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SSM Trauma and Critical Care Review
(TCAR)— Comprehensive Trauma &
Emergency Care Study Guide
You arrive on the scene of a patient who fell from a ladder. Which of the following information
is NOT an important factor in care of the patient?
a)Height of the ladder
b)Distance the patient fell from
c)Surface the patient landed on
d)What part of the body hit first - - ANS✔️--a)Height of the ladder
You are at the scene of an MVA, in which there are three patients, all of which have minor
visible injuries. Two are refusing treatment and the last is complaining of neck and back pain.
How should you proceed?
a)Treat all three patients, they are visibly injured and need medical attention
b)Obtain signed refusals from the first two patients then proceed to the third
c)Treat the third patient, nothing else is needed for the other two
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d)Have your partner obtain refusals from the two patients who refused treatment, while you treat
the last patient. - - ANS✔️--d)Have your partner obtain refusals from the two patients who
refused treatment, while you treat the last patient.
Your patient is a 17 year old male found face down in a swimming pool. He is currently being
held face up at the surface of the water. He is unconscious but breathing and has a pulse. What is
the best course of action for this patient?
a)Jump into the pool and begin CPR
b)Remove the patient from the pool, immobilize, and transport.
c)Apply cervical and spinal immobilization while the patient is still in the pool
d)Wait for a trained water rescue team - - ANS✔️--c)Apply cervical and spinal immobilization
while the patient is still in the pool
A laceration, spurting bright laceration, spurting bright red blood, most likely means what type
of injury? what red blood most likely means
a)Venous
b)Arterial
c)Capillary
d)Amputation - - ANS✔️--b)Arterial
Your patient has a laceration to the right leg which has intersected the femoral artery. You have
applied direct pressure to the wound, but it continues to soak through the bandages. What should
you do next?
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a)Apply a tourniquet
b)Elevate the leg
c)Remove the old bandage and apply new ones
d)Apply pressure to point just above the injury - - ANS✔️--b)Elevate the leg
Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with
frontal impact, non-restrained driver with bent steering wheel, and spidered windshield?
a)High velocity penetrating
b)Decelerating
c)Low velocity penetrating
d)Blunt - - ANS✔️--d)Blunt
Any penetrating missile traveling over 2,000 ft/sec would be classified as?
a)Low velocity
b)Medium velocity
c)High velocity
d)Decelerating - - ANS✔️--c)High velocity
When there is penetrating trauma there is a permanent cavity which is formed by the projectile
contacting the tissues. How is a temporary cavity formed?
a)By the twisting of the projectile
b)By energy scrubbing off of the projectile
c)The wadding entering the body
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d)Unspent gun powder - - ANS✔️--b)By energy scrubbing off of the projectile
The way a patient is injured is often referred to as the _______________?
a)Mechanism of injury
b)Nature of illness
c)Injury pattern
d)Energy transfer - - ANS✔️--a)Mechanism of injury
When approaching a scene of trauma incident, what is your first order of business?
a)Airway
b)C-Spine control
c)Body substance Isolation
d)Scene safety - - ANS✔️--d)Scene safety
A large collection of blood under the skin is known as?
a)Contusion
b)Abrasion
c)Hematoma
d)Bruise - - ANS✔️--c)Hematoma
Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication
takes 30 minutes. Evaluation of the injury during extrication showed delayed capillary refill
distal to the injury. Post extrication shows rapid capillary refill distal to the injury deformity mid-
SSM Trauma and Critical Care Review
(TCAR)— Comprehensive Trauma &
Emergency Care Study Guide
You arrive on the scene of a patient who fell from a ladder. Which of the following information
is NOT an important factor in care of the patient?
a)Height of the ladder
b)Distance the patient fell from
c)Surface the patient landed on
d)What part of the body hit first - - ANS✔️--a)Height of the ladder
You are at the scene of an MVA, in which there are three patients, all of which have minor
visible injuries. Two are refusing treatment and the last is complaining of neck and back pain.
How should you proceed?
a)Treat all three patients, they are visibly injured and need medical attention
b)Obtain signed refusals from the first two patients then proceed to the third
c)Treat the third patient, nothing else is needed for the other two
,2|Page
d)Have your partner obtain refusals from the two patients who refused treatment, while you treat
the last patient. - - ANS✔️--d)Have your partner obtain refusals from the two patients who
refused treatment, while you treat the last patient.
Your patient is a 17 year old male found face down in a swimming pool. He is currently being
held face up at the surface of the water. He is unconscious but breathing and has a pulse. What is
the best course of action for this patient?
a)Jump into the pool and begin CPR
b)Remove the patient from the pool, immobilize, and transport.
c)Apply cervical and spinal immobilization while the patient is still in the pool
d)Wait for a trained water rescue team - - ANS✔️--c)Apply cervical and spinal immobilization
while the patient is still in the pool
A laceration, spurting bright laceration, spurting bright red blood, most likely means what type
of injury? what red blood most likely means
a)Venous
b)Arterial
c)Capillary
d)Amputation - - ANS✔️--b)Arterial
Your patient has a laceration to the right leg which has intersected the femoral artery. You have
applied direct pressure to the wound, but it continues to soak through the bandages. What should
you do next?
,3|Page
a)Apply a tourniquet
b)Elevate the leg
c)Remove the old bandage and apply new ones
d)Apply pressure to point just above the injury - - ANS✔️--b)Elevate the leg
Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with
frontal impact, non-restrained driver with bent steering wheel, and spidered windshield?
a)High velocity penetrating
b)Decelerating
c)Low velocity penetrating
d)Blunt - - ANS✔️--d)Blunt
Any penetrating missile traveling over 2,000 ft/sec would be classified as?
a)Low velocity
b)Medium velocity
c)High velocity
d)Decelerating - - ANS✔️--c)High velocity
When there is penetrating trauma there is a permanent cavity which is formed by the projectile
contacting the tissues. How is a temporary cavity formed?
a)By the twisting of the projectile
b)By energy scrubbing off of the projectile
c)The wadding entering the body
, 4|Page
d)Unspent gun powder - - ANS✔️--b)By energy scrubbing off of the projectile
The way a patient is injured is often referred to as the _______________?
a)Mechanism of injury
b)Nature of illness
c)Injury pattern
d)Energy transfer - - ANS✔️--a)Mechanism of injury
When approaching a scene of trauma incident, what is your first order of business?
a)Airway
b)C-Spine control
c)Body substance Isolation
d)Scene safety - - ANS✔️--d)Scene safety
A large collection of blood under the skin is known as?
a)Contusion
b)Abrasion
c)Hematoma
d)Bruise - - ANS✔️--c)Hematoma
Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication
takes 30 minutes. Evaluation of the injury during extrication showed delayed capillary refill
distal to the injury. Post extrication shows rapid capillary refill distal to the injury deformity mid-
