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Who’s who at a major incident: standardising role titles for emergency planners
  1. M Mudalige,
  2. S Carley,
  3. K Mackway-Jones
  1. Manchester Royal Infirmary, Manchester, UK
  1. Correspondence to:
 S Carley
 Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK; Simon.carley{at}


Objective: To standardise the names for key roles in a major incident.

Methods: A Delphi study using experts in major incident planning.

Results: There is clear consensus regarding the need for standard nomenclature. The expert group identified 28 roles, and 184 different names were initially given by group members for the 28 roles. Agreement on a common nomenclature was achieved in only 12/28 roles.

Conclusion: There is agreement for a standardised nomenclature for major incident roles. However, consensus may be difficult to achieve from within an expert group.

  • major incident

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  • Competing interest: KMJ and SC have written HMIMMS, which contains a standardised nomenclature set.