Date Published
January 7, 2025
Updated For
ALS PCS Version ALS PCS Version 5.2
Question:
I was just curious about a possible contradiction in the Trauma TOR VSA Conditions/Contraindications. In the updated Trauma TOR Conditions it lists that a condtion as "Signs of life when fully extricated with the closest ED >30 min transport time away". However in the following contraindications it lists "Signs of life at any time since fully extricated medical contact" as contraindicated for the TOR.
My question is, in a scenario of a Trauma TOR eligble patient that has signs of life after full extrication, then becomes VSA, would the Trauma TOR apply or not? Would distance to the hospital come into play?
Answer:
You are correct that it is confusing having “Signs of life since fully extricated” in both the Conditions and Contraindications. The intent is for the Conditions to be met. If a traumatic cardiac arrest patient has signs of life (ex – reactive pupils, since fully extricated but the closest ED is greater than or equal to 30 minutes away (with all other conditions met) you can contact the BHP for consideration of a Trauma TOR.
Categories
Keywords
Condition, Contraindication, Extrication, Signs of Life, Trauma Cardiac Arrest, trauma TOR
Additional Resources
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