Table 3 Items included by consensus from rounds 2 and 3 of the Delphi method and the subsequent merging and editing of competencies
From: A Delphi consensus study for teaching “Basic Trauma Management” to third-year medical students
Coding | Item | Action |
|---|---|---|
Structured Approach (SA) | ||
SA 1 | Describe the ABCDE algorithm to assess a trauma patient | Accepted in the final listing |
SA 2 | Be able to describe the ABCDE sequence of trauma | Same as SA 1 - Deleted |
SA 3 | Do a primary survey according to the ABCDE approach | Same as SA 1 - Deleted |
SA 4 | Have a structured approach to the patient | Same as SA 1 - Deleted |
SA 5 | Why the ABCDE is important: “To treat first what kills first” | Accepted in the final listing |
SA 6 | Which problems to identify in primary and secondary survey | Accepted in the final listing |
Management General (MG) | ||
MG 1 | Diagnose and treat life-threatening conditions | Accepted in the final listing |
MG 2 | Treat hemorrhagic shock | Merged with MG 4 and MG 5 |
MG 3 | Teach/ refresh the BLS | Accepted in the final listing |
MG 4 | Treatment of massive bleeding | Merged with MG 2 and MG 5 |
MG 5 | Be able to stop the bleeding | Merged with MG 2 and MG 4 |
MG 6 | What to do as first responder | Same as MG 1 - Deleted |
MG 7 | The AMPLE | Accepted in the final listing |
MG 8 | Use oxygen correctly | Accepted in the final listing |
MG 9 | Assessment of vital signs | Accepted in the final listing |
Technical Skills (TS) | ||
TS 1 | Basic knowledge of immobilization techniques | Accepted in the final listing |
TS 2 | Indications, contra-indications, advantages and disadvantages of immobilization techniques | Accepted in the final listing |
TS 3 | Immobilization skills | Same as HS 1 - Deleted |
TS 4 | Demonstrate and use material for the management of trauma patients | Accepted in the final listing |
TS 5 | Pelvic sling use | Accepted in the final listing |
TS 6 | At the end of the course, students should be able to perform a simulated scenario | Accepted in the final listing |
TS 7 | Perform HWS immobilization | Accepted in the final listing |
TS 8 | Demonstrate the immobilization of a conscious trauma victim including extrication collar and pelvic binder | Accepted in the final listing |
TS 9 | Immobilization with extrication collar | Same as HS 8 - Deleted |
TS 10 | Immobilization with vacuum mattress | Accepted in the final listing |
TS 11 | Perform a log-roll | Accepted in the final listing |
Management Specific (MS) | ||
MS 1 | Tourniquet use | Accepted in the final listing |
Human Factors (HF) | ||
HF 1 | Teach non-technical skills (leadership, membership, situational awareness) | Accepted in the final listing |
HF 2 | Teach about teamwork | Accepted in the final listing |
HF 3 | Establish clear communication | Accepted in the final listing |
HF 4 | Work as team member | Accepted in the final listing |
HF 5 | Be able to call for help properly | Accepted in the final listing |
HF 6 | Have communication skills | Same as SS 3 - Deleted |
HF 7 | Correctly communicate in a handover | Accepted in the final listing |
HF 8 | Be a good team player | Merged with SS 4 |
HF 9 | Be aware of own limitations | Accepted in the final listing |
HF 10 | Be able to communicate clearly | Same as SS 3 - Deleted |
HF 11 | Stay calm | Accepted in the final listing |
HF 12 | Speak up | Accepted in the final listing |
Security (Sec) | ||
Sec 1 | Maintain safety of self, team, and patient | Accepted in the final listing |
Sec 2 | Call for help properly and assess your security | Same as SS 5 and Sec 1 - Deleted |
Sec 3 | Secure the place and self | Same as Sec 1 - Deleted |
Sec 4 | Be able to assess your own security in the emergency location | Same as Sec 1 - Deleted |