AEMCA Practice Exam

What is a criterion for the trauma TOR?

1. Age over 18

2. Loss of consciousness

3. No palpable pulses

4. Both A and C

The correct answer is: Both A and C

The criteria for the trauma TOR (Termination of Resuscitation) stem from established guidelines that aim to determine whether resuscitation efforts should continue or be stopped in trauma patients. The inclusion of specific criteria helps first responders and healthcare professionals make critical decisions swiftly and effectively. Considering the criteria provided, age over 18 is significant because pre-existing conditions and the body's ability to withstand trauma can vary greatly with age. Adults tend to have different physiological responses compared to younger patients, which can influence treatment decisions during trauma situations. The absence of palpable pulses is another crucial criterion since it directly indicates that the heart is not effectively circulating blood to the body. The presence of detectable pulses is essential for life, and without them, it may signify that further resuscitation efforts would be futile. When both of these criteria are combined, they provide a clearer and stronger foundation for the decision to terminate resuscitation efforts in trauma cases. These criteria can help guide medical personnel in making evidence-based, ethical decisions in emergency situations, thereby improving outcomes for patients who might benefit from ongoing resuscitative efforts.