Adult Basic Flashcards
6 cards from real ITLS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Adult Basic flashcards as text
What is the ITLS Basic recommended method for controlling severe external hemorrhage as the first intervention?
Answer: Direct pressure with a sterile dressing
Direct pressure with a sterile dressing is the initial recommended method for controlling external hemorrhage in ITLS Basic, as it is effective for most bleeding and immediately available.
An EMT arrives at a scene where a patient has been ejected from a vehicle. The patient is unresponsive with snoring respirations. What should be done first?
Answer: Perform a jaw thrust maneuver
Snoring respirations indicate airway obstruction from the tongue, which is an immediate life threat. The jaw thrust maneuver is the priority intervention to open the airway while protecting the cervical spine.
According to ITLS Basic, what is the significance of the 'golden hour' concept in trauma care?
Answer: Critically injured patients have the best survival outcomes when they receive definitive surgical care within approximately one hour of injury
The golden hour emphasizes that critically injured patients have significantly better outcomes when they reach definitive surgical care (operating room) within approximately one hour of the time of injury.
During a focused assessment of a stable trauma patient who was struck in the right flank, which finding would most concern you for internal organ injury?
Answer: Guarding and rigidity in the right upper quadrant
Right upper quadrant guarding and rigidity after flank trauma suggests liver injury, which is the most commonly injured solid organ in blunt abdominal trauma and can cause life-threatening hemorrhage.
What is the correct order of assessment in the ITLS Basic primary survey?
Answer: Airway, Breathing, Circulation, Disability, Expose
The ITLS Basic primary survey follows ABCDE: Airway (with cervical spine protection), Breathing, Circulation, Disability (neurologic status), and Expose/Environment.
A patient involved in a rollover MVC is ambulatory at the scene and states he feels fine. His vitals are: HR 110, BP 100/70, RR 22. What should the EMT suspect?
Answer: The patient may be in compensated shock despite appearing well
Tachycardia, borderline hypotension, and tachypnea in a high-mechanism trauma patient suggest compensated shock, where the body is maintaining perfusion through compensatory mechanisms that will eventually fail.