ABSTRACT
BACKGROUND: Emergency care research into 'Silver Trauma', which is simply defined as major trauma consequent upon relatively minor injury mechanisms, is facing many challenges including that at present, there is no clear prioritisation of the issues. This study aimed to determine the top research priorities to guide future research. METHODS: This consensus-based prioritization exercise used a three-stage modified Delphi technique. The study consisted of an idea generating (divergent) first round, a ranking evaluation in the second round, and a (convergent) consensus meeting in the third round. RESULTS: A total of 20 research questions advanced to the final round of this study. After discussing the importance and clinical significance of each research question, five research questions were prioritised by the experts; the top three research priorities were: (1). What are older people's preferred goals of trauma care? (2). Beyond the Emergency Department (ED), what is the appropriate combined geriatric and trauma care? (3). Do older adults benefit from access to trauma centres? If so, do older trauma patients have equitable access to trauma centre compared to younger adults? CONCLUSION: The results of this study will assist clinicians, researchers, and organisations that are interested in silver trauma in guiding their future efforts and funding toward addressing the identified research priorities.
Subject(s)
Delphi Technique , Research , Trauma Centers/organization & administration , Wounds and Injuries/therapy , Aged , Aged, 80 and over , Humans , United KingdomABSTRACT
Stroke is one of the world's major health care problems and begins as an acute medical emergency. To ensure the best outcomes, stroke services should comprise an identified stroke unit with a dedicated multidisciplinary team of specialist staff working within agreed protocols. The medical nurse practitioner's intervention at the assessment stage for patients admitted to A&E with stroke should provide a more timely and appropriate referral in order to access stroke beds directly.
