Salio F, Pirisi A, Bruni E, Court M, Peleg K, Reaiche S, Redmond A, Weinstein E, Hubloue I, Corte F Della, Ragazzoni L
World Health Organization (WHO), Geneva, Switzerland.
CRIMEDIM - Center for Research and Training in Disaster Medicine, Vrije Universiteit Brussel (VUB), Humanitarian Aid and Global Health Università del Piemonte Orientale Via Lanino, 1, 28100, Novara, Italy.
Confl Health. 2022 Oct 29;16(1):55. doi: 10.1186/s13031-022-00490-w.
The emerging trends of asymmetric and urban warfare call for a revision of the needs and the way in which frontline trauma care is provided to affected population. However, there is no consensus on the process to decide when and how to provide such lifesaving interventions in form of Trauma Stabilization Point (TSP).
A three-step Delphi method was used to establish consensus. A focus group discussion was convened to propose a framework and develop the list of twenty-one (21) statements for validation of a group of experts.
A panel of twenty-eight (28) experts reviewed the statements and participated to both first and second rounds. Comments and recommendations provided by the FGD and during round 1 were used to analyze the findings of the study. The proposed framework includes five main categories identified as interconnected components that facilitate the decision to implement or not the TSP. A total of sixteen (16) elements distributed across the five categories have been considered as being able to guide the decision to utilize such capability in high-risk security and resource constrained settings.
The TSP has the potential to prevent death and disability. The proposed framework and categories add a structure to the decision-making process and represents an important step to support emergency and trauma care planning and implementation efforts.
不对称战争和城市战争的新趋势要求重新审视向受影响人群提供一线创伤护理的需求和方式。然而，对于决定何时以及如何以创伤稳定点（TSP）的形式提供此类救生干预措施的过程，目前尚无共识。
采用三步德尔菲法达成共识。召开了一次焦点小组讨论，以提出一个框架并制定21条陈述清单，供一组专家进行验证。
一个由28名专家组成的小组对这些陈述进行了审查，并参与了第一轮和第二轮讨论。焦点小组讨论期间以及第一轮讨论期间提供的意见和建议被用于分析研究结果。提议的框架包括五个主要类别，这些类别被确定为相互关联的组成部分，有助于决定是否实施TSP。分布在这五个类别中的总共16个要素被认为能够指导在高风险安全和资源受限环境中利用这种能力的决策。
TSP有预防死亡和残疾的潜力。提议的框架和类别为决策过程增添了结构，是支持应急和创伤护理规划及实施工作的重要一步。
