ITLS Ch 1

Question 1

ITLS patient assessment primary survey

Answer 1

Scene size up
Initial assessment
Rapid survey or focused exam
Critical interventions + decision
Contact medical direction

Question 2

ITLS secondary survey

Answer 2

Repeat initial assessment
Repeat vitals & consider monitor
Perform a neuro exam
Perform detailed head-to-toe

Question 3

ITLS reassessment exam

Answer 3

Repeat initial assessment
Repeat vitals & check monitor
Reassess abdomen
Check injuries and interventions

Question 4

ETHANE mnemonic MCI initial response

Answer 4

Exact location
Type of incident
Hazards
Access (for arriving units)
Numbers (of casualties)
Emergency services (on scene and required)

Question 5

Essential equipment

Answer 5

PPE
Extrication/transport devices
C-collar
O2 and airway equipment
Trauma box

Question 6

Frontal impact MVC potential injury patterns

Answer 6

TBI
C-spine fx
Facial injuries
Myocardial contusion
Pneumo/hemothorax
Aortic disruption
Liver or spleen lac
Posterior hip dislocation

Question 7

Lateral impact MVC potential injury patterns

Answer 7

Contralateral neck sprain
C-spine fx
Pneumo
Lung contusion
Lac of spleen, liver, or kidney
Pelvic fx
Extremity injuries

Question 8

Rear impact MVC potential injury patterns

Answer 8

C-spine injury

Question 9

Ped vs car potential injury patterns

Answer 9

Head injury
Abdo visceral injury
Lower extremity or pelvic fx

Question 10

Tractor accident potential injuries

Answer 10

Crush
Thermal burns

Question 11

Small vehicle crash potential injuries

Answer 11

TBI
Facial fx
Pneumo/hemothorax
Extremity or pelvic fx
Spinal fx
Degloving
Clothesline injury
Rectal and vaginal trauma

Question 12

3 collision concept in MVC

Answer 12

Machine collision
Body collision
Organ collision

Question 13

Secondary collision in MVC

Answer 13

Objects in vehicle become missiles and strike the pt

Question 14

Safety rule when working around undeployed airbags (5-10-20)

Answer 14

5 inches away from side curtains
10 inches away from steering wheel
20 inches away from passenger side

Question 15

Typical injuries associated with falls

Answer 15

Head trauma
Axial loading
Hyperextension/hyperflexion of spine
Extremity fx
Hip or pelvic injury
Vertical deceleration injury to organs

Question 16

SPLAT mnemonic for fall assessment

Answer 16

Symptoms before the fall
Previous falls
Location of the fall
Activity at the time of the fall
Time of day of the fall

Question 17

3 Mechanisms which bullets cause tissue injury

Answer 17

Shockwave
Temporary cavity
Permanent wound track

Tissue damage is proportional to tissue density

Question 18

5 mechanisms of injury due to blast or explosion

Answer 18

Primary (direct initial air blast)
Secondary (shrapnel)
Tertiary (body being thrown)
Quarternary (thermal)
Quinary (contaminants)

Question 19

Priorities of patient care (XABC)

Answer 19

eXanguinating hemorrhage
Airway
Breathing
Circulation