Table 4 Consensus on variables (Delphi round 1)

Actual injuries^a

Yes

100 (>med)

Only high energy mechanisms should be considered

Yes

97.5 (>disagree)

Physiology^a

Yes

97.44 (>med)

Need for blood products^a

Yes

92.3 (>med)

Age (> 65 years) special consideration^a

Yes

89.75 (>med)

Experienced clinicians are able to identify major trauma patients

Yes

89.74 (>agree)

Need for ventilatory support^a

Yes

89.47 (>med)

Intoxication makes triage difficult

Yes

87.5 (>agree)

Age (paediatric)^a

Yes

87.18 (>med)

Age has no relevance

Yes

85 (>disagree)

Low energy mechanisms should be considered

Yes

85 (>Agree)

Elderly require different assessment/management

Yes

85 (>agree)

Need for surgical intervention^a

Yes

84.61 (>med)

Triage tools always identify major trauma

Yes

82.5 (>disagree)

Mechanism of injury (MOI)^a

Yes

82.5 (>med)

Scoring systems are the only way to identify major trauma

Yes

76.92 (>disagree)

Paediatrics require different assessment/management

Yes

77.5 (>agree)

Identified by clinical assessment (as opposed to mechanism of injury)

Yes

77.5 (>agree)

Can only be defined by retrospective scores

Yes

75 (>disagree)

Perceived need for Intensive Care Unit admission

Yes

75 (>agree)

Triage tools can identify patients who would benefit from MTC care

Yes

75 (>agree)

Outcome measures (e.g. injury severity scores)^a

Yes

71.8 (>med)

Pre-existing frailty should be considered

Yes

70 (>agree)

Need for tranexamic acid (TXA)^a

No

69.22 (>med)

30.77 (Low)

Need for pelvic binding^a

No

64.1 (>med)

35.9 (low)

Perceived need for surgical intervention

No

62.5 (>agree)

22.5 (neutral)

15 (Disagree)

Major trauma can only be managed at an MTC

No

62.5 (>disagree)

15 (neutral)

22.5 (agree)

Need for spinal immobilisation^a

No

61.54 (low)

38.47 (>med)

Clinicians high index of suspicion can identify major trauma without imaging

No

60 (>agree)

15 (neutral)

25 (disagree)

Burns should have a separate protocol

No

57.9 (>agree)

26.32 Neutral)

15.79 (disagree)

Previous medical history^a

No

56.41 (low)

43.59 (med)

Burns should be included in major trauma triage

No

55.27 (>agree)

7.89 (Neutral)

36.85 (disagree)

Pre-existing co-morbidity should be considered

No

51.28 (>agree)

25.64 (neutral)

23.08 (disagree)