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ITLS Exam: Questions And Answers (International Trauma Life Support)
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ITLS Exam: Questions And Answers (International Trauma Life Support)
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ITLS Exam: Questions And Answers (InternationalTrauma Life Support)
4 things that cause you to interrupt completion of your assessment Right
Ans - 1. Scene becomes unsafe
2. You must treat exsanguinating hemorrhage
3. Must treat airway obstruction
4. Must treat cardiac arrest
Normal resp rate for adults, children, and infant Right Ans - Adult: 10-20
Child: 15-30
Infant: 25-50
3 things to ask about in a fall injury Right Ans - Distance of the fall
Anatomic area impacted
Surface struck
How to ensure you have adequate ventilation Right Ans - Chest rise
Capnography (between 35-45)
What are 5 Mechanisms of injury resulting from a blast Right Ans - 1.
Primary-caused by the burst of compressed air
2. Secondary-caused by shrapnel
3. Tertiary- body being thrown and impacting the ground
4. Quaternary- results from a fireball/burns or inhalation of toxic fumes/dust
5. Quinary-the hyperinflammatory state that results from exposure to
contaminants (dirty bombs)
What do you do if the pt requires c-spine, but neck is in an angulated position
Right Ans - Stabilize the neck in the position found
How often do you recheck a unstable pelvis Right Ans - Never recheck it, it
can cause severe internal hemorrhage
Reasons to transport a pt immediately Right Ans - -Altered mental status
-Abnormal breathing
-Abnormal circulation
-Penetrating wounds to the torso
,-abnormal chest exam (flail check, open wounds, tension pneumo,
hemothorax)
-tender, distended abdomen
-unstable pelvis
-bilateral femur fracture
What do you assess when there is a change in pts condition Right Ans - Loc
ABC
How often should a ongoing exam be performed in critical pt? Stable pt?
Right Ans - Critical- Q 5 min
Stable- Q 15 min
When should an ongoing exam be performed Right Ans - Each time the pt is
moved
Each time an intervention is performed
Any time the pts condition worsens
What is the objective of the ongoing exam Right Ans - To find any changes
in the pts condition
What is external laryngeal manipulation Right Ans - A maneuver to
improve visualization of the vocal cords. Also known as BURP (back upper
right pressure)
Point at which the trachea divides Right Ans - The carina
The volume of air that is in the trachea and bronchi where no gas exchange
occurs is caled Right Ans - Dead space
First step to ensure a patent airway Right Ans - Head tilt chin lift or
modified jaw theust
A pt has mild hemorrhage in the nose after insertion of a npa, what do you do?
Right Ans - Leave it in, removing it will disturb the clot
When is a npa indicated? Right Ans - When the or has a gag reflex, or sats
are not improving with adequate bvm with an opa in
, What do OPA's and NPA's do/how do they work? Right Ans - Prevent the
tongue from falling against the posterior pharyngeal wall
Simple face mask: LPM and O2 concentration Right Ans - 10-12LPM
40-50% O2
NRB: LPM and O2 concentration Right Ans - 12-15LPM
60-90% O2
Nasal cannula: LPM and O2 concentration Right Ans - 1-6LPM
25-30% O2
BVM: LPM and O2 concentration Right Ans - 12-15LPM
90-100% O2
Definition of ventilation Right Ans - Movement of air or gases into and out
of the lungs
Definition of respiration Right Ans - Exchange of oxygen at the alveoli
What is lung compliance Right Ans - Elasticity of the lungs and chest wall
that influences how easy it will be for the patient to breathe
What can occur when there is poor lung compliance Right Ans - Ventilation
will be harder and gastric distension will be more likely to occur.
Indications a pt will be a hard mask seal for a BVM Right Ans - BOOTS
Beards
Obesity
Older pts
Toothless
Snores or stridor
What are the 'deadly dozen' Right Ans - Airway obstruction
Flail chest
Open pneumo
Massive hemorhroax
Tension pneumo
Cardiac tamponade
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