Table 3 Statements that reached expert consensus

Time point of notification of the first appropriate staff person, Duty Officer (DO) to take on the role of medical management coordinator

4.93

0.25

1

Location of incident

4.90

0.30

1

Time point when major incident was declared by duty officer (DO)

4.75

0.64

1

Time point when regional medical command centre establishes contact with management at the scene of the incident

4.75

0.51

1

Content of regional medical command centre issues guidelines for course of action

4.66

0.80

1

Time point for decision on additional recourses to be sent to the scene

4.65

0.61

1

Time point when regional medical command centre issues guidelines for course of action

4.63

0.66

1

Time point for and changes in operational level of regional medical command centre

4.62

0.67

3

Who reported incident

4.62

0.62

1

Time point and if other person than DO assumes the role as initial medical management coordinator

4.55

0.82

3

Operational level of regional medical command centre

4.44

1.05

1

Time point at which the regional medical command centre deactivates its DMMP

4.42

1.10

2

Type of incident (incident characteristics)

No

Incident type

4.88

0.42

2

Initial medical response management at the local level (scene of the incident)

No

Time for first report from scene “Window report”

4.89

0.40

1

Content of the first management at the incident site, decisions about the course of action/issues guidelines for the medical response

4.85

0.35

2

First EMS ambulance at the incident site and time of arrival

4.82

0.66

1

Number of mobile medical teams and time point when alarming each one

4.79

0.67

1

Time points at which medical responders at scene are activated and demobilised

4.78

0.49

3

Content of second report from scene

4.77

0.69

2

The number of T1 category patients transported from the scene to receiving healthcare facilities

4.77

0.80

1

Content, according to METHANE, of first report from scene according to the MIMMS concept *

4.75

0.58

2

Content of the first management at the incident site, decisions about the course of action/issues guidelines for response

4.74

0.52

3

Number of ambulances and time point for alarming each ambulance

4.73

0.90

1

Number of first responder vehicles and time point for alarming each

4.46

1.10

1

Number of ambulance helicopters alarmed and time point for alarming each

4.76

0.67

1

Time point when on scene medical management establishes contact with regional medical command centre

4.68

0.60

1

Time point when on scene medical control and coordination is operational

4.67

0.72

1

The number of T2 category patients transported from the scene to receiving healthcare facilities

4.65

0.84

1

Time point when first EMS ambulance arrives on scene

4.57

0.79

2

Time point when on scene medical control and coordination is demobilised

4.57

0.74

3

The number of T3 category patients transported from the scene to receiving healthcare facilities

4.55

0.93

1

Time for second report from scene “confirming report”

4.53

0.96

1

Time point when management at the incident site makes decisions about the course of action/ issues, guidelines for the medical response

4.53

0.99

3

Time when management at the incident site issues the first course of action, general guidelines for response

4.51

1.01

1

The number of T4 category patients transported from the scene to receiving healthcare facilities

4.44

0.78

3

Units sending prehospital teams

4.41

0.73

3

Time point at which the first patient has been triaged at the scene of the MI

4.37

0.86

3

Triage system used

4.35

0.91

3

Time when casualty-clearing station can start receiving patients

4.34

0.72

3

Management/liaison (in general when nothing else is specified)

No

Time point for the first referral of patients to the receiving health care facilities (referral key)

4.65

0.72

1

Time point when contact made with the authority at the national level

4.65

0.61

3

Time for decision if another county / region needs to be alerted and content of this decision

4.63

0.80

1

Time point for the first decision on the course of action at the regional level of management

4.62

0.62

1

The measures initiated to address operational /infrastructure disruption

4.60

0.78

3

What kind of expertise becomes engaged

4.55

0.63

3

Decision on information to “own staff” in the county health care units

4.53

0.69

3

Time point when liaison is established with other actors, emergency support function (ESP)

4.48

0.73

3

Time point for established liaison with agencies and organisations affected on matters of strategic management (rescue service, police)

4.41

0.86

3

All time points for the updated references of patients to the receiving healthcare facilities

4.40

1.08

1

Time point and type of media contacts (including press releases, press communiqué, press conference)

4.32

0.77

2

Decisions on sending liaison officer to county administrative board

4.20

0.72

3

Patient transport/resources

No

Time point at which the first priority 1 (T1) patient was transported to healthcare facilities

4.68

0.76

1

Time point at which the last priority 1 (T1) patient was transported to receiving healthcare facilities

4.68

0.71

1

The number of transport units (other than by ambulance)

4.53

0.74

3

Alternative transport units

4.34

0.76

1

Initial medical response management at the local level (healthcare facilities)

No

Total number of patients received by health care facilities

4.96

0.19

2

Time when the alarm receiver on receiving hospital is alerted

4.85

0.36

1

Arrival time the first ambulance to the healthcare facility

4.79

0.49

1

Arrival time for the first priority 1 (T1) patient from the incident site to the healthcare facility

4.79

0.49

1

Arrival time for the last priority 1 (T1) patient from the incident site to the healthcare facility

4.72

0.52

1

Time point of startup / shutdown when decontamination station is in operation

4.70

0.60

1

Name of receiving hospital

4.68

0.60

1

Time point of established medical management coordination at receiving hospital (ie, when management can be exercised)

4.64

0.73

3

Change and time point for changing the emergency level at the healthcare facilities including startup / shutdown

4.59

0.93

2

Time point at which the hospital activates its disaster medical management plan

4.58

0.68

1

Time point when medical management at each healthcare facility is deactivated

4.53

0.74

3

Arrival time of the first self-presenting patient to the healthcare facility

4.41

0.77

1

Injury severity and mortality (patient characteristics)

No

The total number of injured

4.96

0.18

1

Mortality on scene (number)

4.90

0.30

1

Mortality in the emergency department (number)

4.89

0.31

2

Mortality Pre-hospital and during transport (number)

4.86

0.43

1

Dominating type of injury

4.72

0.52

1

Injury severity (ISS)

4.62

0.88

2

The total number of self-presenting patients to the healthcare facility

4.58

0.50

1

Affected but uninjured (estimated number)

4.37

0.97

2

Staff equipment

No

Disturbance and type of disturbance of communication

4.60

0.72

1

Disturbance and type of disturbance of documentation systems

4.50

0.82

1