Paediatric major incident triage : A Delphi process to determine clinicians' attitudes and beliefs within the United Kingdom and Ireland
© 2022 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd..
AIM: Triage is key to effective management of major incidents, yet there is scarce evidence surrounding the optimal method of paediatric major incident triage (MIT). This study aimed to derive consensus on key components of paediatric MIT among healthcare professionals responsible for triage during paediatric major incidents.
METHODS: Two-round online Delphi consensus study delivered July 2021-October 2021, including participants from pre-hospital and hospital specialities responsible for triage during paediatric major incidents. A 5-point Likert scale was used to determine consensus, set a priori at 70%.
RESULTS: 111 clinicians completed both rounds; 13 of 17 statements reached consensus. Positive consensus was reached on rescue breaths in mechanisms associated with hypoxia or asphyxiation, mobility assessment as a crude discriminator and use of adult physiology for older children. Whilst positive consensus was reached on the benefits of a single MIT tool across all adult and paediatric age ranges, there was negative consensus in relation to clinical implementation.
CONCLUSIONS: This Delphi study has established consensus among a large group of clinicians involved in the management of major incidents on several key elements of paediatric major incident triage. Further work is required to develop a triage tool that can be implemented based on emerging and ongoing research and which is acceptable to clinicians.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:112 |
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| Enthalten in: |
Acta paediatrica (Oslo, Norway : 1992) - 112(2023), 1 vom: 15. Jan., Seite 154-161 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Vassallo, James [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 15.12.2022 Date Revised 20.12.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/apa.16567 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM347347118 |
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| 100 | 1 | |a Vassallo, James |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Paediatric major incident triage |b A Delphi process to determine clinicians' attitudes and beliefs within the United Kingdom and Ireland |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Completed 15.12.2022 | ||
| 500 | |a Date Revised 20.12.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd. | ||
| 520 | |a AIM: Triage is key to effective management of major incidents, yet there is scarce evidence surrounding the optimal method of paediatric major incident triage (MIT). This study aimed to derive consensus on key components of paediatric MIT among healthcare professionals responsible for triage during paediatric major incidents | ||
| 520 | |a METHODS: Two-round online Delphi consensus study delivered July 2021-October 2021, including participants from pre-hospital and hospital specialities responsible for triage during paediatric major incidents. A 5-point Likert scale was used to determine consensus, set a priori at 70% | ||
| 520 | |a RESULTS: 111 clinicians completed both rounds; 13 of 17 statements reached consensus. Positive consensus was reached on rescue breaths in mechanisms associated with hypoxia or asphyxiation, mobility assessment as a crude discriminator and use of adult physiology for older children. Whilst positive consensus was reached on the benefits of a single MIT tool across all adult and paediatric age ranges, there was negative consensus in relation to clinical implementation | ||
| 520 | |a CONCLUSIONS: This Delphi study has established consensus among a large group of clinicians involved in the management of major incidents on several key elements of paediatric major incident triage. Further work is required to develop a triage tool that can be implemented based on emerging and ongoing research and which is acceptable to clinicians | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a life-saving interventions | |
| 650 | 4 | |a major incidents | |
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| 650 | 4 | |a triage | |
| 700 | 1 | |a Blakey, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Cowburn, Philip |e verfasserin |4 aut | |
| 700 | 1 | |a Surridge, Julia |e verfasserin |4 aut | |
| 700 | 1 | |a Smith, Jason E |e verfasserin |4 aut | |
| 700 | 1 | |a Scholefield, Barney |e verfasserin |4 aut | |
| 700 | 1 | |a Lyttle, Mark D |e verfasserin |4 aut | |
| 700 | 0 | |a PERUKI (Paediatric Emergency Research in the UK and Ireland) |e verfasserin |4 aut | |
| 700 | 1 | |a James, Robert |e investigator |4 oth | |
| 700 | 1 | |a Cubitt, Oliver |e investigator |4 oth | |
| 700 | 1 | |a Tehan, Mark |e investigator |4 oth | |
| 700 | 1 | |a Amps, Sam |e investigator |4 oth | |
| 700 | 1 | |a Gray, Chris |e investigator |4 oth | |
| 700 | 1 | |a McGahan, Claire |e investigator |4 oth | |
| 700 | 1 | |a Bayliss, Richard |e investigator |4 oth | |
| 700 | 1 | |a Thomson, Wayne |e investigator |4 oth | |
| 700 | 1 | |a Tunnicliff, Malcolm |e investigator |4 oth | |
| 700 | 1 | |a Challen, Kirsty |e investigator |4 oth | |
| 700 | 1 | |a Price, Ashley |e investigator |4 oth | |
| 700 | 1 | |a Allen, Kate |e investigator |4 oth | |
| 700 | 1 | |a Baron, Aidan |e investigator |4 oth | |
| 700 | 1 | |a Malcolm, Neil |e investigator |4 oth | |
| 700 | 1 | |a Booker, Matt |e investigator |4 oth | |
| 700 | 1 | |a Maney, Julie-Ann |e investigator |4 oth | |
| 700 | 1 | |a Cowper, Jamie |e investigator |4 oth | |
| 700 | 1 | |a Cowper, Adele |e investigator |4 oth | |
| 700 | 1 | |a Brown, Charlotte |e investigator |4 oth | |
| 700 | 1 | |a Draper, Luke |e investigator |4 oth | |
| 700 | 1 | |a England, Matthew |e investigator |4 oth | |
| 700 | 1 | |a Charlick, Kate |e investigator |4 oth | |
| 700 | 1 | |a Bagshaw, Lorna |e investigator |4 oth | |
| 700 | 1 | |a Procter, Harry |e investigator |4 oth | |
| 700 | 1 | |a Dole, Natasha |e investigator |4 oth | |
| 700 | 1 | |a Stewart, Michael |e investigator |4 oth | |
| 700 | 1 | |a Graham, Sean |e investigator |4 oth | |
| 700 | 1 | |a Tooley, James |e investigator |4 oth | |
| 700 | 1 | |a Lyttle, Mark |e investigator |4 oth | |
| 700 | 1 | |a Frampton, Anne |e investigator |4 oth | |
| 700 | 1 | |a Milsom, Samantha |e investigator |4 oth | |
| 700 | 1 | |a Moy, Ross |e investigator |4 oth | |
| 700 | 1 | |a Tolhurst-Cleaver, Meriel |e investigator |4 oth | |
| 700 | 1 | |a Harrison, Michael |e investigator |4 oth | |
| 700 | 1 | |a Fitchett, Claire |e investigator |4 oth | |
| 700 | 1 | |a Bramley, Dave |e investigator |4 oth | |
| 700 | 1 | |a Walton, Emily |e investigator |4 oth | |
| 700 | 1 | |a Stutchfield, Chris |e investigator |4 oth | |
| 700 | 1 | |a Loughrey, John-Paul |e investigator |4 oth | |
| 700 | 1 | |a Keers, Sophie |e investigator |4 oth | |
| 700 | 1 | |a Gough, Christopher |e investigator |4 oth | |
| 700 | 1 | |a Bradley, Anthony |e investigator |4 oth | |
| 700 | 1 | |a Morton, Sarah |e investigator |4 oth | |
| 700 | 1 | |a Hingley, Sakura |e investigator |4 oth | |
| 700 | 1 | |a McCormack, Jon |e investigator |4 oth | |
| 700 | 1 | |a O'Connell, Clare |e investigator |4 oth | |
| 700 | 1 | |a Melody, Laura |e investigator |4 oth | |
| 700 | 1 | |a Bayreuther, Jane |e investigator |4 oth | |
| 700 | 1 | |a Maddock, Alistair |e investigator |4 oth | |
| 700 | 1 | |a Hurst, Tom |e investigator |4 oth | |
| 700 | 1 | |a Brooker, Victor |e investigator |4 oth | |
| 700 | 1 | |a Stewart, Helen |e investigator |4 oth | |
| 700 | 1 | |a McKenna, Stewart |e investigator |4 oth | |
| 700 | 1 | |a Moss, Robert |e investigator |4 oth | |
| 700 | 1 | |a Taylor, Ben |e investigator |4 oth | |
| 700 | 1 | |a Mekki, Habab |e investigator |4 oth | |
| 700 | 1 | |a Wilson, Sarah |e investigator |4 oth | |
| 700 | 1 | |a Mullen, Stephen |e investigator |4 oth | |
| 700 | 1 | |a Nunn, Catherine |e investigator |4 oth | |
| 700 | 1 | |a Hudge, James |e investigator |4 oth | |
| 700 | 1 | |a Sutton, Callum |e investigator |4 oth | |
| 700 | 1 | |a Day, Ellie |e investigator |4 oth | |
| 700 | 1 | |a Bailey, Jon |e investigator |4 oth | |
| 700 | 1 | |a Dieppe, Clare |e investigator |4 oth | |
| 700 | 1 | |a Holdstock, Andrew |e investigator |4 oth | |
| 700 | 1 | |a Johnson, Christopher |e investigator |4 oth | |
| 700 | 1 | |a Alcock, Anastasia |e investigator |4 oth | |
| 700 | 1 | |a Cooper, Reuben |e investigator |4 oth | |
| 700 | 1 | |a Stibbards, Sarah |e investigator |4 oth | |
| 700 | 1 | |a James, Tom |e investigator |4 oth | |
| 700 | 1 | |a Surridge, Julia |e investigator |4 oth | |
| 700 | 1 | |a Raitt, James |e investigator |4 oth | |
| 700 | 1 | |a Reeve, Peter |e investigator |4 oth | |
| 700 | 1 | |a Creasey, Nikola |e investigator |4 oth | |
| 700 | 1 | |a Barrett, Michael |e investigator |4 oth | |
| 700 | 1 | |a Murch, Hannah |e investigator |4 oth | |
| 700 | 1 | |a Saunders, Elizabeth |e investigator |4 oth | |
| 700 | 1 | |a Browning, Jen |e investigator |4 oth | |
| 700 | 1 | |a Coats, Timothy |e investigator |4 oth | |
| 700 | 1 | |a Howarth, Nick |e investigator |4 oth | |
| 700 | 1 | |a Stirling, Joanne |e investigator |4 oth | |
| 700 | 1 | |a Bolger, Turlough |e investigator |4 oth | |
| 700 | 1 | |a Lewins, Ian |e investigator |4 oth | |
| 700 | 1 | |a Crawford, Alastair |e investigator |4 oth | |
| 700 | 1 | |a Little, Mark |e investigator |4 oth | |
| 700 | 1 | |a Broomfield, Dylan |e investigator |4 oth | |
| 700 | 1 | |a Kidd, Alastair |e investigator |4 oth | |
| 700 | 1 | |a Reid, Lindsay |e investigator |4 oth | |
| 700 | 1 | |a Adams, Nicholas |e investigator |4 oth | |
| 700 | 1 | |a Hann, Gayle |e investigator |4 oth | |
| 700 | 1 | |a Rutkowska, Helen |e investigator |4 oth | |
| 700 | 1 | |a Leonard, Paul |e investigator |4 oth | |
| 700 | 1 | |a Watson, Jessica |e investigator |4 oth | |
| 700 | 1 | |a Hill, Christopher |e investigator |4 oth | |
| 700 | 1 | |a Botsford, Karan |e investigator |4 oth | |
| 700 | 1 | |a McGlone, Michaela |e investigator |4 oth | |
| 700 | 1 | |a McCreddan, Lois |e investigator |4 oth | |
| 700 | 1 | |a Plumb, James |e investigator |4 oth | |
| 700 | 1 | |a Harding, Rachael |e investigator |4 oth | |
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