Items tagged with 2017

Kentucky; Trauma Registry Annual Report

Kentucky; Trauma Registry Annual Report

  • Last Updated: 2017
  • Author(s): Julia Costich, JD, PhD, Peter Rock, MPH
  • Language(s): English

The Kentucky Trauma Registry (KTR) was established by state law (KRS 211.490 et seq.; 902 KAR 28:040) to be the statewide repository for trauma data. It is housed administratively in the Kentucky Department for Public Health and managed by the Kentucky Injury Prevention and Research Center (KIPRC), a unit of the University of Kentucky’s College of Public Health. All trauma centers designated by the Commissioner of Public Health in the Kentucky Trauma Care System maintain trauma registries that are compatible with the National Trauma Data Bank (NTDB) standards established in the National Trauma Data Standard Data Dictionary. The trauma centers upload their trauma data electronically at least quarterly to the KTR. Clinical Data Management, Inc. (CDM) is the vendor that manages the downloading and compilation of data from participating trauma centers, including unverified facilities that report to the registry, and supplies the data to the Kentucky Injury Prevention and Research Center.

With support from the National Highway Traffic Safety Administration through the Kentucky Transportation Cabinet, KIPRC analyzes the statewide trauma registry data and provides a detailed profile of the traumatic injuries treated in the state’s trauma facilities.

SMRTAC; Trauma Coordinator Orientation Manual

SMRTAC; Trauma Coordinator Orientation Manual

  • Last Updated: 2017
  • Author(s): Southern Minnesota Regional Trauma Advisory Committee
  • Language(s): English

Trauma Center History
Trauma Care has evolved into a specialty in many local and regional hospitals over recent years. Historically called emergency rooms, trauma centers have established high quality, comprehensive medical services for patients. The public relies on trauma centers to provide quality care from the initial injury to final disposition, whether at the local hospital or tertiary care center. Regardless of where your program is located, it provides critical services in a timely manner to patients who often need lifesaving measures. As a Trauma Coordinator (TC), or a Trauma Program Manager (TPM) it is your primary responsibility to ensure patients are receiving the best care possible. This is often accomplished by compilation and analysis of data, policy review, and continuous quality improvement initiatives. The following chapters will provide an overview of many aspects of trauma care and acts as a guide to help you succeed in your new role as a TC or TPM. 

Trauma Center Levels
The designation of trauma levels is important to distinguish what essential services are offered at a hospital. The Minnesota Department of Health (MDH) is responsible for the designation, or re-designation, of your hospital on a three year cycle. Recommendations are given by the American College of Surgeons’ Committee on Trauma to ensure consistent practice standards and available resources. Basic definitions of each trauma level are outlined below. 

Victorian State Trauma System; Abdominal Trauma Poster

Victorian State Trauma System; Abdominal Trauma Poster

  • Last Updated: 2017
  • Author(s): Victorian State Trauma System
  • Language(s): English

Make early contact with ARV for advice from the major trauma services and to initiate retrieval.

  • Blunt and penetrating abdominal trauma have different care pathways.
  • Delay in diagnosis and treatment of hollow viscous injury leads to an increase in mortality and morbidity.
  • Indications for emergency laparotomy rely on haemodynamic instability.
Victorian State Trauma System; Cardiac Arrest Poster

Victorian State Trauma System; Cardiac Arrest Poster

  • Last Updated: 2017
  • Author(s): Victorian State Trauma System
  • Language(s): English

Post-resuscitation care, prioritising surgical haemorrhage control and fluid resuscitation to target SBP 90mmHg (110mmHg if there is a head injury) or consciousness until this is achieved.

Victorian State Trauma System; Early Trauma Care Poster

Victorian State Trauma System; Early Trauma Care Poster

  • Last Updated: 2017
  • Author(s): Victorian State Trauma System
  • Language(s): English

Make early contact with ARV for advice from the major trauma services and to initiate retrieval.

  • The primary survey is designed to detect and treat actual or imminent life threats.
  • Avoidance of hypovolaemia in trauma is a cornerstone of management.
  • Trauma patients are at risk from complications due to hypothermia.
Victorian State Trauma System; Inter Hospital Major Trauma Transfer Poster

Victorian State Trauma System; Inter Hospital Major Trauma Transfer Poster

  • Last Updated: 2017
  • Author(s): Victorian State Trauma System
  • Language(s): English

All penetrating injuries (except isolated / superficial limb injuries)

Blunt injuries:

  • Serious injury to a single body region such that specialised careor intervention may be required, or such that life, limb or long term quality of life may be at risk.
  • Significant Injuries involving more than one body region.

Specific Injuries:

  • Limb amputations / limb threatening injuries.
  • Serious crush injury.
  • Major compound fractureor open dislocation.
  • Fracture to two or more of the following: femur / tibia / humerus.
  • Fractured pelvis.

Burns:

  • Burns > 20% (adult) or 10% (child).
  • Suspected respiratory tract burns.
  • High Voltage Electrical Injury.

Neuro-trauma:

  • Neurological deficits.
  • Skull fracture.
  • Abnormal CT scan findings.

Spinal trauma:

  • Significant spinal fracture.
  • Minor spinal cord or nerve root injury.
  • Presence of neurological deficits.
  • In isolated spinal cord trauma, the patient should be transferred from a primary hospital to the Victorian Spinal Cord Service – Austin Health, paediatric patients should be transferred and managed at the Royal Children’s Hospital.

Paediatric Trauma:

  • Any of the above conditions when inchildren are indications for transfer in a paediatric patient.

Obstetric Trauma:

  • Evidence of fetal distress.
  • Fetus beyond 24 weeks gestation.
  • Possibility of trauma to the uterus.
  • All obstetric major trauma patients should be transferred to the RoyalMelbourne Hospital where they will have urgent obstetric assessment.
Victorian State Trauma System; Obstetric Trauma Poster

Victorian State Trauma System; Obstetric Trauma Poster

  • Last Updated: 2017
  • Author(s): Victorian State Trauma System
  • Language(s): English

Make early contact with ARV for advice from the major trauma services and to initiate retrieval.

  • Fetal survival depends on effective maternal resuscitation.
  • Maternal position – 1 or 2 handed manual uterine displacement or left tilt 15-30*.
  • Maternal hypovolaemia will significantly impact on fetal outcomes.
Victorian State Trauma System; Older Person Trauma Poster

Victorian State Trauma System; Older Person Trauma Poster

  • Last Updated: 2017
  • Author(s): Victorian State Trauma System
  • Language(s): English

Make early contact with ARV for advice from the major trauma services and to initiate retrieval.

  • Older patients are more vulnerable and less adaptable to physiological changes due to pre-existing health issues.
  • A high index of suspicion of injury should be considered even with mild injury mechanism.
  • Medications may mask signs of shock.

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