Parameter | Round 1 (n = 52) | Round 2(n = 50) | Round 3 (n = 47) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Strongly Agree | Agree | Neutral | Disagree | Strongly disagree | Median | Decision | % | Decision | % | Decision | |
1. Cardiac arrest | 48 | 1 | 1 | 1 | 1 | 5 | Accepted | 100 | Accepted | – | – |
2. Shock | 44 | 6 | 1 | 1 | 0 | 5 | Accepted | 100 | Accepted | – | – |
3. Loss of consciousness lasting >12 h | 43 | 4 | 3 | 0 | 2 | 5 | Accepted | 98 | Accepted | – | – |
4. Hysterectomy for haemorrhage or infection | 43 | 7 | 0 | 1 | 1 | 5 | Accepted | 98 | Accepted | – | – |
5. Stroke | 39 | 7 | 3 | 1 | 2 | 5 | Accepted | 92 | Accepted | – | – |
6. Uncontrolled fits/total paralysis | 38 | 10 | 3 | 0 | 1 | 5 | Accepted | 96 | Accepted | – | – |
7. Cardiopulmonary resuscitation | 38 | 6 | 3 | 2 | 3 | 5 | Accepted | 98 | Accepted | – | – |
8. Gasping | 36 | 6 | 4 | 1 | 5 | 5 | Accepted | 92 | Accepted | – | – |
9. Failure to form clots/coagulation disorder | 34 | 8 | 6 | 3 | 1 | 5 | Accepted | 96 | Accepted | – | – |
10. Oliguria non-responsive to fluids or diuretics | 33 | 9 | 5 | 5 | 0 | 5 | Accepted | 92 | Accepted | – | – |
11. Transfusion of blood | 33 | 6 | 4 | 5 | 4 | 5 | Accepted | 90 | Accepted | – | – |
12. Loss of consciousness & ketoacidosis in urine | 33 | 9 | 4 | 3 | 3 | 5 | Accepted | 90 | Accepted | – | – |
13. Jaundice in the presence of pre-eclampsia | 31 | 11 | 6 | 2 | 2 | 5 | Accepted | 84 | Accepted | – | – |
14. Acute cyanosis | 30 | 6 | 7 | 4 | 5 | 5 | Accepted | 92 | Accepted | – | – |
15. Respiration rate > 40 or <6/min | 30 | 10 | 7 | 4 | 1 | 5 | Accepted | 94 | Accepted | – | – |
16. Intubation & ventilation not related to anaesthesia | 30 | 6 | 7 | 6 | 3 | 5 | Accepted | 92 | Accepted | – | – |
17. Oxygen saturation < 90% for ≥60 min | 24 | 6 | 9 | 8 | 5 | 4 | May be accepted | 80·4 | Accepted | – | – |
18. Creatinine ≥300 μmol/l or ≥3.5 mg/dl | 23 | 13 | 4 | 7 | 5 | 4 | May be accepted | 73·9 | Accepted | – | – |
19. Dialysis for acute renal failure | 21 | 6 | 3 | 10 | 12 | 4 | May be accepted | 67·4 | May be accepted | 66 | Rejected |
20. Acute thrombocytopenia <50,000/ml) | 20 | 17 | 7 | 4 | 4 | 4 | May be accepted | 69·6 | Maybe accepted | 72·3 | Accepted |
21. Use of continuous vasoactive drugs | 18 | 11 | 10 | 8 | 5 | 4 | May be accepted | 67·4 | May be accepted | 61·7 | Rejected |
22. Bilirubin >100 μmol/l or >6.0 mg/dl | 17 | 12 | 9 | 8 | 6 | 4 | May be accepted | 52·2 | Rejected | – | – |
23. pH <7.1 | 11 | 13 | 9 | 5 | 14 | 3 | Rejected | 21·7 | Rejected | – | – |
24. PaO2/Fi2 < 200 mmHg | 8 | 10 | 13 | 8 | 13 | 3 | Rejected | 18 | Rejected | – | – |
25. Lactate >5 mEq/ml | 8 | 10 | 8 | 14 | 12 | 2 | Rejected | 17·4 | Rejected | – | – |
26. Uterine rupturea | 44 | 2 | 4 | 0 | 2 | 5 | Accepted | 94 | Accepted | – | – |
30. Sepsis or severe systemic infectiona | 41 | 3 | 5 | 1 | 2 | 5 | Accepted | 90 | Accepted | – | – |
34. Eclampsiaa | 41 | 9 | 0 | 0 | 2 | 5 | Accepted | 88 | Accepted | – | – |
28. Laparotomy other than CSa | 30 | 14 | 5 | 1 | 2 | 5 | Accepted | 78 | Accepted | – | – |
27. Pulmonary edemaa | 28 | 10 | 8 | 2 | 4 | 5 | Accepted | 78 | Accepted | – | – |
29. Admission to the ICUa | 23 | 10 | 6 | 6 | 7 | 4 | May be accepted | 63 | May be accepted | 59·6 | Rejected |
36. Diabetic Keto Acidosisa | 23 | 15 | 6 | 3 | 4 | 4 | May be accepted | 65·2 | May be accepted | 61·7 | Rejected |
33. Severe malariaa | 21 | 14 | 8 | 5 | 4 | 4 | May be accepted | 73·9 | Accepted | – | – |
31. Obstructed laboura | 17 | 14 | 8 | 6 | 7 | 4 | May be accepted | 54·3 | Rejected | – | – |
32. Severe anaemiaa | 16 | 15 | 11 | 5 | 5 | 4 | May be accepted | 69·6 | May be accepted | 61·7 | Rejected |
35. Severe HIV related illnessesa | 13 | 22 | 10 | 3 | 4 | 4 | May be accepted | 69·6 | May be accepted | 57·4 | Rejected |
37. Interventional radiologya | 8 | 2 | 11 | 13 | 18 | 2 | Rejected | 6·5 | Rejected | – | – |