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SSM TCAR TRAUMA CARE AFTER
RESUSCITATION (TCAR) 2026 EXAM
COMPLETE ( 234 ) CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
ANSWERS|GUARANTEED PASS.
SSM TCAR
Ace your preparation with this SSM TCAR Trauma Care After Resuscitation (TCAR) Exam, designed to assess essential knowledge in post-resuscitation trauma care. It focuses on patient stabilization, ongoing assessment, critical care interventions, and evidence-based management of trauma patients. The exam strengthens clinical judgment and decision- making in high-acuity care settings. Suitable for nurses, paramedics, and trauma care professionals. What type of amputation is the best candidate for replantation? ✓ ✓ ...... ANSWER ....... Someone without vascular disease, very recent injury, guillotine-style injury and one that occurred in a fairly clean environment Care of an amputated part includes? ✓ ✓ ...... ANSWER ....... Cleaning off any visible dbris, sealing amputated part in a plastic bag, and placing the bag in an ice water solution
What is the treatment for acid burns? ✓ ✓ ...... ANSWER ....... At least 30 minutes of irrigation What is the treatment for alkaline burns? ✓ ✓ ...... ANSWER ....... Irrigation should continue until skin pH is normal, which could take several hours. An alkali agent will feel slippery or soapy due to the reaction of alkaline to skins fatty acids What is the treatment for tear gas agents or pepper spray? ✓ ✓ ...... ANSWER ....... Time & fresh air are the definitive treatments. It is oil based, and is not water soluble, and will not remove the gas/pepper spray. Do no apply salve or grease, it will trap the particles What injuries are seen with high voltage injuries? ✓ ✓ ...... ANSWER ....... Affect every tissue in the body. Most are knocked unconscious, and neurological complications are the most obvious and immediate manifestations. Can produce cardiac injuries and rhabdomyolysis.
What is the best way to evaluate inhalation injury severity? ✓ ✓ ...... ANSWER ....... Fiber optic bronchoscope evaluates injury in the upper and lower airways What is a finding specific to carbon monoxide poisoning? ✓ ✓ ...... ANSWER ....... It is associated with bright RED mucous membranes In trauma, what are the causes of immediate death? ✓ ✓ ...... ANSWER ....... Immediate death is from massive head injury, high spinal cord injury, or aortic injury What are common causes of trauma death within the first 60 minutes? ✓ ✓ ...... ANSWER ....... Tension pneumothorax, massive hemothorax, or severe brain damage What are the causes of trauma death 2-24 hours after injury? ✓ ✓ ...... ANSWER ....... death is caused from hemorrhage or severe brain damage
What is the cause of death in a trauma patient after 24 hours? ✓ ✓ ...... ANSWER ....... The patient dies one cell at a time from under resuscitation. Saving these patients requires getting O2 to them before its too late for them to recover What is the course of action if contraband is found? ✓ ✓ ...... ANSWER ....... Notify law enforcement of the finding & secure the items until they are handed over and a police receipt is obtained What is the purpose of an Advance Directive? ✓ ✓ ...... ANSWER ....... It delineates a person's wishes regarding care and take effect when the patient is no longer able to communicate What is the Functional Independence Measure? ✓ ✓ ...... ANSWER ....... It quantifies functional ability in any patient population and is widely used to document rehabilitation progress.
What is the definitive treatment option for pelivc fracture stabilization? ✓ ✓ ...... ANSWER ....... External fixation to stabilize and IVR for emboliation to control bleeding What is the common intervention for comminuted open tib- fib fracture? ✓ ✓ ...... ANSWER ....... Surgical debridement and external fixation What is the primary benefit of wearing a lap belt? ✓ ✓ ...... ANSWER ....... Prevents ejection Why do 3/4 of passengers totally ejected from the vehicle sustain fatal injuries? ✓ ✓ ...... ANSWER ....... Less energy is absorbed by the vehicle, resulting in more energy being directly applied to the body surface and organs Why do airbags work in decreasing inury? ✓ ✓ ...... ANSWER ....... They add deceleration distance What are typical airbag injuries? ✓ ✓ ...... ANSWER ....... Facial abrasions/burns
Ocular injuries Hand and forearm injuries What are local signs of splenic injury? ✓ ✓ ...... ANSWER ....... Left flank bruising LUQ paintenderness Abdominal distention/rigidity With a splenic injury, what are signs of blood loss? ✓ ✓ ...... ANSWER ....... Tachycardia, hypotension Decrease H&H Kehrs sign What is Kehrs sign? ✓ ✓ ...... ANSWER ....... Pain from diahragmatic irritation referred to the shoulder, typically the left shoulder. In a trauma patient, Kehr's signs stronlgy suggest splenic injury What imaging studies are used to detect splenic injury? ✓ ✓ ...... ANSWER ....... FAST ultrasound is a quick way to check for free fluid in the belly. CT images solid organs nicely
Which organs are partially retroperitoneal? ✓ ✓ ...... ANSWER ....... Colon, duodenum, pancreas, ureters How is the pancreas injured in blunt trauma? ✓ ✓ ...... ANSWER ....... Usually caused by direct compression of the organ against the rigid spine Which organ is most commonly injured in the patient with penetrating abdominal trauma? ✓ ✓ ...... ANSWER ....... The small bowel, it is in all four quadrants How is the bowel injured in blunt abdominal trauma? ✓ ✓ ...... ANSWER ....... Hollow structures pop dues to a direct blow or hyperflexion over a fixed object causing an increase in intrabdominal pressure How are bowel injuires asessed? ✓ ✓ ...... ANSWER ....... Signs of infection-fever leukocytosis rebound tenderness Free air in the belly-Hollow viscous rupture
How much blood can be put into the belly? ✓ ✓ ...... ANSWER ....... All of it! 500-6,000Ml or 4-5 L What is "Damage Control" Laparotomy? ✓ ✓ ...... ANSWER ....... It is done to stop the bleeding.The abd is packed and left open: transfer to ICU to continue resuscitation. How can we keep trauma patients warm? ✓ ✓ ...... ANSWER ....... Forced air warmers, warm IV fluids, keep room very warm. Acidosis and coagulopathies will not corret unless we reverse hypothermia What are the most common postoperative problems associated with a bowel injury? ✓ ✓ ...... ANSWER ....... Infection-peritonitis, abscesses, sepsis Bowel edema Fluid Shift What are examples of hypotonic fluids and do they stay in the intravascular space? ✓ ✓ ...... ANSWER ....... D5W, D5 1/2NS,
What is an example of an isotonic colloid and how much will it increase volume? ✓ ✓ ...... ANSWER ....... Plasma, it will increase the volume equal to amount given What is an example of a hypertonic colloid and what will it do to vascular volume? ✓ ✓ ...... ANSWER ....... 20% albumin. 100 ml will have a 450 ml intravascular volume increase In the abdominal truama patient, what suggests Abd. compartment syndrome? ✓ ✓ ...... ANSWER ....... Dropping urine output in a patient who has been aequately fluid resuscitated. What are the SOFA criteria for sepsis? ✓ ✓ ...... ANSWER ....... HAT Hypotension-SBP< 100 mmHg Altered mental status Tachypnea- RR> 22/min
What does dropping diastolic pressure indicate? ✓ ✓ ...... ANSWER ....... A dropping diastolic pressure - a widened pulse pressure indicates systemic vasodilation What are sepsis red flags? ✓ ✓ ...... ANSWER ....... Dropping DBP, decreased U/O, poor perfusion, restlessness, orthostatic hypotension, increased respiratory rate What are negative effects of spinal immobilization? ✓ ✓ ...... ANSWER ....... Skin & soft tissue injury, airway comprimirse, aspiration, increased ICP, pain, agitation What is the implication for trauma care at a small rural hospital? ✓ ✓ ...... ANSWER ....... Identify, stabilize & ship What makes a pelvic fracture stable vs. unstable? ✓ ✓ ...... ANSWER ....... A simple rule of thumb: if one of the bony- ligamentous rings is intact, the pelvis is stable What is the most life-threatening complication of pelvic ring disruption? ✓ ✓ ...... ANSWER ....... Hemorrhage from
What are the definitive options for pelvic fracture stabilization and hemorrhage control? ✓ ✓ ...... ANSWER ....... External Fixation Interventional Radiology Open reduction & Internal fixation How are closed mid-shaft femur fractures managed? ✓ ✓ ...... ANSWER ....... Intramedullary nail fixation What makes a fracture comminuted? ✓ ✓ ...... ANSWER ....... The bone is in multiple pieces Physiologic criteria for trauma center care? ✓ ✓ ...... ANSWER ....... SBP< Resp rate <10 or > GCS < What is Kinematics? ✓ ✓ ...... ANSWER ....... The process of predicting potential injuries based on analysis of the forces involved
Dose of energy is? ✓ ✓ ...... ANSWER ....... The nature and amount of force Characteristic of wounding agent? ✓ ✓ ...... ANSWER ....... Type of energy and how it was applied Force ✓ ✓ ...... ANSWER ....... The dose of energy involved Which gender is the majority of trauma? ✓ ✓ ...... ANSWER ....... Male Incidence of trauma peaks at what age? ✓ ✓ ...... ANSWER ....... Teens and young adult Blunt trauma Classifications include? ✓ ✓ ...... ANSWER ....... MVA Auto vs. pedestrian Falls Struck by or against an object
Size & weight of vehicle Height of patient Direction patient was facing when struck What is the most common mechanism of injury in all age groups? ✓ ✓ ...... ANSWER ....... Falls Factors predicting fall injuries are? ✓ ✓ ...... ANSWER ....... Fall height (velocity) Landing surface (deceleration distance) Point of impact on the body Wound ballistics- permanent cavity ✓ ✓ ...... ANSWER ....... Cavity is the a function of the size, shape, and characteristic of the missile (mass) For every second of fall time, speed increases by? ✓ ✓ ...... ANSWER ....... Speed increases by approximately 20 MPH Define Shock? ✓ ✓ ...... ANSWER ....... A state in which cellular oxygen demand exceeds supply
When the cost of tissue oxygen is higher than the body can pay, an oxygen debt develops. Types of shock per TCAR? ✓ ✓ ...... ANSWER ....... Pumps-Site of defect heart Pipes- site of defect is artery, veins or capillaries Fluid-intravascular, interstitial or intracellular VS in shock? ✓ ✓ ...... ANSWER ....... Narrow pulse pressure Tachycardia Low CO How many ATP molecules are produced with oxygen & glucose? ✓ ✓ ...... ANSWER ....... 32 ATP molecules How many ATP molecules are produced without oxygen? ✓ ✓ ...... ANSWER ....... 2 ATP molecules Normal pH? ✓ ✓ ...... ANSWER ....... Refernce range is 7.35-7.45, but actual normal range is 7.38-7.
