A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision

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dc.contributor.authorNutbeam, Tim
dc.contributor.authorFenwick, Rob
dc.contributor.authorSmith, Jason E.
dc.contributor.authorDayson, Mike
dc.contributor.authorCarlin, Brian
dc.contributor.authorWilson, Mark
dc.contributor.authorWallis, Lee
dc.contributor.authorStassen, Willem
dc.date.accessioned2022-09-15T13:48:29Z
dc.date.available2022-09-15T13:48:29Z
dc.date.issued2022-06-20
dc.date.updated2022-06-26T03:13:03Z
dc.description.abstractBackground Approximately 1.3 million people die each year globally as a direct result of motor vehicle collisions (MVCs). Following an MVC some patients will remain trapped in their vehicle; these patients have worse outcomes and may require extrication. Following new evidence, updated multidisciplinary guidance for extrication is needed. Methods This Delphi study has been developed, conducted and reported to CREDES standards. A literature review identified areas of expertise and appropriate individuals were recruited to a Steering Group. The Steering Group formulated initial statements for consideration. Stakeholder organisations were invited to identify subject matter experts (SMEs) from a rescue and clinical background (total 60). SMEs participated over three rounds via an online platform. Consensus for agreement / disagreement was set at 70%. At each stage SMEs could offer feedback on, or modification to the statements considered which was reviewed and incorporated into new statements or new supporting information for the following rounds. Stakeholders agreed a set of principles based on the consensus statements on which future guidance should be based. Results Sixty SMEs completed Round 1, 53 Round 2 (88%) and 49 Round 3 (82%). Consensus was reached on 91 statements (89 agree, 2 disagree) covering a broad range of domains related to: extrication terminology, extrication goals and approach, self-extrication, disentanglement, clinical care, immobilisation, patient-focused extrication, emergency services call and triage, and audit and research standards. Thirty-three statements did not reach consensus. Conclusion This study has demonstrated consensus across a large panel of multidisciplinary SMEs on many key areas of extrication and related practice that will provide a key foundation in the development of evidence-based guidance for this subject area.en_US
dc.identifier.citationScandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2022 Jun 20;30(1):41
dc.identifier.citationScandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2022 Jun 20;30(1):41
dc.identifier.urihttps://doi.org/10.1186/s13049-022-01029-x
dc.identifier.urihttp://hdl.handle.net/11427/36817
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentDivision of Emergency Medicineen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceScandinavian Journal of Trauma, Resuscitation and Emergency Medicineen_US
dc.source.journalissue1en_US
dc.source.journalvolume30en_US
dc.source.pagination41en_US
dc.source.urihttps://sjtrem.biomedcentral.com/
dc.titleA Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collisionen_US
dc.typeJournal Articleen_US
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