Table 2 Conditions defining complex incidents
Condition | Data source | |
|---|---|---|
ALS procedures performed | Endotracheal intubation, pre-hospital or in the ED Tube thoracostomy, pre-hospital or in the ED Pre-hospital administration of TXA DCS (thoracotomy, laparotomy, extraperitoneal packing, re-vascularisation of extremity, interventional radiology, craniotomy, intracranial pressure monitoring) | NTR NTR P-EMS medical database, free-text field NTR |
Initial GCS | Initial on-scene GCS ≤ 13 (we consider GCS of 13 as moderate TBI due to the higher incidence of ICI and poor outcomes in these patients compared to those with 14 and 15 [23]) | NTR |
Injury severity | NISS > 15 | NTR |
Major incident event | Index defines a major incident as “When the number of casualties exceeds the capacity of the EMS system” and contains 15 criteria in one dedicated chapter. All incidents logged with a major incident criterion were perceived as a complex, irrespective of actual or any injuries | AMIS, dispatch criteria |