Ontario Paramedic Practice Exam

What are the contraindications of a trauma TOR?

1. Less than 16 years old

2. Monitored HR greater than 0 and ED is less than 30 mins away

3. Defibrillation delivered

4. Only palpable pulse

The correct answer is: Monitored HR greater than 0 and ED is less than 30 mins away

A trauma TOR, or termination of resuscitation, is a protocol used by emergency medical services professionals to determine when to cease further efforts to resuscitate a patient who is in cardiac arrest due to trauma. This decision is based on certain criteria, or "contraindications," that are indicators that further resuscitation efforts are unlikely to be successful. Option A is incorrect because age is not a factor in determining when to initiate a trauma TOR. A patient of any age can be considered for this protocol if they meet the criteria. Option C is also incorrect because the delivery of a defibrillation does not necessarily mean that the patient should no longer receive resuscitative efforts. If the patient is still in cardiac arrest, further measures may still be taken. Option D is incorrect because having a palpable pulse does not automatically mean that the patient is responsive and resuscitation efforts should continue. This criterion is not enough to determine if the patient's cardiac arrest is survivable. Option B is the correct answer because it includes two important factors in determining a trauma TOR a monitored heart rate greater than 0 and a nearby emergency department within 30 minutes. These criteria suggest that the patient's cardiac arrest is likely not survivable and that further