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Table 3 Overview of the result of the first round

From: National consensus on communication in prehospital trauma care, the DENIM study

 

Case topic

N

%

Consensus

1

Value of P-HEMS in TBI case

78

23

N

2

Value of P-HEMS in rapid sequence intubation as a part of pain management

77

62

T+

3

Value of P-HEMS in paediatric TBI, assessment of GCS

77

63

T+

4

Pain management and transport time

75

36

N

5

Usage of the AVPU scale for neurological assessment

75

51

N

6

Definitions of “Scoop and Run” and “Stay and Play”

75

67

T+

7

Treatment of a bleeding scalp injury

75

43

N

 

Statement topic

N

%

Consensus

1

P-HEMS shortens time to definite care

74

27

N

2

Primary dispatch P-HEMS strictly based on information on the MOI

74

78

Y+

3

the ‘D’ is more important than the ‘A,B,C’ for dispatch of P-HEMS

74

78

Y-

4

P-HEMS dispatch for patients suffering penetrating trauma

74

64

T-

5

Variability in the relative dispatch frequency per EMS dispatch region

74

55

T+

6

Extrication time > 20 min P-HEMS dispatch is indicated

73

58

T+

7

victim ejected from vehicle is an adequate dispatch criterion

73

80

Y+

8

Extremes in ages adequate dispatch criterion

73

44

N

9

RTS below 12 is an adequate dispatch criterion for the P-HEMS

73

38

N

10

On the importance of the MOI for the dispatch of P-HEMS

73

84

Y+

11

The importance of the injuries sustained for the dispatch of P-HEMS

73

96

Y+

12

The value of patient’s vital signs for the dispatch of the P-HEMS

73

95

Y+

13

The influence of logistical factors for the dispatch of the P-HEMS

73

78

Y+

  1. P-HEMS Helicopter Emergency Medical Services, TBI traumatic brain injury, GCS Glasgow Coma Scale, AVPU neurological scale (alert, verbal, pain, unresponsive), MOI Mechanism of Injury, EMS Emergency medical services, RTS Revised Trauma Score, N Nonconsensus, T+ Tendency to agreement, T- tendency to disagreement, Y+ consensus on agreement, Y- consensus on disagreement