Question: Is the stipulation that the patient must be VSA upon arrival to qualify for a Trauma TOR is a SWORBHP deviation from the provincial directives? The protocol does not specifically state witnessed or unwitnessed arrest (as does the Medical TOR protocol). After talking to a couple paramedics under another Base Hospital they have informed me that they can Trauma TOR a witnessed traumatic VSA (for example, the patient goes VSA during extrication and meets all other criteria).