ITLS Test Bank New Edition

ITLS Test Bank New Edition Solution Manual Actual Questions and Answers 100% Verified Abnormal adult respiratory rate that needs intervention (airway, bag assist etc..) - <8 and >24 When to do spinal mobilization in initial assessment - Right after airway A,(C-spine)B,C,(Control bleeding)

• things that stop your assessment right away. - scene hazard, airway obstruction,

cardiac arrest During the Primary Survey, when do you Control major bleeding - In the Initial assessment Airway, breathing, circulation, control bleeding When the injury occurs, what clock just started? - The "Golden Period" (used to be the golden hour) Max length of your initial assessment - 2 min.Max length of "load and go" scene time? - Critical trauma scene time is 5 min. or less.ELM stands for? - External Laryngeal Manipulation Selick vs. ELM - Selick is when you close the esophagus to prevent air in the gastric.ELM is a manipulation technique to move the airway into alignment for intubation.SMR stands for? - Spinal Mobilization RESTRICTION Best GCS score is? - Eyes 4 Verbal 5 Motor 6 Total 15 1st action of initial assessment? - Scene safety Who is responsible for assessments of the patient? - Team leader only Focused or Rapid trauma survey for a generalized, significant MOI? - Rapid trauma assessment 1 / 4

How much does the tube move with neck flexion or extension? - 2-2.5cm What team member can determine level of consciousness? - team leader only Most important thing to do when a child is unresponsive with obvious respiratory disress, tachypneic and shallow, weak slow pulse? - assist ventilations What angle and position do you tip or roll a pregnant woman? - Left lateral side, rolled up 15-30 degrees Adequate respiratory rate for an adult? - 10-12 per minute every 5-6 seconds What does stridor indicate in a trauma patient? - Airway obstruction Major pediatric sign of shock? - tachycardia ETCO2 level for impending respiratory collapse? - <30 BOOTS acronym - Difficult BVM items B-Beards O-Obesity O-Older T-Toothless S-Snoring In a head injury what do you maintain BP at? - 110-120 mmHg What is a red flag vital sign for shock? - Tachycardia BP >120 What do you suspect in trauma with a BP >100? - Hemorrhage Minimum BP for perfusion? - 50 to 60 mmHg Max length of time to have a tourniquet on? - 2 hours List 3 shock syndromes - Low Space shock High space shock Mechanical shock Absolute hypovolemia - Low Space shock Relative hypovolemia - High Space shock Cardiogenic or Obstructive shock - Mechanical shock 2 / 4

Low Volume shock - (Absolute hypovolemia) Hemorrhage, vomiting, "third spacing" from burns, peritonitis High Space shock - (Relative hypovolemia) Spinal injury, Vasovagal syncope, Sepsis, drugs that dilate Mechanical shock - (Cardiogenic or Obstructive shock) Pump problems, Myocardial contusion, Infarction, pericardial tamponade, tension pnumothorax, massive pulmonary embolism Breaths per min. with severe head injury - <8

• places you do you NOT use homeostatic agents? - head

abdomen chest

• things to check with an altered patient - Pulse

Pupils LOC Sugar What 2 items would determine how much fluids to give IV for shock? - Enough to have peripheral pulses.SBP 80-90 mmHg Normal ETCO2 - 35-45 mmHg Parkland formula - Amount of fluid required in 24 hours (ml) = 4 × Patient's weight (kg) × Percent body surface area (BSA) involved in burns What is the difference between simple pneumo and tension pneumo - SHOCK When is the only time you hyperventilate a patient? - Suspected herniation What ETCO2 do you maintain during hyperventilate? - 30-35 mmHg Important procedure when dealing with a lightening victim? - Monitor for dysrthmias Drug to give for crush injury? - Sodium bicarbonate Significant MOI that indicate "load and go"? - Bilateral femur fractures shock pericardial tamponade, altered level of conscious abnormal breathing 3 / 4

uncontrolled bleeding distended abdomen Penetrating wound to torso Indications for hyperventilation - Cushing's triad, posturing, sudden decrease in GCS Normal Fluid replacement - 20ml/kg What to do if Mom is nonsalvagable (death during CPR)? - continue cpr to preserve the neonate Significant changes in pregnant women occurs with how much blood loss? - 30-35% Two things to do with ped with a head injury? - Oxygenate Ventilate BP when shock is at its worst? - <50 mmHg Minimum Cerebral Perfusion Pressure (CPP) - 50 mmHg Hyperventilation rates for adult, child and infant? - adult 20 child 25 infant 30 Preferred airway technique for pediatric? - BVM Endotrachial tube is elective Best way to determine pediatric ET size and other interventions? - Always use Braslow tape Pediatric blood volume - 80-90 mL/kg Pediatric fluid replacement - 20 mL/kg (same as adult) GCS for severe head injury - <8 Significant indication of ICP - Irregular or elevated breathing Minimum child BP - <80 mmHg Minimum young adult BP - <70 mmHg Treatment for flail chest - bulky dressings Key HemoPnumo symptom - Flat neck vein

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