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Table 4 Consensus per statement and topic for round 2

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

Topic

 

Statement

N

%

consensus

P-HEMS dispatch

1

When “ABCD” stable is reported this means, one can aspect no deterioration.

70

77

Y-

2

When no deterioration is to be suspected, the care of a P-HEMS is not needed.

70

46

N

3

Dispatching a P-HEMS for adequate analgesia is justified.

70

83

Y+

4

It is justified to accept an incomplete MIST-handover

70

64

T+

5

Assessing the ABCD status of a patient by a professional does not take longer than one or two minutes

70

71

Y+

6

Due to differences in interpretation it is better to discard terms such as SR and SP or “ABCD-stable” in order to prevent communication errors

70

56

T+

7

It would be useful to incorporate a RTS-score chart in the prehospital setting.

70

37

N

8

When an RTS-score chart would be available, I would use this

70

40

N

9

It would be of additive value to incorporate a GCS-score chart in the prehospital setting

70

49

N

10

When a GCS-score chart would be available, I would use this

70

49

N

11

There is a set method for prehospital handover between EMS and P-HEMS: the MIST method

70

61

T+

12

There is a set method for prehospital handover between EMS and P-HEMS: the SBAR method

70

36

N

13

There is no set method for prehospital handover between EMS and P-HEMS.

70

63

T-

14

there is need for a set method for prehospital handover between EMS and P-HEMS

70

69

T+

Collabo-ration EMS

1

the importance of integration of the training for the different EMS

67

85

Y+

2

on the importance of multidisciplinary training

67

92

Y+

3

evaluation of care via integrated care meetings

67

100

Y+

4

all EMS should be aware of the protocols of the other involved EMS

67

86

Y+

Hand-over

1

that reporting “ABCD” stable is to brief for an MAPH

67

76

Y+

2

it is useful to determine the content of a MAPH

67

91

Y+

3

a MAPH is a handover on which the person who the information is handed to can make an educated estimation of the situation, the patient and the course

67

94

Y+

4

a MAPH should help EMS nurses make educated decisions in a short period of time

67

90

Y+

5

When consensus is reached on the structure and content of a MAPH this should be included in all EMS protocols

67

90

Y+

6

that using a MAPH is important for the communication between EMS nurses, dispatch centres, P-HEMS, other EMS and the receiving hospital

67

87

Y+

7

usage of a MAPH will help facilitate the transfer/or acceptance of responsibility of care

67

87

Y+

8

usage of a MAPH may aid in improving prehospital trauma patient care

67

90

Y+

MAPH

1

information regarding gender should be incorporated into a MAPH

67

70

Y+

2

information regarding age should be incorporated into a MAPH

67

97

Y+

3

information regarding MOI should be incorporated into a MAPH

67

96

Y+

4

information regarding injuries sustained should be incorporated into a MAPH

67

96

Y+

5

information regarding patients airway should be incorporated into a MAPH

67

99

Y+

6

information regarding patients breathing should be incorporated MAPH

67

97

Y+

7

information regarding hemodynamic status should be incorporated into a MAPH

67

97

Y+

8

information regarding neurological status should be incorporated into a MAPH

67

99

Y+

9

information regarding neurological abnormalities should be incorporated into a MAPH

67

90

Y+

10

information regarding medical history should be incorporated into a MAPH

67

52

T+

11

information regarding medicine usage should be incorporated into a MAPH

67

51

T+

  1. P-HEMS Physician staffed Helicopter Emergency Medical Services, MIST Mechanism of injury, Injuries found and suspected, vital Signs and Treatment given, MAPH Minimal adequate prehospital handover, RTS Revised Trauma Score, GCS Glasgow Coma Scale, EMS Emergency Medical Services, MOI Mechanism Of Injury, N Nonconsensus, T+ Tendency to agreement T- tendency to disagreement, Y+ consensus on agreement, Y- consensus on disagreement