1|Page
SSM TCAR Review 2026|Certified
Q&A 2026
Pulmonary contusion causes a problem where in the cascade? - correct-answer -
Diffusion
Bruising and edema impair gas exchange
Best parameter to measure is P:F ration
What is the best parameter to measure diffusion? - correct-answer - P:F ratio
A simple pneumothorax presents a problems where in the cascade? - correct-
answer - Ventilation
Deflated section of the lung is not participating in gas exchange
An isolated PTX can be treated with a CT in the 2nd ICS
,2|Page
A tension pneuomothorax presents a problem where in the cascade? - correct-
answer - Ventilation & CO
Pulsus paradoxus and unilateral breath sounds
Needle thoracostomy is only appropriate for? - correct-answer - Tension PTX
A hemothorax presents a problem where in the cascade? - correct-answer -
Ventilation and Hgb availability
CT insertion at 4-5th ICS
Blood loss is commonly the intercostal vessels
Sub Q air is usually from? - correct-answer - It is usually from a tracheal or
broncheal tear
Fiberoptic bronchscopy best facilitates visualization below the cords
MOST BLUNT TEARS OCCUR WITH IN 1" OF CARINA
,3|Page
A massive PE symptoms? - correct-answer - Sudden change in mental status
Neck vein distention
Hemodynamic instability
Low O2 sat
What chamber of the heart is most commoly injured in blunt trauma? - correct-
answer - RV because the heart is rotated to the left
Majority of injuires are myocardial contusions
What is pericardial tamponade? - correct-answer - Occurs when fluid accumulates
in the pericardial sac, as volume in the sac increases, volume in the chambers
decreases.
Temporarily overcome this by aggressive preload. Emergent surgical repair is the
preferred treatment. Will see a narrow pulse pressure
, 4|Page
What test can be used to screen for thoracic aortic disruption? - correct-answer -
Checking the BP in both arms, normally there should be less than 12 mHg
difference in SBP between the arms.
Avoid HTN to limit further dissection & avoid rupture
What is permissive hypotension? - correct-answer - Keeping SBP 80-90
Aggressvie fluid resuscitation disrupts new clots, dilutes blood, promotes
coagulopathies, and aggravates endothelial leakage
NOT APPRORIATE FOR TBI
What are the 2 types of bleeding in a trauma patient? - correct-answer -
Mechanical & Coagulopathic
Mechanical requires surgery to fix hole
Coagulopathic- later in ICU,
TIC-trauma induced coagulopathy
SSM TCAR Review 2026|Certified
Q&A 2026
Pulmonary contusion causes a problem where in the cascade? - correct-answer -
Diffusion
Bruising and edema impair gas exchange
Best parameter to measure is P:F ration
What is the best parameter to measure diffusion? - correct-answer - P:F ratio
A simple pneumothorax presents a problems where in the cascade? - correct-
answer - Ventilation
Deflated section of the lung is not participating in gas exchange
An isolated PTX can be treated with a CT in the 2nd ICS
,2|Page
A tension pneuomothorax presents a problem where in the cascade? - correct-
answer - Ventilation & CO
Pulsus paradoxus and unilateral breath sounds
Needle thoracostomy is only appropriate for? - correct-answer - Tension PTX
A hemothorax presents a problem where in the cascade? - correct-answer -
Ventilation and Hgb availability
CT insertion at 4-5th ICS
Blood loss is commonly the intercostal vessels
Sub Q air is usually from? - correct-answer - It is usually from a tracheal or
broncheal tear
Fiberoptic bronchscopy best facilitates visualization below the cords
MOST BLUNT TEARS OCCUR WITH IN 1" OF CARINA
,3|Page
A massive PE symptoms? - correct-answer - Sudden change in mental status
Neck vein distention
Hemodynamic instability
Low O2 sat
What chamber of the heart is most commoly injured in blunt trauma? - correct-
answer - RV because the heart is rotated to the left
Majority of injuires are myocardial contusions
What is pericardial tamponade? - correct-answer - Occurs when fluid accumulates
in the pericardial sac, as volume in the sac increases, volume in the chambers
decreases.
Temporarily overcome this by aggressive preload. Emergent surgical repair is the
preferred treatment. Will see a narrow pulse pressure
, 4|Page
What test can be used to screen for thoracic aortic disruption? - correct-answer -
Checking the BP in both arms, normally there should be less than 12 mHg
difference in SBP between the arms.
Avoid HTN to limit further dissection & avoid rupture
What is permissive hypotension? - correct-answer - Keeping SBP 80-90
Aggressvie fluid resuscitation disrupts new clots, dilutes blood, promotes
coagulopathies, and aggravates endothelial leakage
NOT APPRORIATE FOR TBI
What are the 2 types of bleeding in a trauma patient? - correct-answer -
Mechanical & Coagulopathic
Mechanical requires surgery to fix hole
Coagulopathic- later in ICU,
TIC-trauma induced coagulopathy
