Approximately 1.3 million people die each year globally as a direct result of motor vehicle collisions (MVCs). Following an MVC some patients will remain trapped in their vehicle; these patients have worse outcomes and may require extrication. Following new evidence, updated multidisciplinary guidance for extrication is needed. This Delphi study has been developed, conducted and reported to CREDES standards. A literature review identified areas of expertise and appropriate individuals were recruited to a Steering Group. The Steering Group formulated initial statements for consideration. Stakeholder organisations were invited to identify subject matter experts (SMEs) from a rescue and clinical background (total 60). SMEs participated over three rounds via an online platform. Consensus for agreement / disagreement was set at 70%. At each stage SMEs could offer feedback on, or modification to the statements considered which was reviewed and incorporated into new statements or new supporting information for the following rounds. Stakeholders agreed a set of principles based on the consensus statements on which future guidance should be based. Sixty SMEs completed Round 1, 53 Round 2 (88%) and 49 Round 3 (82%). Consensus was reached on 91 statements (89 agree, 2 disagree) covering a broad range of domains related to: extrication terminology, extrication goals and approach, self-extrication, disentanglement, clinical care, immobilisation, patient-focused extrication, emergency services call and triage, and audit and research standards. Thirty-three statements did not reach consensus. This study has demonstrated consensus across a large panel of multidisciplinary SMEs on many key areas of extrication and related practice that will provide a key foundation in the development of evidence-based guidance for this subject area.

中文翻译：

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一项针对救援和临床主题专家的德尔福研究，关于机动车碰撞后患者的解救问题

全球每年约有 130 万人死于机动车碰撞 (MVC)。在 MVC 之后，一些患者将被困在他们的车辆中；这些患者的结局更差，可能需要解救。根据新证据，需要更新的多学科解救指南。该德尔福研究已按照 CRDES 标准进行开发、实施和报告。文献回顾确定了专业领域，并招募了适当的个人加入指导小组。指导小组制定了初步声明供审议。利益相关者组织被邀请从救援和临床背景（共 60 名）中确定主题专家 (SME)。中小企业通过在线平台参与了三轮。同意/不同意的共识设定为 70%。在每个阶段，中小企业都可以对所考虑的陈述提供反馈或修改，这些陈述被审查并纳入新的陈述或新的支持信息，以供下一轮使用。利益相关者基于共识声明同意了一套原则，未来的指导应以此为基础。60 家中小企业完成了第一轮、53 家第二轮（88%）和 49 家第三轮（82%）。就 91 项声明（89 项同意，2 项不同意）达成共识，涵盖与以下相关的广泛领域：解救术语、解救目标和方法、自解脱、解开、临床护理、固定、以患者为中心的解救、紧急服务呼叫和分类、审计和研究标准。三十三个声明没有达成共识。