Fattah Sabina, Johnsen Anne Siri, Sollid Stephen J M, Wisborg Torben, Rehn Marius, Sóti Ákos, Truhlář Anatolij, Krüger Andreas J, Gunnarsson Björn, Gryth Dan, Ohlén David, Fevang Espen, Sunde Geir Arne, Breitenmoser Ivo, Kurola Jouni, Nurmi Jouni, Fredriksen Knut, Rognås Leif, Temesvari Peter, Mikkelsen Søren, Magnusson Vidar, Voelckel Wolfgang
Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway; Anaesthesia and Critical Care Research Group, University of Tromsø, Tromsø, Norway.
Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway; Department of Health Studies, University of Stavanger, Stavanger, Norway; Department of Anaesthesiology, Oslo University Hospital, Oslo, Norway.
Air Med J. 2016 Nov-Dec;35(6):348-351. doi: 10.1016/j.amj.2016.08.003. Epub 2016 Oct 22.
Research on helicopter emergency medical services (HEMS) in major incidents is predominately based on case descriptions reported in a heterogeneous fashion. Uniform data reported with a consensus-based template could facilitate the collection, analysis, and exchange of experiences. This type of database presently exists for major incident reporting at www.majorincidentreporting.net. This study aimed to develop a HEMS-specific major incident template.
This Delphi study included 17 prehospital critical care physicians with current or previous HEMS experience. All participants interacted through e-mail. We asked these experts to define data variables and rank which were most important to report during an immediate prehospital medical response to a major incident. Five rounds were conducted.
In the first round, the experts suggested 98 variables. After 5 rounds, 21 variables were determined by consensus. These variables were formatted in a template with 4 main categories: HEMS background information, the major incident characteristics relevant to HEMS, the HEMS response to the major incident, and the key lessons learned.
Based on opinions from European experts, we established a consensus-based template for reporting on HEMS responses to major incidents. This template will facilitate uniformity in the collection, analysis, and exchange of experience.
关于重大事件中直升机紧急医疗服务（HEMS）的研究主要基于以异质方式报告的病例描述。使用基于共识的模板报告统一数据有助于经验的收集、分析和交流。目前在www.majorincidentreporting.net上存在用于重大事件报告的此类数据库。本研究旨在开发一个特定于HEMS的重大事件模板。
这项德尔菲研究纳入了17名有当前或既往HEMS经验的院前重症医生。所有参与者通过电子邮件进行互动。我们要求这些专家定义数据变量，并对在重大事件的院前紧急医疗响应期间报告哪些变量最为重要进行排序。共进行了五轮。
在第一轮中，专家们提出了98个变量。经过5轮，通过共识确定了21个变量。这些变量被整理成一个包含4个主要类别的模板：HEMS背景信息、与HEMS相关的重大事件特征、HEMS对重大事件的响应以及关键经验教训。
基于欧洲专家的意见，我们建立了一个基于共识的模板，用于报告HEMS对重大事件的响应。该模板将有助于在经验的收集、分析和交流方面实现统一。
