Barriers and enablers to the implementation of trauma triage tools in emergency and first responder services: A scoping review protocol using the Consolidated Framework for Implementation Research

<ns3:p> Trauma is one of the major causes of morbidity, and it has to be handled with effective triage mechanisms. Trauma triage tools (TTTs) are constructed to standardize the practice of decision-making in emergency departments and the prehospital environment by making decisions based on physiological and injury-related criteria to direct the transport and escalation decisions. Although TTTs have been demonstrated to be clinically useful, their application in everyday practice is difficult to maintain. The review will use the World Health Organization epidemiological context and the current Irish reforms in the trauma system, guided by the Health Service Executive, to synthesize international evidence to support sustainable implementation of the national TTT in Ireland. The Arksey and O’Malley methodological framework will be used to carry out the review, and the findings will be reported in adherence to the PRISMA-ScR. Databases to be searched will include MEDLINE, Embase, CINAHL, Scopus, and Web of Science. Based on the updated Consolidated Framework of Implementation Research (CFIR 2.0), the determined determinants will be deductively mapped on five domains with inductive coding. Results will be synthesized in narrative and displayed in frequency tables. The review will match prioritized determinants with the implementation strategy of the ERIC framework. Finally, this research aims to fill the gap between TTT validation and practice and help planners and policymakers of the trauma system optimize the implementation of triage and patient outcomes. <ns3:bold>Institutional Details:</ns3:bold> Royal College of Surgeons in Ireland, Department of Health Psychology. </ns3:p>