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+ |