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05). Analysis of DOR criteria categories showed unique patterns in each group for interventions and outcomes (Figure), with EMS suspicion associated with the lowest need for DOR. SAT results found DOR was indicated in 84% and improved care in 63%, with a small subset identified (9%) where DOR had a negative impact. DOR resuscitation facilitated timely emergent interventions in penetrating truncal trauma and a select subset of critically ill blunt patients. Unique intervention/outcome profiles were identified by activation criteria group