Background
Methods
The experts
The modified nominal group process
Results
Data point number | Data point name | Field format | Data point categories or values | Type* | Exact definition of data point | Reference/Comments |
---|---|---|---|---|---|---|
1 | Speciality of physician | Nominal (categorical data) | 1 = Anaesthesiology | Bullet list | Specialist/non-specialist is described in "Description of system" section. Mixed refers to both anaesthesiology and emergency medicine | Proposed by project group |
2 = Emergency medicine | ||||||
3 = Mixed | ||||||
4 = Other | ||||||
2 | Population | Continuous (numerical data) | Number | Annual number of citizens in area covered by service. | EED report (European Emergency Data Project) | |
3 | Geographical service area provision | squared km | Area in which the service is planned to operate, squared km | EED-report | ||
4 | MD unit hours per year | Continuous | hh:mm | Unit hour is defined as the annual sum of hours the unit is occupied on a mission. ∑ time (patient arrival at hospital) - alarm time/year | EED-report | |
5 | Mode of transportation accessible for the service | Nominal (categorical data) | 1 = Ground | Check box | Mode of transportation vehicle(s) available to service on a regular basis. | Abbreviated from Utstein Trauma Registry 2008 |
2 = Rotor-wing | ||||||
3 = Fixed-wing | ||||||
4 = Other | ||||||
6 | Operating hours | Ordinal | 1 = Full time service | Bullet list | Full time service is operational all days and nights | Proposed by project group |
2 = Day time service | Part time service is operational only day time and/or in hours of light | |||||
3 = Other | ||||||
7 | Activation criteria | Nominal (categorical data) | 1 = Criteria-based | Bullet list | Service is activated in accordance with a pre-defined set of activation criteria used by Emergency Medical Communication Centre | Proposed by expert panel |
2 = Consultation with physician | Service is activated only after consultation with an on-call physician | |||||
3 = Both | ||||||
8 | Number of events per year | Continuous (numerical data) | Number | Events includes dispatches and requests in which the physician in service is involved when on call | "Responses/missions" recoded to "events" by project group | |
9 | Dispatch system | Nominal | 1 = Integrated Emergency Medical Communication Centre (EMCC) | Bullet list | Integrated EMCC includes dispatch centres coordinating all levels of pre-hospital services | Proposed by expert panel |
2 = Special EMCC | Special EMCC includes centres only responsible for physician-staffed pre-hospital units | |||||
3 = Both |
Data variable no. | Data point name | Type of data | Data point categories or values | Type | Definition of data variable | Reference/comment |
---|---|---|---|---|---|---|
10a | Call received at Emergency Medical Communication Centre (EMCC) | Continuous | hh:mm | The time when the alarm call is answered at the initial EMCC | Utstein Trauma Registry 2008, Utstein Dispatch 2008 | |
10b | Unit arrival on scene | Continuous | hh:mm | The time when the vehicle stops at a location as close as possible to the patient | Utstein cardiac arrest, 2004 | |
10c | Patient leaving scene | Continuous | hh:mm | The time when the patient is transferred from the original location or time of death if dead on scene | ROC Epistry CA 2005, proposed revision from project organiser: change "from scene" to " from original location" | |
10d | Patient arrival at hospital | hh:mm | The time when the patient is formally transferred to receiving medical facility personnel | Proposed by project group | ||
11 | Type of dispatch | Nominal | 1 = Primary medical mission | Bullet list | Includes all primary missions other than trauma (medical, surgical, paediatric and obstetric) | Proposed by expert panel |
2 = Primary trauma mission | ||||||
3 = Interhospital transfer mission | ||||||
4 = Search and rescue mission | ||||||
5 = Consultation | ||||||
6 = Other | ||||||
12 | Type of transportation | Nominal | 1 = Ground ambulance | Check box | Main type of vehicle used to transport the patient to definitive care. | Abbreviated definition according to Utstein Trauma Registry 2008 |
2 = Helicopter ambulance | ||||||
3 = Fixed-wing | ||||||
4 = Other | ||||||
5 = No transportation | ||||||
13 | Result of dispatch | Nominal | 1 = Patient attended | Bullet list | Dispatch means unit alarmed for mission or request/advice/supervision | Proposed by expert panel |
2 = Mission aborted due to weather | ||||||
3 = Mission aborted due to technical reasons | ||||||
4 = Mission aborted not required | ||||||
5 = Mission aborted alternative tasking | ||||||
6 = Supervision/advice only |
Data variable No. | Data variable name | Type of data | Data variable categories or values | Type | Definition of data variable | Comments |
---|---|---|---|---|---|---|
14 | Age | Continuous | Number | The patient's age at the time of event | Utstein Trauma Registry | |
15 | Gender | Nominal | 1 = Female | Bullet list | The patient's gender | Utstein Trauma Registry |
2 = Male | ||||||
3 = Unknown | ||||||
16 | Co-morbidity | Ordinal | 1 = No (ASA-PS = 1) | Bullet list | ASA-PS definition | American Society of Anaesthesiologists |
2 = Yes (ASA-PS = 2-6) | 1 = A normal healthy patient | |||||
3 = Unknown | 2 = A patient with mild systemic disease | |||||
3 = A patient with severe systemic disease | ||||||
4 = A patient with severe systemic disease that is a constant threat to life | ||||||
5 = A moribund patient who is not expected to survive without operation | ||||||
6 = A declared brain-dead patient whose organs are being removed for donor purposes | ||||||
17 | Medical problem (main reason for response) | Nominal | 1 = Cardiac arrest | Bullet list | Select the condition most likely to be the patient's true medical problem | Proposed by project group. Defined according to EED-project and ScanDoc phase 1b. The first 9 categories should include >95% of all medical conditions present in daily work |
2 = Trauma | ||||||
3 = Breathing difficulties | ||||||
4 = Chest pain | ||||||
5 = Stroke | ||||||
6 = Acute neurology excluding stroke | ||||||
7 = Psychiatry including intoxication | ||||||
8 = Obstetrics and childbirth | ||||||
9 = Infection | ||||||
10 = Other | ||||||
18 | Dominating type of injury | Nominal | 1 = Blunt | Bullet list | Indication of the type of injury produced if trauma | Utstein Trauma Registry |
2 = Penetrating | ||||||
3 = Unknown | ||||||
19 a) | Glasgow Coma Scale-first | Ordinal | Number (3-15) | First recorded pre-interventional Glasgow Coma Scale upon arrival of physician-staffed service | ||
b) | Glasgow Coma Scale- last | Number | Glasgow Coma Scale at end of care or patient hand-over | |||
20 a) | Heart rate first | Continuous | Number (per minute) | First heart rate per minute measured by physician-staffed service | ||
b) | Heart rate last | Number | Heart rate per minute at end-of-care or patient hand-over | |||
21 a) | Systolic blood pressure-first | Continuous | Number (mmHg) | First recorded systolic blood pressure measured by physician-staffed service (measured with sphygmomanometer, monitor or intra-arterial line). | ||
b) | Systolic blood pressure-last | Number | Systolic blood pressure at end-of-care or patient handover | |||
22 a) | Cardiac rhythm-first | Ordinal | 1 = Sinus rhythm | Bullet list | First cardiac rhythm interpreted by physician-staffed service (minimum 3-channel lead) | |
2 = SVES, VESmono | ||||||
3 = Atrial Fib/Flutt, AV-block gr. II/III, VESpoly | ||||||
4 = VF, VT, Asystole, PEA | ||||||
5 = Not recorded | ||||||
b) | Cardiac rhythm-last | 1 = Sinus rhythm | Cardiac rhythm at end of care or patient hand-over | |||
2 = SVES, VESmono | ||||||
3 = Atrial Fib/Flutt, AV-block gr. II/III, VESpoly | ||||||
4 = VF, VT, Asystole, PEA | ||||||
5 = Not recorded | ||||||
23 a) | SpO2-first | Continuous | Number (0-100) | First recorded oxygen saturation by physician-staffed service (measured with pulse oxymeter or arterial blood gas (SaO2)) | ||
b) | SpO2-last | Number | Oxygen saturation at end-of-care or patient hand-over | |||
24 a) | Pain-first | Ordinal | 1 = None | Bullet list | First level of pain assessed by physician-staffed service | |
2 = Moderate | ||||||
3 = Severe | ||||||
b) | Pain-last | 1 = None | Level of pain at end of care or patient hand-over | |||
2 = Moderate | ||||||
3 = Severe | ||||||
25 a) | Respiratory rate-first | Continuous | Number (per minute) | First respiratory rate per minute measured by physician-staffed service. If mechanically ventilated, document ventilation rate. | ||
b) | Respiratory rate-last | Number | Respiratory rate at end of care or patient hand-over |
Data variable no. | Data variable name | Type of data | Data variable categories or values | Type | Definition of data variable | Comments |
---|---|---|---|---|---|---|
26 | Diagnostic procedures | Categorical | 1 = US/Doppler | Check box | Proposed by expert panel | |
2 = ECG- analysis (12-lead) | ||||||
3 = Invasive monitoring | ||||||
4 = Other point-of-care tests | ||||||
5 = Point-of-care lab tests | ||||||
6 = Other | ||||||
27 | Therapeutic procedures | |||||
27a | Drugs to facilitate airway procedure | Categorical | 1 = Sedatives | Check box | Utstein Airway | |
2 = Neuromuscular blocking agents | ||||||
3 = Analgesics/opioids | ||||||
4 = Local/topic anaesthetics | ||||||
5 = None | ||||||
27b | Device used in successful airway management | Categorical | 1 = Bag Mask Ventilation | Bullet list | Device used for successful airway management (device in place at end of care or patient hand-over) | Utstein Airway |
2 = SAD | ||||||
3 = Oral TI | ||||||
4 = Nasal TI | ||||||
5 = Surgical airway | ||||||
6 = None | ||||||
7 = Unknown | ||||||
27c | Breathing- procedures used | Categorical | 1 = Assisted manually | Check box | Open-airway manoeuvres or positioning of patient without use of any technical airway device (chin-lift, jaw thrust, recovery position) | |
2 = Assisted mechanically | Open-airway manoeuvres, including use of technical devices (guedel pattern, naso-pharyngeal airway) | |||||
3 = Controlled manually | Breathing assistance using physician's hands (bag-valve-mask ventilation) | |||||
4 = Controlled mechanically | Breathing assistance using technical respiratory support (ventilator, NIV) | |||||
5 = Chest tube/decompression | ||||||
6 = Thoracostomi | ||||||
7 = Other | ||||||
8 = Unknown | ||||||
27d | Circulation- procedures used | Categorical | 1 = Peripheral IV-line | Check box | ||
2 = Central IV-line | ||||||
3 = IO-Access | ||||||
4 = Defibrillation | ||||||
5 = Cardioversion | ||||||
6 = Pacing | ||||||
7 = Haemostatic, basic | ||||||
8 = Haemostatic, advanced | ||||||
9 = Other | ||||||
10 = None | ||||||
27e | Disability- procedures used | Categorical | 1 = Reduction of fractures | Check box | ||
2 = Spinal immobilisation | ||||||
3 = Therapeutic hypothermia | ||||||
4 = Other | ||||||
5 = None | ||||||
28 | Medication, drugs administered | 1 = Yes | Bullet list | Indicates whether medication was given by physician-staffed service. Exclude iv-fluid given for "keep-line-open" purposes | ||
2 = No | ||||||
29 | Type of medication | Categorical | 1 = Analgesics/Opioids | Check box | ||
2 = Sedatives | ||||||
3 = Neuromuscular blocking agents | ||||||
4 = Vasoactive | ||||||
5 = Fibrinolytic | ||||||
6 = Antibiotics | ||||||
7 = Other | ||||||
8 = None |
Data Variable No. | Data variable name | Type of data | Data variable categories or values | Type | Definition of data variable | Comments |
---|---|---|---|---|---|---|
30 | Physiological improvement from SpO2, RR, HR, cardiac rhythm, SBP, GCS and pain | The expert panel recommends developing Quality Indicators based on changes in physiological parameters. | ||||
31 | Mission outcome | Nominal | 1 = Left at scene | Check box | Proposed by expert panel | |
2 = Patient to hospital, not escorted by physician | ||||||
3 = Patient to hospital, escorted by physician | ||||||
4 = Declared dead on arrival at hospital | ||||||
5 = Declared dead at scene |