A regional massive hemorrhage protocol developed through a modified Delphi technique.

Callum JL, Yeh CH, Petrosoniak A, et al.
CMAJ Open 2019;7:E546-E561.
NATA Rating :
Review by : E. Adams
NATA Review

The authors noted that large academic centres are very likely to have a massive haemorrhage protocol (MHP) but smaller non-academic hospitals may not. Using a Modified Delphi Method, they convened a group of experts to agree on evidence-based recommendations to be included in a standardised regional MHP.

The group found consensus around 42 statements and 8 quality indicators. The resulting “toolkit” will be used to establish MHPs in all of the regional hospitals in Ontario, Canada.

This paper demonstrates an ideal approach to creating standardised care around MHPs across multiple hospitals. The recommendations put forward can be used as a framework for any institution developing a MHP.

– Eloa Adams (SABM reviewer)

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