Developing process guidelines for trauma care in the Netherlands for severely injured patients: results from a Delphi study

Table 2 Starting point, endpoint, maximal duration in minutes and definition of 10 time intervals selected as guidelines for severe trauma patients

Time
Time intervals for dispatch setting
	Start	End	Minutes
1	112 call at dispatch	Departure of ambulance	2
2	112 call at dispatch	Departure of MMT	2
3	Request for Mobile Medical Team (MMT)	Departure of MMT	2
Time intervals for dispatch and prehospital setting
	Start	End	Minutes
4	112 call at dispatch	Arrival of ambulance on scene	10
5	112 call at dispatch	Arrival of MMT on scene	15
6	Request for MMT	Arrival of MMT on scene	15
7	112 call at dispatch	Arrival at the emergency department	30
Time intervals for prehospital setting
	Start	End	Minutes
8	Arrival of ambulance on scene	Departure of patient	10
9	Arrival of MMT on scene	Departure of patient	10
Time intervals for emergency department (ED) setting
	Start	End	Minutes
10	Arrival at the trauma room	Departure from trauma room	30
Definitions of time points
Point in time		The moment that the:
112 call at dispatch		dispatch nurse picks up the phone.
Request for MMT		dispatch nurse picks up the phone to receive the request
Departure of ambulance		ambulance departs to the accident location
Departure of MMT		MMT departs to the accident location
Arrival of ambulance on scene		ambulance nurse starts delivering care to the patient
Arrival of MMT on scene		MMT members start delivering care to the patient
Departure of the patient		patient leaves the accident location
Arrival of the patient at the ED		ED team starts delivering care to the patient
Departure from the trauma room		patient definitively leaves the trauma room

Guideline 7, 8 and 9 are only considered relevant when a ‘scoop and run’ strategy is performed at the accident location.

ISSN: 1472-6963