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Foothills Medical Centre Alberta Children's Hospital Regional Trauma Service Annual Report April 1, 2003 to March 31, 2004 Regional Trauma Services 2003/2004 Calgary Health Region Annual Regional Trauma Services Report 2003/2004 Table of Contents Organization Structure.....................................................................................................................................ii Vision, Mission, Values, Roles ........................................................................................................................iii Introduction ......................................................................................................................................................iv Executive Summary.........................................................................................................................................2 Regional Trauma Services Activities ...............................................................................................................11 Alberta Children’s Hospital Paediatric Trauma Report....................................................................................21 Trauma Statistics & Outcome Data .................................................................................................................25 Trauma Statistics: Peter Lougheed Centre & Rockyview General Hospital...................................................44 Performance Indicators: Foothills Medical Centre..........................................................................................48 Performance Indicators: Alberta Children’s Hospital......................................................................................64 Pre-hospital Annual Report .............................................................................................................................74 Regional Department of Emergency Medicine Report....................................................................................83 P.A.R.T.Y. Program Report .............................................................................................................................89 Calgary Firefighters Burn Treatment Centre Report .......................................................................................92 Tertiary Neurorehabilitation Program Reports.................................................................................................96 Traumatic Spinal Cord Injury Population ...............................................................................................96 Traumatic Brain Injury Population..........................................................................................................102 Calgary Injury Prevention and Control Services Report..................................................................................110 Appendices Appendix A: Trauma Research Publications ........................................................................................150 Appendix B: Trauma Research Funding Summary ..............................................................................152 i Regional Trauma Services 2003/2004 ORGANIZATIONAL STRUCTURE (April 1st/2003-March 31st/2004) Regional Trauma Services personnel include: Southwest Portfolio: Foothills Medical Centre Site (FMC): Ms. Tracy Wasylak, Vice President Dr. Robert Abernethy, Executive Medical Director Ms. Nancy Guebert, Director, Inpatient Surgical Services & Trauma Services Dr. John Kortbeek, Regional Trauma Services Medical Director Ms. Dianne Dyer, Regional Trauma Services Manager Ms. Stacey Litvinchuk, Regional Adult Clinical Nurse Specialist Ms. Christi Findlay, Regional Trauma Services Data Analyst Ms. Maria Vivas, Regional Trauma Services Data Analyst Ms. Michelle Mercado, Regional Trauma Services Secretary Child & Women’s Health Portfolio: Alberta Children’s Hospital Site (ACH): Ms. Brenda Fischer, Vice President Dr. Brian Stewart, Executive Medical Director Ms. Corine Frick, Director Child & Adolescent Health Inpatient Programs for Children Dr. Robin Eccles, ACH Trauma Director Ms. Jeanette Pearce, Regional Paediatric Trauma Coordinator Ms. Maria Vivas, Regional Trauma Services Data Analyst Adult Trauma Committee Chairpersons: Dr. John Kortbeek: FMC Adult Trauma Care Committee Dr. Bruce Rothwell: Peter Lougheed Centre (PLC) Trauma Committee Dr. Nancy Zuzic: Rockyview General Hospital (RGH) Trauma Committee Paediatric Trauma Committee Chairperson: Dr. Robin Eccles, ACH Trauma Committee Acknowledgment to former personnel: Ms. Sandra Dowkes, Regional Trauma Services Secretary Ms. Michaile Lovatt, Regional Trauma Services Data Analyst Welcome to New Staff: Ms. Michelle Mercado, Regional Trauma Services Secretary (start date March 2004) Ms. Maria Vivas, Regional Trauma Services Data Analyst (start date March 2004) Ms. Sue Gudmundson, Director, Critical Care, ACH (start date July 2004) Ms. Sukhi Lally, Regional Trauma Services Data Analyst (start date November 2004) Special Acknowledgments: Ms. Sue Conroy, Director, Emergency, Urgent Care & Health Link for previous leadership as Program Director. Dr. John Kortbeek, Regional Trauma Services Medical Director for exemplary leadership and service to the trauma program, staff, patients and families (1992- November 2004) Ms. Michelle Mercado, Regional Trauma Services Secretary, for compilation and preparation of the 2003-2004 Annual Report ii Regional Trauma Services 2003/2004 REGIONAL TRAUMA SERVICES http://www.crha-health.ab.ca/clin/rts/index.htm Vision Excellence in trauma service delivery based on adequate financial and human resources, research-based quality improvement and education within a community that values integration, comprehensive rehabilitation and prevention. Mission To provide and support a comprehensive, integrated and optimal system for the prevention, treatment and rehabilitation of injury focusing on the individual, family and community. Values • Respect: non-judgmental acknowledgment of the unique contributions, dignity and worth of individuals, being able to disagree, value diversity. • Caring: sensitivity to and support for the well being of all. • Accountability: willing to give an account of/be responsible for ones autonomy (where autonomy = actions/decisions taken within ones area/scope of responsibility). • Teamwork: a commitment to work together towards common goals through effective communication, collaboration and tolerance for differences. • Growth: personal and organization commitment to lifelong learning; continuous improvement; mentoring and sharing. • Quality/excellence: in care and practice/work; clear standards; continuous improvement. Roles • Provide care to those affected by trauma within Region 3, Southern Alberta, Southeast British Columbia, and Southwestern Saskatchewan. • Develop/advance clinical services, education and research at Regional, Provincial and Federal levels. • Act as a clinical/education resource for rural & other urban communities. • Provide acute care services including emergency care, diagnostic imaging, operative & critical care, ongoing surgical management & rehabilitation. • Link to, and support disaster planning services, prevention programs, pre-hospital care, rehabilitation & other trauma programs. • Maintain the trauma registry database and report on patients with ISS > 12 (Foothills Medical Centre (FMC) and Alberta Children’s Hospital (ACH). • Review/report on injury discharge data, emergency transfers (Rockyview General Hospital (RGH) and Peter Lougheed Centre (PLC). • Assume a leadership role & active partnership in provincial and federal trauma services planning. • Facilitate quality monitoring & improvement activities including the review & development of clinical practice guidelines, research initiatives, and the acquisition of applicable educational resources. iii Regional Trauma Services 2003/2004 INTRODUCTION The Calgary Health Region continues to experience growth in trauma academic activity and clinical service delivery. This year’s annual report reflects the scale and significance of these activities. The broad coalition of health providers required to provide comprehensive injury control and advance the knowledge of injury is immediately apparent when turning the pages. The maturity of the Calgary Health Region’s Trauma Service delivery model is reflected in the increasing number of publications and research dollars generated. It has been a pleasure to work with partners across the expanding region who are committed to maintaining and improving the high standards achieved to date. The Calgary Health Region Trauma System continues to lead the country in reporting and benchmarking. Calgary’s strengths include comprehensive and coordinated pre-hospital ground and air ambulance services, a single coordinated regional Emergency Department, specialized surgical services including the dedicated Trauma Service and leadership in Spine, Orthopaedic, Reconstructive, Neurosurgical and Vascular Surgery services. The past several years have seen improved access to Tertiary Rehabilitation services in recruitment of additional physiatrists, an event which has been overdue and is welcomed by the entire community of trauma service personnel. The Calgary Health Region continues to be the only region in Canada which annually summarizes comprehensive performance indicators and publishes these in the public domain. Public reporting commits the Region to a high standard and hopefully will contribute to service delivery improvements across the country. System enhancement continues in coordination with the Alberta
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