If I am in a first response truck and have no shocks, do I have to wait until the transporting unit gets there to call for a TOR or can I call when I meet all the criteria?
This is a case by case scenario, with the answer being yes to the majority of these cases. However please consider the following:
As a first responder, you may be on scene without any additional resources. As such, it is necessary to consider whether or not the patient has received the same level of care a paramedic crew could provide before considering a TOR. If not, continue treatment as best as possible and work with the crew once they arrive on scene. Document the reason as to why a patch for a TOR was not made. If based on your clinical judgment the patient has received adequate care that would be provided by a paramedic crew and the patient meets TOR criteria, a patch can be made for TOR consideration. Please remember that just because a patient meets TOR criteria, cessation of resuscitation may not always be granted by the patch physician for a variety of reasons including the rhythm, circumstances surrounding the arrest, age, distance to ED etc.