or stridor What are the signs / symptoms of a tension pneumothorax - ANSWER Decreased LOC Labored breathing Weak / thready pulse Cool / clammy skin Distended neck veins Decreased or absent breath sounds of affected side