International Trauma Life Support - Questions And
Answers
Rapid exam and transport Vitals and non-critical treatments done during
transport Right Ans - if unsure or multiple system trauma, what should you
do
Trauma with a single system injury that presents with a stable patient, what
should you do? Right Ans - focused exam
What are trauma injuries involved with hitting chest on a steering wheel
Right Ans - pulmonary contusion, pneumothorax, pericardial fusion, flail
chest, cardiac tamponade
Rapid trauma survey Right Ans - head and neck
chest
breath sounds
abdomen
pelvis
lower and upper extremities
obvious swelling and deforming
posterior
vital signs
pupils
GCS
Glasgow Coma Scale (GCS) score Right Ans - Eyes 4
Verbal 5
Motor 6
What is an ongoing exam Right Ans - reassessment critical and non critical
Secondary itls assessment Right Ans - DCAP BTLS of everything, with
Battle signs, racoon eyes, Flail segments etc
Team collaboration will lead to lower scene times Right Ans - yes
, Aloc assessment includes GCS, blood glucose, and pupillary assessment
Right Ans - yes
The primary survey intended to identify immediate life threatening injuries
within 2 minutes Right Ans - yes
Higher scene times maybe from poor collaboration Right Ans - yes
Find the cause of abnormal findings to determine load and go situations
Right Ans - yes
Only four things stop the primary survey- safety, bleeding, airway obstruction,
cardiac arrest Right Ans - safety, bleeding, airway obstruction, cardiac
arrest
First priority in trauma management- stop bleeding. delegate it or do it
yourself Right Ans - stop bleeding, delegate it or do it yourself
Thoracic region injury Right Ans - life threatening hemorrhage: liver,
spleen
retroperitoneal abdomen trauma Right Ans - -severe hemorrhage hidden,
major vessels
penetrating abdominal injury Right Ans - -abdominal injury is chest; chest
is abdominal
-gluteal area in 50 percent of significant injuries
when palpating, where do you want to start Right Ans - start away from the
injury and palpate towards injury
splenic injury Right Ans - referred left posterior shoulder pain (KEHRS
SIGN)
Liver injury Right Ans - Referred right posterior shoulder pain
severe hemorrhage Right Ans - -distension in the abdomen
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