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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