Itls stuvia - Study guides, Class notes & Summaries

What should be completed upon arriving at the scene? - ANSWERScene Size-up Prolonged scene times are often related to what factor? - ANSWERIneffective team collaboration What ETCO2 value would indicate hyperventilation? - ANSWERless than 30mmHg What 2 interventions should be performed on a patient with a flail chest segment? - ANSWER1. C-Spine precautions 2. Positive Pressure Ventilations w/ a BVM Can hypovolemic (high-space) shock occur without any obvious trauma? - ANSWERYES! Inte...

DD 5) Tension pneumothorax - Answers - Dyspnea - Anxiety - Tachypnea - Distended neck veins - Tracheal deviation - Breath sounds diminished *Hyperresonance if percussed - Shock with hypotension - High flow oxygen - Decompress affected side * Respiratory distress and cyanosis * Loss of radial pulse * Decreasing LOC - Load and go Blast Injuries - Answers injuries commonly produced by the different mechanisms associated with an explosion (air blast, shrapnel, burns) essenti...

What is a Scene Size-Up? - Answer Observations made and actions taken at a trauma scene before actually approaching the patient. It is the initial step in the ITLS Primary Survey What does "OPIM" stand for? - Answer Other Potentially Infectious Material What equipment should you always take with you for trauma patients? - Answer -PPE (Personal Protection Equipment) -Patient transport device (stretcher, long spine board, and so on) with effective strapping and head motion-restriction dev...

What is a "windshield survey" and when should it be done - ANSWERThis is done to determine weather the scene is safe, it should be done upon arrival to the scene What are the three collisions that happen in any MVC - ANSWERMachine Collision, Body Collision, Organ Collision The follwing injuries may be suspected in a head on collision - ANSWERCoup/contra coup injuries, soft tissue injury, hyperextension, flexion of cervicle spine What should all altered mental patients have checked...

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 s...

In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? a. cervical b. thoracic c. lumbar d. sacral-coccygeal - Answer a. cervical Prolonged scene times may reflect: a. a decrease in death rates b. delivery of better care c. accomplishment of interventions d. ineffective team collaboration - Answer d. ineffective team collaboration Which of the following indicates a state of hyperventilation? a. an adult respiratory rate greater than 20 p...

Upon arrival at a trauma scene, you should complete a(n) - Answers Scene Size-up pg 2 Prolonged scene times may reflect: - Answers Ineffective team collaboration pg 34 Which of the following indicates a state of hyperventilation? - Answers An end tidal CO2 level less than 30 mmHG pg 79 A 23 year old female fell from a 2nd floor balcony. Upon arrival, you find her lying in the grass. She responds to verbal commands and your assessment reveals flat neck veins, & normal chest/abdomen/p...

What is the most common cause of cardiopulmonary arrest in the trauma patient? A. Brain injury B. Hypoxemia C. Myocardial contusion D. Ventricular arrhythmia - ANSWERHypoxemia A trauma victim has the following findings on primary survey: difficulty breathing, rapid and weak pulse, flat neck veins, midline trachea, decreased breath sounds on the left, and dullness to percussion on the left. What is the most likely injury? A. Cardiac tamponade

Abnormal adult respiratory rate that needs intervention (airway, bag assist etc..) - Answers <8 and >24 When to do spinal mobilization in initial assessment - Answers Right after airway A,(C-spine)B,C,(Control bleeding) 3 things that stop your assessment right away. - Answers scene hazard, airway obstruction, cardiac arrest During the Primary Survey, when do you Control major bleeding - Answers In the Initial assessment Airway, breathing, circulation, control bleeding When t...

4 component of perfusion - Answer adequate volume, air, intact/functioning vascular system and working pump hypovolemic shock - Answer inadequate fluid volume in the vascular system high space hypovolemic shock - Answer caused by a spinal injury or drug overdose Mechanical shock - Answer preventing the filling of the heart or obstructing blood flow cardiogenic shock - Answer Shock caused by inadequate function of the heart, or pump failure. neurogenic shock - Answer blood flow sto...