In-hospital urgent and specialized trauma care interventions for which patients should be transported directly to a designated trauma centre within the catchment area, retained by consensus
| Intervention | % agreement |
|---|---|
| Consensus obtained during first round | |
| Endotracheal intubation or insertion of supraglottic airway device in ED | 100 |
| Endotracheal intubation or insertion of supraglottic airway device in prehospital setting | 71 |
| Chest tube for pneumothorax inserted in ED | 90 |
| Chest tube for hemothorax inserted in ED | 71 |
| Chest tube for hemothorax inserted within first 24 h after trauma | 81 |
| ≥ 1 blood transfusion products administered in ED | 95 |
| Massive protocol transfusion (as per local definition) administered in ED | 81 |
| Massive protocol transfusion (as per local definition) administered within first 24 h after trauma | 76 |
| Angioembolization procedure for pelvic bleeding performed within 6 h | 81 |
| Angioembolization procedure for pelvic bleeding performed within 24 h | 100 |
| Angioembolization other than for pelvic bleeding (e.g., spleen injury) performed within 6 h | 95 |
| Angioembolization other than for pelvic bleeding (e.g., spleen injury) performed within 24 h | 90 |
| Abdominal surgery performed within 6 h | 86 |
| Abdominal surgery performed within 24 h | 90 |
| Neurosurgery performed within 6 h | 95 |
| Neurosurgery performed within 24 h | 95 |
| Orthopedic surgery for pelvic fracture (excluding hip fracture) performed within 6 h | 90 |
| Orthopedic surgery for pelvic fracture (excluding hip fracture) performed within 24 h | 67 |
| Hospital admission for observation after traumatic brain injury (without any surgery) | 86 |
| Hospital admission to intensive care unit | 95 |
| Consensus obtained during second round | |
| Surgery after amputation of a limb (proximal to hand or foot) | 75 |
| Surgery after amputation of a hand or a foot (excluding fingers and toes) | 75 |
| Surgery for spinal fracture or ligamental instability within 6 h | 74 |
| Surgery for spinal fracture or ligamental instability within 24 h | 80 |
| Surgery for penetrating trauma in neck, thorax, abdomen or pelvis within 6 h | 84 |
| Surgery for penetrating trauma in neck, thorax, abdomen or pelvis within 24 h | 85 |
| Orthopedic surgery for femur fracture (excluding hip fracture) within 6 h | 75 |
| Hospital admission for observation of thoracic injury (without any surgery) | 95 |
| Hospital admission for spinal fracture or ligamental instability (without any surgery) | 90 |
| Consensus obtained during third round | |
| Hospital admission for observation of abdominal injury (without any surgery) | 79 |
ED = emergency department.