Paediatric major incident triage: A Delphi process to determine clinicians' attitudes and beliefs within the United Kingdom and Ireland. (19th October 2022)

• Record Type: Journal Article
• Authors: Vassallo, James; Blakey, Sarah; Cowburn, Philip; Surridge, Julia; Smith, Jason E.; Scholefield, Barney; Lyttle, Mark D.
• Other Names: James Robert investigator.; Cubitt Oliver investigator.; Tehan Mark investigator.; Amps Sam investigator.; Gray Chris investigator.; McGahan Claire investigator.; Bayliss Richard investigator.; Thomson Wayne investigator.; Tunnicliff Malcolm investigator.; Challen Kirsty investigator.; Price Ashley investigator.; Allen Kate investigator.; Baron Aidan investigator.; Malcolm Neil investigator.; Booker Matt investigator.; Maney Julie‐Ann investigator.; Cowper Jamie investigator.; Cowper Adele investigator.; Brown Charlotte investigator.; Draper Luke investigator.; England Matthew investigator.; Charlick Kate investigator.; Bagshaw Lorna investigator.; Procter Harry investigator.; Dole Natasha investigator.; Stewart Michael investigator.; Graham Sean investigator.; Tooley James investigator.; Lyttle Mark investigator.; Frampton Anne investigator.; Milsom Samantha investigator.; Moy Ross investigator.; Tolhurst‐Cleaver Meriel investigator.; Harrison Michael investigator.; Fitchett Claire investigator.; Bramley Dave investigator.; Walton Emily investigator.; Stutchfield Chris investigator.; Loughrey John‐Paul investigator.; Keers Sophie investigator.; Gough Christopher investigator.; Bradley Anthony investigator.; Morton Sarah investigator.; Hingley Sakura investigator.; McCormack Jon investigator.; O'Connell Clare investigator.; Melody Laura investigator.; Bayreuther Jane investigator.; Maddock Alistair investigator.; Hurst Tom investigator.; Brooker Victor investigator.; Stewart Helen investigator.; McKenna Stewart investigator.; Moss Robert investigator.; Taylor Ben investigator.; Mekki Habab investigator.; Wilson Sarah investigator.; Mullen Stephen investigator.; Nunn Catherine investigator.; Hudge James investigator.; Sutton Callum investigator.; Day Ellie investigator.; Bailey Jon investigator.; Dieppe Clare investigator.; Holdstock Andrew investigator.; Johnson Christopher investigator.; Alcock Anastasia investigator.; Cooper Reuben investigator.; Stibbards Sarah investigator.; James Tom investigator.; Surridge Julia investigator.; Raitt James investigator.; Reeve Peter investigator.; Creasey Nikola investigator.; Barrett Michael investigator.; Murch Hannah investigator.; Saunders Elizabeth investigator.; Browning Jen investigator.; Coats Timothy investigator.; Howarth Nick investigator.; Stirling Joanne investigator.; Bolger Turlough investigator.; Lewins Ian investigator.; Crawford Alastair investigator.; Little Mark investigator.; Broomfield Dylan investigator.; Kidd Alastair investigator.; Reid Lindsay investigator.; Adams Nicholas investigator.; Hann Gayle investigator.; Rutkowska Helen investigator.; Leonard Paul investigator.; Watson Jessica investigator.; Hill Christopher investigator.; Botsford Karan investigator.; McGlone Michaela investigator.; McCreddan Lois investigator.; Plumb James investigator.; Harding Rachael investigator.;
• Is Part Of: Acta pædiatrica. Volume 112:Number 1(2023)
• Page Start: 154
• Page End: 161
• Publication Date: 2022-10-19
• Subjects: life‐saving interventions -- major incidents -- paediatrics -- triage; Pediatrics -- Periodicals; Pediatrics; 618.92
• DOI: 10.1111/apa.16567
• Languages: English
• ISSNs: 0803-5253

Abstract

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.