TOR Match — Scope-Aware Termination-of-Resuscitation Module for ePCR
A module inside EMS electronic charting software that applies the 2025 guideline's refined rules for when to stop a resuscitation, automatically matching the criteria set to the treating clinician's level of training and documenting every criterion against the recorded arrest data.
Concept
A module for electronic patient care reporting (ePCR) systems that activates when a resuscitation team approaches the decision to stop. It reads the arrest data already captured in the ePCR — rhythms documented over time, shocks delivered, downtime, interventions, and response intervals — applies the 2025 guideline's refined termination-of-resuscitation rules, and automatically selects the criteria set matching the treating clinician's documented scope of practice (paramedic, EMT, nurse, physician). It then renders a checklist-verified recommendation to terminate or continue with transport, with each criterion linked to the chart data that satisfied it, giving the clinician and the medical director a defensible, standardized record of the decision.
Why now
The 2025 AHA Adult Advanced Life Support guidelines explicitly refine termination-of-resuscitation rules to guide decision-making based on the EMS professional's scope of practice — a scope-tiered structure that agencies must now encode into protocols, training, and documentation, and one the abstract names as a deliberate refinement of this cycle rather than a carry-over. Because the criteria (documented rhythms, times, interventions) already live in the ePCR, the software layer is the only missing piece; the module turns a laminated card into a point-of-decision check that reduces variability between clinicians of different training levels and cuts unnecessary transports of patients who met termination criteria.
Written by GLM · 13 Oct 2026
AI assessment
A high-utility, low-risk clinical decision support tool that digitizes a specific, high-stakes regulatory requirement within existing EMS workflows.
- Evidence strength 5/5
- The idea directly implements the 2025 AHA guidelines' refined, scope-tiered termination rules using data already captured in ePCRs.
- Market pull 4/5
- EMS agencies and medical directors have a strong incentive to reduce unnecessary transports and ensure legal defensibility of termination decisions.
- Novelty & moat 3/5
- While it follows a pattern of 'guideline-to-software' seen in other catalog items, it addresses a unique, high-liability gap in the ePCR market.
- Feasibility 5/5
- The logic is deterministic (checklist-based) and relies on existing data fields, making it a straightforward engineering task.
- Wedge clarity 5/5
- The wedge is a single, specific module for a high-stakes decision point (termination of resuscitation) rather than a general clinical tool.
- Simplicity / focus 5/5
- The product is focused on one sharp function: matching patient data to scope-specific termination criteria.
Scored by Gemma 4 · 13 Oct 2026. Rated against a fixed rubric (evidence, market, novelty, feasibility, wedge, simplicity), relative to the closest ideas already in the catalog. A prior estimate to compare ideas before real-world signal arrives.
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Who benefits
- ESOcompany
A leading ePCR vendor for EMS agencies; a scope-aware termination module built on the 2025 rules adds high-value decision support to data its platform already captures.
- ImageTrendcompany
Its EMS record platform serves large state and agency deployments; encoding the new scope-tiered termination rules natively differentiates it for 2025 protocol rollouts.
- National Association of State EMS Officialsorganization
Its members maintain state EMS protocols and scope-of-practice rules; a tool that operationalizes the guideline's scope-matched termination criteria gives them a concrete model to adopt.
- American Medical Responsecompany
As one of the largest US ambulance operators, it must retrain thousands of clinicians on the refined termination rules; a chart-integrated, scope-matched check reduces variability and decision anxiety across its workforce.
Standardized, criterion-linked termination documentation from the field improves the consistency of the arrest outcome data CARES collects for benchmarking survival.
Research it builds on
- Part 9: Adult Advanced Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular CareJane G. Wigginton, Sachin Agarwal, Jason Alan Bartos et al. · 2025 · 107 citationsAll ideas from this paper →