ITLS - International Trauma Life Support Hemorrhage Control and Shock Questions and Answers

Question 1

A 28-year-old male has a deep, actively bleeding laceration to his right upper arm after an industrial accident.
Direct pressure has failed to control the severe arterial bleeding.
What is the most appropriate next step according to ITLS guidelines?

Accepted Answer

Immediately apply a tourniquet proximal to the wound.

Answer

Apply a hemostatic agent and continue direct pressure.

Answer

Initiate rapid transport and apply pressure during transit.

Answer

Establish IV access and begin rapid fluid resuscitation.

Question 2

Which of the following is the primary goal of permissive hypotension in the prehospital management of a patient with suspected non-compressible torso hemorrhage?

Accepted Answer

To prevent clot disruption and re-bleeding before surgical control.

Answer

To rapidly normalize blood pressure to 120/80 mmHg.

Answer

To increase renal perfusion and prevent acute kidney injury.

Answer

To improve cerebral perfusion in patients with associated head trauma.

Question 3

According to ITLS guidelines, what is the recommended time frame for administering Tranexamic Acid (TXA) to a trauma patient with significant hemorrhage for maximum effectiveness?

Accepted Answer

As soon as possible, but no later than 3 hours after injury.

Answer

Within 8 hours of the injury.

Answer

Only after arrival at the trauma center.

Answer

Preferably between 3 and 6 hours post-injury.

Question 4

You are treating a patient with signs of compensated hemorrhagic shock. Which of the following findings would you most likely expect to see first?

Accepted Answer

Tachycardia and cool, clammy skin.

Answer

A significant drop in systolic blood pressure.

Answer

Unconsciousness and absent peripheral pulses.

Answer

Bradycardia and flushed, warm skin.

Question 5

A patient has a severe bleeding wound in the left axilla (armpit) region that cannot be controlled with direct pressure. Which hemorrhage control technique is most appropriate for this junctional injury?

Accepted Answer

Wound packing with a hemostatic agent.

Answer

Application of a standard tourniquet high on the arm.

Answer

Placing the patient in the Trendelenburg position.

Answer

Applying a pelvic binder.

Question 6

When managing a trauma patient with both a severe traumatic brain injury (TBI) and hemorrhagic shock, the ITLS fluid resuscitation strategy differs from that of isolated hemorrhagic shock. What is the target systolic blood pressure for this specific patient population?

Accepted Answer

At least 110 mmHg

Answer

70-80 mmHg

Answer

80-90 mmHg

Answer

Greater than 140 mmHg

A 28-year-old male has a deep, actively bleeding laceration to his right upper arm after an industrial accident.Direct pressure has failed to control the severe arterial bleeding.What is the most appropriate next step according to ITLS guidelines?

A 28-year-old male has a deep, actively bleeding laceration to his right upper arm after an industrial accident.
Direct pressure has failed to control the severe arterial bleeding.
What is the most appropriate next step according to ITLS guidelines?