title: Reporting Helicopter Emergency Medical Services in Major Incidents: A Delphi Study.
abstract: OBJECTIVE
  Research on helicopter emergency medical services (HEMS) in major incidents is predominately based on case descriptions reported in a heterogeneous fashion. Uniform data reported with a consensus-based template could facilitate the collection, analysis, and exchange of experiences. This type of database presently exists for major incident reporting at www.majorincidentreporting.net. This study aimed to develop a HEMS-specific major incident template.
  
  
  METHODS
  This Delphi study included 17 prehospital critical care physicians with current or previous HEMS experience. All participants interacted through e-mail. We asked these experts to define data variables and rank which were most important to report during an immediate prehospital medical response to a major incident. Five rounds were conducted.
  
  
  RESULTS
  In the first round, the experts suggested 98 variables. After 5 rounds, 21 variables were determined by consensus. These variables were formatted in a template with 4 main categories: HEMS background information, the major incident characteristics relevant to HEMS, the HEMS response to the major incident, and the key lessons learned.
  
  
  CONCLUSIONS
  Based on opinions from European experts, we established a consensus-based template for reporting on HEMS responses to major incidents. This template will facilitate uniformity in the collection, analysis, and exchange of experience.
authors.affiliation: Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway; Anaesthesia and Critical Care Research Group, University of Tromsø, Tromsø, Norway. Electronic address: sabina.fattah@gmail.com.
authors.forename: Sabina
authors.initials: S
authors.lastname: Fattah
authors.affiliation: Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway; Department of Health Studies, University of Stavanger, Stavanger, Norway; Department of Anaesthesiology, Oslo University Hospital, Oslo, Norway.
authors.forename: Anne Siri
authors.initials: AS
authors.lastname: Johnsen
authors.affiliation: Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway; Department of Health Studies, University of Stavanger, Stavanger, Norway; Air Ambulance Department, Oslo University Hospital, Oslo, Norway.
authors.forename: Stephen J M
authors.initials: SJ
authors.lastname: Sollid
authors.affiliation: Anaesthesia and Critical Care Research Group, University of Tromsø, Tromsø, Norway; Department of Anaesthesiology and Intensive Care, Hammerfest Hospital, Hammerfest, Norway; Norwegian National Advisory Unit on Trauma, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
authors.forename: Torben
authors.initials: T
authors.lastname: Wisborg
authors.affiliation: Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway; Department of Health Studies, University of Stavanger, Stavanger, Norway; London's Air Ambulance.
authors.forename: Marius
authors.initials: M
authors.lastname: Rehn
authors.affiliation: Hungarian Air Ambulance, Hungary and East Anglian Air Ambulance, United Kingdom.
authors.forename: Ákos
authors.initials: Á
authors.lastname: Sóti
authors.affiliation: Emergency Medical Services of the Hradec Kralove Region, Hradec Kralove, Czech Republic; Department of Anaesthesiology and Intensive Care, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
authors.forename: Anatolij
authors.initials: A
authors.lastname: Truhlář
authors.affiliation: Department of Emergency Medicine and Pre-hospital Services, St. Olavs University Hospital Norwegian University of Science and Technology.
authors.forename: Andreas J
authors.initials: AJ
authors.lastname: Krüger
authors.affiliation: Department of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway.
authors.forename: Björn
authors.initials: B
authors.lastname: Gunnarsson
authors.affiliation: Department of Physiology and Pharmacology, Karolinska Institute, Solna, Sweden.
authors.forename: Dan
authors.initials: D
authors.lastname: Gryth
authors.affiliation: Airborne Intensive Care, Uppsala University Hospital, Sweden.
authors.forename: David
authors.initials: D
authors.lastname: Ohlén
authors.affiliation: Department of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway.
authors.forename: Espen
authors.initials: E
authors.lastname: Fevang
authors.affiliation: Department of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway; Department of Anesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
authors.forename: Geir Arne
authors.initials: GA
authors.lastname: Sunde
authors.affiliation: Swiss Air-Rescue Rega.
authors.forename: Ivo
authors.initials: I
authors.lastname: Breitenmoser
authors.affiliation: Centre for Prehospital Emergency Care, Kuopio University Hospital, Kuopio, Finland.
authors.forename: Jouni
authors.initials: J
authors.lastname: Kurola
authors.affiliation: Emergency Medicine and Services, Helsinki University Hospital and Department of Emergency Medicine, University of Helsinki, Finland.
authors.forename: Jouni
authors.initials: J
authors.lastname: Nurmi
authors.affiliation: Anesthesia and Critical Care Research Group, Department of Clinical Medicine, University of Tromsø, Tromsø, Norway and Division of Emergency Medical Services, University Hospital of North Norway, Tromsø, Norway.
authors.forename: Knut
authors.initials: K
authors.lastname: Fredriksen
authors.affiliation: Danish Air Ambulance.
authors.forename: Leif
authors.initials: L
authors.lastname: Rognås
authors.affiliation: Hungarian Air Ambulance, Hungary and East Anglian Air Ambulance, United Kingdom.
authors.forename: Peter
authors.initials: P
authors.lastname: Temesvari
authors.affiliation: Mobile Emergency Care Unit, Department of Anaestesiol Int Care Med, Odense University Hospital, Denmark.
authors.forename: Søren
authors.initials: S
authors.lastname: Mikkelsen
authors.affiliation: Landspitalinn University Hospital, Iceland.
authors.forename: Vidar
authors.initials: V
authors.lastname: Magnusson
authors.affiliation: ÖAMTC Austrian Air Rescue, Vienna, Austria; Department of Anesthesiology and Critical Care Medicine, AUVA Trauma Center Salzburg, Paracelsus Private Medical University of Salzburg, Austria, Department of Health Studies, University of Stavanger, Stavanger, Norway.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Voelckel
mesh_terms: D017732:Air Ambulances; D032921:Consensus; D016208:Databases, Factual; D003697:Delphi Technique; D004632:Emergency Medical Services; D005060:Europe; D006801:Humans; D010820:Physicians; D058028:Research Report / Q000592:standards*