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Paediatric major incident triage: A Delphi process to determine clinicians' attitudes and beliefs within the United Kingdom and Ireland

Vassallo, James; Blakey, Sarah; Cowburn, Philip; Surridge, Julia; Smith, Jason E; Scholefield, Barney; Lyttle, Mark D; (Paediatric Emergency Research in the UK and Ireland), PERUKI

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Authors

James Vassallo

Sarah Blakey

Philip Cowburn

Julia Surridge

Jason E Smith

Barney Scholefield

PERUKI (Paediatric Emergency Research in the UK and Ireland)



Abstract

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.

Journal Article Type Article
Acceptance Date Oct 10, 2022
Online Publication Date Oct 19, 2022
Publication Date Jan 1, 2023
Deposit Date Nov 4, 2022
Publicly Available Date Oct 20, 2023
Journal Acta Paediatrica, International Journal of Paediatrics
Print ISSN 0803-5253
Electronic ISSN 1651-2227
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 112
Issue 1
Pages 154-161
DOI https://doi.org/10.1111/apa.16567
Keywords General Medicine, Pediatrics, Perinatology, Child Health, Life-saving interventions, Major incidents, Paediatrics, Triage
Public URL https://uwe-repository.worktribe.com/output/10108980
Publisher URL https://onlinelibrary.wiley.com/doi/10.1111/apa.16567

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This is the peer reviewed version of the following article: Vassallo, J., Blakey, S., Cowburn, P., Surridge, J., Smith, J. E., Scholefield, B., …(Paediatric Emergency Research in the UK and Ireland), P. (2023). Paediatric major incident triage: A Delphi process to determine clinicians' attitudes and beliefs within the United Kingdom and Ireland. Acta Paediatrica, 112(1), 154-161, which has been published in final form at https://onlinelibrary.wiley.com/doi/10.1111/apa.16567. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.


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http://www.rioxx.net/licenses/all-rights-reserved

Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the peer reviewed version of the following article: Vassallo, J., Blakey, S., Cowburn, P., Surridge, J., Smith, J. E., Scholefield, B., …(Paediatric Emergency Research in the UK and Ireland), P. (2023). Paediatric major incident triage: A Delphi process to determine clinicians' attitudes and beliefs within the United Kingdom and Ireland. Acta Paediatrica, 112(1), 154-161, which has been published in final form at https://onlinelibrary.wiley.com/doi/10.1111/apa.16567. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.





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