ITLS Midterm Review: Questions & Solutions (100%)
How does the team leader minimize errors in the survey? Right Ans - By
delegating interventions
What’s the acronym for a difficult BVM ventilation? Right Ans - "BOOTS"
Beards
Obesity
Old
Toothless
Snores/stridor
What's the most common cause for intubated trauma patients to develop poor
lung compliance while being ventilated? Right Ans - Tension
pneumothorax
Routine use of hyperventilation of the traumatic brain injured patient will:
Right Ans - Cause vasoconstriction and increased cerebral ischemia
What's the appropriate IV therapy for hemorrhaging pt? Right Ans - Bolus
of 500-1000ml then reassess
What's the cause of a secondary brain injury? Right Ans - Hypoxia
What's the goal for time in a severe trauma? Right Ans - 5 minutes or less
Load and go criteria Right Ans - - altered LOC
- abnormal respirations
- abnormal circulation
- shock potential
- abnormal chest exam
- tender abdomen
- pelvic instability
- bilateral femur fracture
Critical interventions Right Ans - - airway
- ventilation
- oxygen
- CPR
, - major bleeds
- seal chest wound
- flail chest
- decompress tension pneumo (immediately)
- stabilize impaled object
- complete packaging
How often do you do ongoing exam in stable patients? Right Ans - Every 15
minutes
How often do you do ongoing exam in unstable patients? Right Ans - Every
5 minutes
Ongoing exam assessment Right Ans - - mental (LOC and pupils)
- ABCs
- neck
- abdo
- interventions
2ndary survey (same as primary)
- neuro and Hx exam
Acronym for difficult airway? Right Ans - "MMAP"
Mallampati
Measurement
Atlanto-occipital extension
Pathology
What's the ideal SPO2 in ITLS? Right Ans - Above 95%
What's the ventilation rate for non intubated patients? Right Ans - 10-
12/min
What's the ventilation rate for intubated patients? Right Ans - 8-10/min
Sign of pleuritis? Right Ans - Sharp pain on inspiration
In what two conditions do you see JVD? Right Ans - Cardiac tamponade and
tension pneumothorax
How does the team leader minimize errors in the survey? Right Ans - By
delegating interventions
What’s the acronym for a difficult BVM ventilation? Right Ans - "BOOTS"
Beards
Obesity
Old
Toothless
Snores/stridor
What's the most common cause for intubated trauma patients to develop poor
lung compliance while being ventilated? Right Ans - Tension
pneumothorax
Routine use of hyperventilation of the traumatic brain injured patient will:
Right Ans - Cause vasoconstriction and increased cerebral ischemia
What's the appropriate IV therapy for hemorrhaging pt? Right Ans - Bolus
of 500-1000ml then reassess
What's the cause of a secondary brain injury? Right Ans - Hypoxia
What's the goal for time in a severe trauma? Right Ans - 5 minutes or less
Load and go criteria Right Ans - - altered LOC
- abnormal respirations
- abnormal circulation
- shock potential
- abnormal chest exam
- tender abdomen
- pelvic instability
- bilateral femur fracture
Critical interventions Right Ans - - airway
- ventilation
- oxygen
- CPR
, - major bleeds
- seal chest wound
- flail chest
- decompress tension pneumo (immediately)
- stabilize impaled object
- complete packaging
How often do you do ongoing exam in stable patients? Right Ans - Every 15
minutes
How often do you do ongoing exam in unstable patients? Right Ans - Every
5 minutes
Ongoing exam assessment Right Ans - - mental (LOC and pupils)
- ABCs
- neck
- abdo
- interventions
2ndary survey (same as primary)
- neuro and Hx exam
Acronym for difficult airway? Right Ans - "MMAP"
Mallampati
Measurement
Atlanto-occipital extension
Pathology
What's the ideal SPO2 in ITLS? Right Ans - Above 95%
What's the ventilation rate for non intubated patients? Right Ans - 10-
12/min
What's the ventilation rate for intubated patients? Right Ans - 8-10/min
Sign of pleuritis? Right Ans - Sharp pain on inspiration
In what two conditions do you see JVD? Right Ans - Cardiac tamponade and
tension pneumothorax
