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Table 4 Results from Delphi rounds—outcomes that reached consensus

From: Development of outcomes for evaluating emergency care triage: a Delphi approach

Outcome—highest/red priority

Median

IQR

Consensus in round

Pos/neg consensus

Conflict

Patient received PCI within the short term time-frame

5

0

1

Pos

 

Patient received a surgical airway within the short term time-frame

5

0

1

Pos

 

Patient received massive transfusion within the short term time-frame

5

0

1

Pos

 

Diagnosis: intracerebral hemorrhage and patient was admitted to the ICU or received interventional care for the hemorrhage

5

0

1

Pos

 

Diagnosis: tension pneumothorax

5

0

1

Pos

 

Patient received thrombolysis and/or thrombectomy within the short term time-frame

5

0.25

1

Pos

 

Patient was intubated, received an oropharyngeal/nasal airway or laryngeal mask within the short term time-frame

5

0.25

1

Pos

 

Patient received a tourniquet during the visit in the ED

5

0.25

1

Pos

 

Diagnosis: anaphylaxis and patient received adrenaline

5

0.25

1

Pos

I

Diagnosis: STEMI

5

0.25

1

Pos

II

Patient received mechanical ventilation

5

1

1

Pos

 

Patient received a glucagon injection due to hypoglycemia during the ED visit

5

1

1

Pos

 

Patient received inotropic support during the ED visit

5

1

1

Pos

 

Patient's hemoglobin was under 60 g/L and the patient had an ongoing bleed

5

1

1

Pos

 

Patient's pO2 was under 4.5 kPa measured arterially within the short term time-frame

5

1

1

Pos

 

Diagnosis: bacterial meningitis

5

1

1

Pos

 

Diagnosis: ventricular tachycardia

5

1

1

Pos

 

Diagnosis: anaphylaxis

4.5

1

1

Pos

I

Diagnosis: addisonian crisis

4.5

1

1

Pos

 

Diagnosis: pulmonary edema

4.5

1

1

Pos

 

Patient died at or after seeking care at the ED

4

0

2

Pos

 

Patient admitted to ICU

4

0

1

Pos

 

Patient admitted to step down unit (Intermediate Care Unit)

4

0

3

Pos

III

Patient was operated on or received a surgical intervention within an operation room within the short term time-frame

4

0

1

Pos

IV/V

Patient was planned/booked for immediate surgery within the short term time-frame

4

0

1

Pos

IV/V

Patient received glucose due to hypoglycemia during the ED visit

4

0

1

Pos

 

Patient received an antidote directly related to the chief complaint during the ED visit

4

0

1

Pos

 

Diagnosis: Perforated ulcer

4

0

1

Pos

 

Diagnosis: Third degree (complete) heart block

4

0

1

Pos

 

Patient received high flow oxygen (> 30L/min)

4

0.25

1

Pos

 

Patient's pCO2 was over 9 kPa within the short term time-frame

4

0.25

1

Pos

 

Patient's pH was under 7.3 within the short term time-frame

4

0.25

2

Pos

 

Diagnosis: Sepsis and NEWS2 score of > 6p at first assessment after being admitted

4

0.25

2

Pos

VI

Patient's lactate levels were over 5 mmol/L within the short term time-frame

4

0.5

2

Pos

 

Patient received a pacemaker or was put on external pacing within the short term time-frame

4

1

1

Pos

 

Diagnosis: Ectopic pregnancy

4

1

1

Pos

 

Any diagnosis related to internal traumatic injuries of organs in abdomen, thorax or head

4

1

1

Pos

 

Diagnosis: Sepsis

4

1.25

1

Pos

VI

Patient's creatinine was doubled compared to previous values

2

1

2

Neg

 

Patient admitted to ward

1

0

1

Neg

 

Second highest/orange priority

Median

IQR

Consensus in round

Pos/neg consensus

Conflict

Diagnosis: testicular torsion

5

0.25

1

Pos

V

Diagnosis: ovarian torsion

5

0.25

1

Pos

V

Patient was operated on or received a surgical intervention within an operation room within the short term time-frame

4

0

1

Pos

IV

Diagnosis: Sepsis and NEWS2 score of < 7p at first check when admitted

4

0

3

Pos

VI

Diagnosis: STEMI

4

0

1

Pos

II

Patient admitted to step down unit (Intermediate Care Unit)

4

0.25

1

Pos

III

Diagnosis: NSTEMI or unstable angina

4

0.25

1

Pos

 

Patient received NIV/BiPap/CPap in the ED or after

4

1

1

Pos

 

Any diagnosis of an open fracture

4

1

1

Pos

 

Diagnosis: femur fracture

4

1

2

Pos

 

Any diagnosis related to acute ischemia

4

1

1

Pos

 

Diagnosis: pulmonary embolism

2

0

3

Neg

 

Patient received Nitroglycerine in the ED

2

0.25

2

Neg

 

Patient admitted to the acute care ward

2

0.5

2

Neg

 

Patient received antihistamines in the ED

1.5

1

1

Neg

 

A head CT scan was ordered on the patient in the ED

1

0.75

2

Neg

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