{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:42:22Z","timestamp":1747183342199,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T00:00:00Z","timestamp":1666137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two\u2010round online Delphi consensus study delivered July 2021\u2013October 2021, including participants from pre\u2010hospital and hospital specialities responsible for triage during paediatric major incidents. A 5\u2010point Likert scale was used to determine consensus, set a priori at 70%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16567","type":"journal-article","created":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T16:11:27Z","timestamp":1665504687000},"page":"154-161","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric major incident triage: A Delphi process to determine clinicians' attitudes and beliefs within the United Kingdom and Ireland"],"prefix":"10.1111","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9783-165X","authenticated-orcid":false,"given":"James","family":"Vassallo","sequence":"first","affiliation":[{"name":"Institute of Naval Medicine  Gosport UK"},{"name":"Academic Department of Military Emergency Medicine Royal Centre for Defence Medicine  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8724-7991","authenticated-orcid":false,"given":"Sarah","family":"Blakey","sequence":"additional","affiliation":[{"name":"Emergency Department Bristol Royal Hospital for Children  Bristol UK"},{"name":"Research in Emergency Care, Avon Collaborative Hub (REACH) University of the West of England  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Cowburn","sequence":"additional","affiliation":[{"name":"Emergency Department University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"},{"name":"South Western Ambulance Service NHS Foundation Trust North Bristol Operations Centre  Bristol UK"},{"name":"National Ambulance Resilience Unit (NARU) College of Policing  Ryton on Dunsmore UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Surridge","sequence":"additional","affiliation":[{"name":"Emergency Department University Hospitals of Derby and Burton NHS Foundation Trust  Derby UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason E.","family":"Smith","sequence":"additional","affiliation":[{"name":"Academic Department of Military Emergency Medicine Royal Centre for Defence Medicine  Birmingham UK"},{"name":"Emergency department University Hospitals Plymouth NHS Trust  Plymouth UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barney","family":"Scholefield","sequence":"additional","affiliation":[{"name":"Birmingham Acute Care Research Group, Institute of Inflammation and Ageing University of Birmingham  Birmingham UK"},{"name":"Paediatric Intensive Care, Birmingham Women &amp; Children's Hospital NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark D.","family":"Lyttle","sequence":"additional","affiliation":[{"name":"Research in Emergency Care, Avon Collaborative Hub (REACH) University of the West of England  Bristol UK"},{"name":"Emergency Department University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"PERUKI (Paediatric Emergency Research in the UK and Ireland)","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,19]]},"reference":[{"volume-title":"Major Incident Medical Management and Support: the Practical Approach at the Scene","year":"2011","author":"ALSG","key":"e_1_2_13_2_1"},{"key":"e_1_2_13_3_1","unstructured":"Clinical Guidelines for Major Incidents and Mass Casualy Events [Internet]. 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