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Table 4 Process mapping variables

From: Template for documenting and reporting data in physician-staffed pre-hospital services: a consensus-based update

Data variable numberMain data variable nameType of dataData variable categories or valuesData variable sub-categories or valuesTypeDefinition of data variableHow often should variable be reported
4. Process mapping
4.1.Diagnosis and monitoring proceduresCategorical4.1.1 Blood pressure4.1.1.1 Non-invasiveCheck boxMonitoring used and procedures performed by p-EMSFor each mission
   4.1.1.2 Invasive   
   4.1.1.3. Other   
  4.1.2. SpO2    
  4.1.3. EtCO2  Capnometry or capnography used 
  4.1.4. Temperature (core)  Temperature measured during mission 
  4.1.5. ECG4.1.5.1. Monitoring (3 or 4-lead or pads)   
   4.1.5.2. Analysis (12-lead)   
  4.1.6. Ultrasound/Doppler4.1.6.1. FAST By p-EMS 
   4.1.6.2. Lung for pneumothorax By p-EMS 
  4.1.7. Point of care (POC) blood gas analysis  By p-EMS 
  4.1.8. Other POC testing  By p-EMS 
  4.1.9. POC lab test  By p-EMS 
  4.1.10. Blood glucose  By p-EMS 
  4.1.11. Other    
  4.1.12. None    
4.2.Drugs used to facilitate airway managementCategorical4.2.1. Sedatives Check boxBy p-EMSFor each mission
  4.2.2. NMBA    
  4.2.3. Analgesics    
  4.2.4. Local/topic anaesthetics    
  4.2.5. Other    
  4.2.6. None    
4.3.Airway managementCategorical4.3.1. Oxygen Check boxDevice or procedures used for successful airway managementFor each mission
  4.3.2. Manual  Chin-lift, jaw thrust, recovery position 
  4.3.3. Bag Mask Ventilation    
  4.3.4. Nasopharyngeal device    
  4.3.5. Oropharyngeal device    
  4.3.6. SAD 1. generation  Laryngeal mask with no mechanism for protection against aspiration 
  4.3.7. SAD 2. generation  Laryngeal mask with any aspiration protection mechanism 
  4.3.8. Oral ETI    
  4.3.9. Nasal ETI    
  4.3.10. Surgical airway4.3.10.1. Mac-blade   
   4.3.10.2. Hyper angulated blade   
  4.3.11. Other    
  4.3.12. None    
4.4.Number of attempts to secure airwayContinuous  NumberNumber of attempts needed before a definitive airway is in place by p-EMSFor each mission
4.5.Breathing- related proceduresCategorical  Check boxProcedures performed by p-EMSFor each mission
  4.5.1. Controlled manually  Breathing assistance using physician’s hands. Bag valve mask ventilation 
  4.5.2. Controlled mechanically  Use of technical respiratory support; ventilator, NIV 
  4.5.3. Needle decompression    
  4.5.4. Chest tube    
  4.5.5. Thoracostomy    
  4.5.6. Escharotomy    
 Continuous4.5.7. FiO2  If patient is ventilated 
 Continuous4.5.8. PEEP  If patient is ventilated 
  4.5.9. Other    
  4.5.10. None    
4.6.Circulation- related proceduresCategorical4.6.1. Peripheral i.v. line Check boxProcedures performed by p-EMSFor each mission
  4.6.2. Intraosseous access    
  4.6.3. Central i.v. line    
  4.6.4. Arterial line    
  4.6.5. External pacing    
  4.6.6. Internal pacing    
  4.6.7. Defibrillation    
  4.6.8. Cardioversion    
  4.6.9. Volume replacement therapy (infusions) administered Check boxRecord if intention is to increase circulating volume. Do not record if intention is to “keep-line-open” 
   4.6.9.1. Colloids   
   4.6.9.2. Crystalloids   
   4.6.9.3. Blood products   
  4.6.10. Blood products administered4.6.10.1. Whole bloodCheck box  
   4.6.10.2. PRBC   
   4.6.10.3. Liquid plasma /fresh frozen plasma   
   4.6.10.4. Lyoplas   
   4.6.10.5. Other   
 Continuous4.6.11. Amount of fluid administered NumberMillilitres given by p-EMS 
 Categorical4.6.12. Haemostatic dressing4.6.12.1. Pressure bandageCheck box  
   4.6.12.2. Packing of wound   
   4.6.12.3. Tourniquet   
   4.6.12.4. Pelvic binder   
  4.6.13. Pericardiocentesis    
  4.6.14. Manual chest compressions    
  4.6.15. Mechanical chest compressions    
  4.6.16. Thoracotomy4.6.16.1. Lateral   
   4.6.16.2. Clamshell   
  4.6.17. EVR  REBOA or other type of EVR 
  4.6.18. IABP    
  4.6.19. Other    
  4.6.20. None    
4.7.Disability- related proceduresCategorical4.7.1. Fracture reduction Check boxProcedures performed by p-EMSFor each mission
  4.7.2. Fracture splinting    
  4.7.3. Spinal immobilization    
  4.7.4. Spinal protection    
  4.7.5. Therapeutic hypothermia    
  4.7.6. Thermal protection    
  4.7.7. Amputation    
  4.7.8. Other    
4.8.Other proceduresCategorical4.8.1. General anaesthesia Check boxProcedures performed by p-EMSFor each mission
  4.8.2. Sedation    
  4.8.3. Regional anaesthesia    
  4.8.4. Incubator    
  4.8.5. NO given    
  4.8.6. ECMO    
  4.8.7. Resuscitative caesarean delivery/perimortem hysterotomy    
  4.8.8. Other    
  4.8.9. None    
4.9.Medications administeredCategorical4.9.1. Opioids Check boxType of medication administered by p-EMSFor each mission
  4.9.2. Analgesics except opioids    
  4.9.3. Anaesthetics    
  4.9.4. Antiarrhythmics    
  4.9.5. Antibiotics    
  4.9.6. Antidotes    
  4.9.7. Antiemetics    
  4.9.8. Antiepileptic    
  4.9.9. Antihypertensive    
  4.9.10. Bronchodilators    
  4.9.11. Diuretic    
  4.9.12. Electrolytes    
  4.9.13. Fluids (not for keep-line open)    
  4.9.14. NMBA    
  4.9.15. Procoagulant    
  4.9.16. Fibrinolytic    
  4.9.17. Sedatives    
  4.9.18. Steroids    
  4.9.19. Thrombolytics    
  4.9.20. Vasoactive    
  4.9.21. Tranexamic acid    
  4.9.22. Other    
  4.9.23. None    
4.10.Hospital pre-alert doneCategorical4.10.1. Yes Bullet listPhysician has informed receiving hospital of patient state before arriving at the emergency roomFor each mission
  4.10.2. No    
  1. SpO2 Peripheral capillary oxygen saturation, EtCO2 End-tidal carbon dioxide, ECG Electrocardiogram FAST- Focused assessment with sonography for trauma, p-EMS Physician-staffed emergency medical services, POC Point of care, NMBA Neuromuscular blocking agent, ETI Endotracheal Intubation, SAD Supraglottic airway device, NIV Non-invasive ventilation, FiO2 Fraction of inspired oxygen, PEEP Positive end-expiratory pressure, i.v intra venous, PRBC Packed red blood cells, REBOA Resuscitative endovascular balloon occlusion of the aorta, EVR Endovascular resuscitation, IABP Intra-aortic balloon pump, NO Nitric oxide, ECMO Extracorporeal membrane oxygenation
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

ISSN: 1757-7241