Ontario Paramedic Practice Exam

What are the conditions of a traumatic TOR?

1. Altered level of awareness

2. Monitored HR more than 0

3. No palpable pulse

4. All of the above

The correct answer is: All of the above

The term "TOR" refers to "Termination of Resuscitation," which outlines specific criteria under which resuscitation efforts can be appropriately stopped in cases of traumatic cardiac arrest. In the context of traumatic TOR, the conditions mentioned in the question highlight key indicators that help paramedics and medical professionals assess whether it is appropriate to cease resuscitation efforts. An altered level of awareness indicates that the patient is experiencing significant neurological compromise, which is often a sign of a severe injury or systemic failure. This factor is critical because a patient who is unresponsive may not have a chance of survival if resuscitation is not showing viable signs of progress. The condition of monitored heart rate greater than zero can indicate that there are still some cardiac events occurring, which may warrant continuation of resuscitative efforts. However, in the context of traumatic TOR, the presence of a monitored heart rate can be used in conjunction with other indicators to determine the viability of resuscitation. No palpable pulse is a definitive indicator that the cardiovascular system is compromised severely. If a patient is found to have no pulse and is unresponsive, it strongly suggests that the heart is not effectively circulating blood, thus greatly reducing the likelihood of a successful resuscitation. When all these conditions are