Itls test stuvia - Study guides, Class notes & Summaries

DD 5) Tension pneumothorax - ANSWER- 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 - ANSWERinjuries commonly produced by the different mechanisms associated with an explosion (air blast, shrapnel, burns) essential e...

Scene Size-up - ANSWERObservations made and actions taken at a trauma scene before actually approaching the patient. Initial step in the ITLS Primary Survey. Starts at dispatch. Steps of scene size-up - ANSWER1. Standard precautions (PPE) 2. Scene safety 3. Initial triage (# of patients) 4. Need for more help/equipment 5. MOI OPIM - ANSWEROther potentially infectious material High-energy event - ANSWERMOI in which it is likely that there was a large release of uncut rolled kinetic e...

Hypoxemia - ANSWERThe most common cause of cardiopulmonary arrest in the trauma patient Cardiac output - ANSWERHeart rate x stroke volume Decompinsated shock - ANSWERHypotension, altered mental status, cardiac arrest Early shock - ANSWERLoss of 15-25% of blood volume, tachy, pallor, narrowed pulse pressure, thirst, weakness Late shock - ANSWERLoss of 30-45% blood loss, hypotension. Bodies ability to compensate has failed Shock - ANSWERCondition that occurs when perfussion of the...

Upon arrival at a trauma scene, you should complete a A.) initial assessment B.) scene size-up C.) rapid trauma survey D.) ITLS reassessment exam - ANSWERB Prolonged scene times may reflect A.) a decrease in death rates B.) delivery of better care C.) accomplishment of interventions D.) ineffective team collaboration - ANSWERD which of the following indicates a state of hyperventilation A.) an adult respiratory rate >18 per minute B.) a tidal volume <400mL C.) an 02 ...

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 - ANSWERa. 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 - ANSWERd. ineffective team collaboration Which of the following indicates a state of hyperventilation? a. an adult respiratory rate greater than 20 per...

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

In a rear-impact motor vehicle collision, which area of the spine is most susceptible to injury? A. Cervical B. Thoracic C. Lumbar D. Sacral-coccygeal - ANSWERA. Cervical A pericardiocentesis is performed to: A. To remove fluid from the lining around the lungs B. To remove fluid from the lining around the heart C. To inject medications directly into the heart D. To monitor stroke volume - ANSWERB. To remove fluid from the lining around the heart A 36-year-old male sustains blunt fo...

Windshield survey is done when? - ANSWERduring scene size-up Signs and symptoms of a tension pneumothorax include: - ANSWER- AMS - signs of shock (P/C/D, hypotension) - JVD - diminished/absent lung sounds on affected side What priority is increased bag resistance in trauma? - ANSWERthe lowest What sort of assessment is done for an elderly patient involved in a moderate auto accident? - ANSWERa rapid trauma assessment Which is considered a "load-and-go" situation: open femur ...

A 34 year old male is injured in a motor vehicle collision. physical examination is normal except for diffuse abdominal tenderness. He is conscious and vital signs obtained enroute to the hospital are resps 20, HR is 120BPM, BP 100/60; how should this patient be managed in the field? A)IV fluid TKVO B)IV fluid 20mL/Kg bolus C)Fentanyl 100mcg IV D) INsert an OPA and assist ventilations - ANSWERA) IV fluid TKVO What is the Sellick's Maneuver? - ANSWERPosteriorly directed pressure applied...