A consensus based template for reporting of pre-hospital major incident medical management

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Torben Wisborg⁵  Hans Morten Lossius¹  Julian Thompson³  David Lockey³  Marius Rehn²  Sabina Fattah⁴ 

[1] Field of Pre-hospital Critical Care, Network of Medical Sciences, University of Stavanger, Stavanger, Norway;Department of Anesthesiology and Intensive Care, Akershus University Hospital, Lørenskog, Norway;London’s Air Ambulance, The Helipad, Royal London Hospital, Whitechapel, London, UK;Anaesthesia and Critical Care Research Group, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway;Norwegian Trauma Competency Service, Oslo University Hospital, Oslo, Norway

关键词: Medical management;    Reporting;    Emergency medicine;    Disaster;    Major incident;   

Others  :  810288
DOI  :  10.1186/1757-7241-22-5

 received in 2013-10-28, accepted in 2013-12-16,  发布年份 2014

【 摘 要 】

Background

Structured reporting of major incidents has been advocated to improve the care provided at future incidents. A systematic review identified ten existing templates for reporting major incident medical management, but these templates are not in widespread use. We aimed to address this challenge by designing an open access template for uniform reporting of data from pre-hospital major incident medical management that will be tested for feasibility.

Methods

An expert group of thirteen European major incident practitioners, planners or academics participated in a four stage modified nominal group technique consensus process to design a novel reporting template. Initially, each expert proposed 30 variables. Secondly, these proposals were combined and each expert prioritized 45 variables from the total of 270. Thirdly, the expert group met in Norway to develop the template. Lastly, revisions to the final template were agreed via e-mail.

Results

The consensus process resulted in a template consisting of 48 variables divided into six categories; pre-incident data, Emergency Medical Service (EMS) background, incident characteristics, EMS response, patient characteristics and key lessons.

Conclusions

The expert group reached consensus on a set of key variables to report the medical management of pre-hospital major incidents and developed a novel reporting template. The template will be freely available for downloading and reporting on http://www.majorincidentreporting.org webcite. This is the first global open access database for pre-hospital major incident reporting. The use of a uniform dataset will allow comparative analysis and has potential to identify areas of improvement for future responses.

【 授权许可】

   
2014 Fattah et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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