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Table 1 Interview guide

From: A management model for admission and treatment of pediatric trauma cases

Subject

Questions

Unit organization

In your opinion, what are the resources required in the ED for admitting and treating injured children according to various degrees of injury with an emphasis on moderate and major trauma? (personnel, specific skills, infrastructure of dedicated equipment, etc.)

The literature describes the importance of early assessments. In your opinion, what are the elements that should be emphasized? (organization of trauma teams, protocols)

From your experience, what is the infrastructure required for admitting injured children according to the severity of injury?

In your experience, what is the best way to standardize protocols and procedures in the various hospitals? For example, for triage?

The literature and our research findings so far, describe dangerous situations in which injured children are moved around the hospital. How can this situation be addressed considering the shortage in hospital staff? What do you think are the criteria for enabling these transfers? Are there procedures for such transfers?

Infrastructure and equipment

In your opinion, which hospital infrastructure is necessary to provide optimal care for children with moderate and major trauma? For example, imaging, laboratories, pediatric sedation and anesthesia rooms

The literature describes deficiencies in preparedness of equipment in EDs which may affect quality of medical care. How can existing international guidelines be applied to hospitals in Israel?

Human resource

How can conflicts between ED teams and pediatric surgery teams, which often arise from availability and miscommunication, be solved?

What is your position on the cooperation among the various caregivers of injured children?

Training

How can cardiopulmonary resuscitation courses (PALS, ATLS) be standardized?

Do you think there is room in the ED for a physician’s assistant with a paramedic training? Do registered nurses with pediatric ED specialization need specific training?

How can awareness of teams to treating pain in children during life-saving activities be raised by training staff?

Child’s family

A document published in 2004 by the United States American Academy of Pediatrics reported the importance of family involvement in decision-making and childcare even during resuscitation (in seriously injured children). What do you think about that? Do you see it implemented in Israel?

Additional issues

Do you think there are any other issues that were not raised in the interview that you would like to bring to our attention?