Variable | Consensus (> 70%) | % |
---|---|---|
Actual injuriesa | Yes | 100 (>med) |
Only high energy mechanisms should be considered | Yes | 97.5 (>disagree) |
Physiologya | Yes | 97.44 (>med) |
Need for blood productsa | Yes | 92.3 (>med) |
Age (> 65 years) special considerationa | Yes | 89.75 (>med) |
Experienced clinicians are able to identify major trauma patients | Yes | 89.74 (>agree) |
Need for ventilatory supporta | Yes | 89.47 (>med) |
Intoxication makes triage difficult | Yes | 87.5 (>agree) |
Age (paediatric)a | Yes | 87.18 (>med) |
Age has no relevance | Yes | 85 (>disagree) |
Low energy mechanisms should be considered | Yes | 85 (>Agree) |
Elderly require different assessment/management | Yes | 85 (>agree) |
Need for surgical interventiona | Yes | 84.61 (>med) |
Triage tools always identify major trauma | Yes | 82.5 (>disagree) |
Mechanism of injury (MOI)a | Yes | 82.5 (>med) |
Scoring systems are the only way to identify major trauma | Yes | 76.92 (>disagree) |
Paediatrics require different assessment/management | Yes | 77.5 (>agree) |
Identified by clinical assessment (as opposed to mechanism of injury) | Yes | 77.5 (>agree) |
Can only be defined by retrospective scores | Yes | 75 (>disagree) |
Perceived need for Intensive Care Unit admission | Yes | 75 (>agree) |
Triage tools can identify patients who would benefit from MTC care | Yes | 75 (>agree) |
Outcome measures (e.g. injury severity scores)a | Yes | 71.8 (>med) |
Pre-existing frailty should be considered | Yes | 70 (>agree) |
Need for tranexamic acid (TXA)a | No | 69.22 (>med) 30.77 (Low) |
Need for pelvic bindinga | No | 64.1 (>med) 35.9 (low) |
Perceived need for surgical intervention | No | 62.5 (>agree) 22.5 (neutral) 15 (Disagree) |
Major trauma can only be managed at an MTC | No | 62.5 (>disagree) 15 (neutral) 22.5 (agree) |
Need for spinal immobilisationa | No | 61.54 (low) 38.47 (>med) |
Clinicians high index of suspicion can identify major trauma without imaging | No | 60 (>agree) 15 (neutral) 25 (disagree) |
Burns should have a separate protocol | No | 57.9 (>agree) 26.32 Neutral) 15.79 (disagree) |
Previous medical historya | No | 56.41 (low) 43.59 (med) |
Burns should be included in major trauma triage | No | 55.27 (>agree) 7.89 (Neutral) 36.85 (disagree) |
Pre-existing co-morbidity should be considered | No | 51.28 (>agree) 25.64 (neutral) 23.08 (disagree) |