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Northern Lights Regional Health Centre Regional Trauma Program

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Northern Lights Regional Health Centre Regional Trauma Program 2019 Northern Lights Regional Health Centre Regional Trauma Program Annual Report Northern Lights Regional Health Centre Trauma Report 2019 Contents Contents .......................................................................................................................... 1 Forward ........................................................................................................................... 3 Introduction ..................................................................................................................... 4 1.0 Mission ................................................................................................................. 4 2.0 Trauma Program Members/Committee Members: ............................................... 5 3.0 Trauma Program Member Roles .......................................................................... 6 Trauma Medical Director ...................................................................................... 6 Trauma Coordinator ............................................................................................. 6 Trauma Data Analyst ............................................................................................ 6 4.0 Goals of this Report .............................................................................................. 7 5.0 Methodology ......................................................................................................... 7 6.0 Initiatives .............................................................................................................. 9 Education ............................................................................................................. 9 Accreditation ......................................................................................................... 9 Trauma Team Activation .................................................................................... 10 7.0 Key Points .......................................................................................................... 11 8.0 Major Trauma Cases and Penetrating Trauma................................................... 12 8.0A Major Trauma by Year, 2011-2019 ..................................................................... 13 8.0B Major Trauma by Type ........................................................................................ 15 8.0C Major Trauma by Injury Severity Score ............................................................... 17 8.1 Trauma by Location of Primary Residence ......................................................... 20 8.2 Trauma Team Activation .................................................................................... 21 8.3 Age and Gender ................................................................................................. 23 8.4 Trauma by Month of Admission .......................................................................... 25 8.5 Day of the Week ................................................................................................. 26 8.6 Time of Day ........................................................................................................ 27 8.7 Mode of Arrival ................................................................................................... 28 8.7A Walk Ins with Major Trauma ............................................................................... 28 8.7B Post ED Disposition, Regardless of ISS ............................................................ 29 9.0 Type of Injury ...................................................................................................... 30 10.0 Mechanism of Injury ........................................................................................... 32 1 Released September 2020 Northern Lights Regional Health Centre Trauma Report 2019 10.1 Major Trauma by Mechanism and Age ............................................................... 33 10.2 Mechanism of Injury with Major Trauma ISS ≥12 ............................................... 34 10.3 Mechanism of Injury with ISS ≥12, Criteria met and TTA called ......................... 35 10.4 Place of Injury ..................................................................................................... 36 10.5 Work Related Trauma ........................................................................................ 37 11.0 Transport Related Trauma ................................................................................. 39 11.1 Mode of Transportation ...................................................................................... 40 12.0 Protective Devices and Injury Prevention ........................................................... 41 13.0 Alcohol and Injury ............................................................................................... 42 14.0 Emergency Department Trauma Procedures ..................................................... 44 14.1 Diagnostic Imaging Trauma Procedures ............................................................ 45 14.2 Procedures Performed by EMS .......................................................................... 46 15.0 Journey of the Trauma Patient ........................................................................... 47 15.1 Patient Discharge Disposition ............................................................................. 48 15.2 Destination of Transferred Patients ED and Inpatient ......................................... 49 16.0 Admission Service .............................................................................................. 50 16.1 ED Length of Stay by Discharge Disposition ...................................................... 51 16.2 ED Length of Stay by ISS ................................................................................... 51 16.3 Trauma Center Inpatient Length of Stay by ISS ................................................. 52 17.0 Mortality Rates by ISS ........................................................................................ 53 18.0 Post Transfer Complications............................................................................... 54 19.0 Performance Improvement and Patient Safety (PIPS) ....................................... 56 20.0 Audit Filters......................................................................................................... 57 Works Cited ................................................................................................................... 58 Figures .......................................................................................................................... 60 2 Released September 2020 Northern Lights Regional Health Centre Trauma Report 2019 Forward We are once again proud to present our latest Annual Trauma Report. After numerous years of preparation for the provincial accreditation, we are happy to report that our review was not only successful, but also encouraging in its recommendations. It proved a valuable mechanism for comparison with other regional centres equivalent to Northern Lights Regional Hospital. The evaluating team had insight into the challenges that rural trauma centres similar to ours face. The process also emphasized the collaboration that takes place on a provincial level. We are appreciative for the support and guidance the provincial program has provided making the success possible. With the accreditation behind us, we are moving forward with a continuation of ongoing self-evaluation finding ways to continue the improvement in our regional Trauma Program. Dr. Brian Dufresne CCFP-EM Trauma Medical Director 3 Released September 2020 Northern Lights Regional Health Centre Trauma Report 2019 Introduction Northern Lights Regional Health Center Trauma Program Trauma is one of the leading health problems faced in the world (WHO, 2004). Approximately 16,000 Canadians will die each year from preventable trauma. Injury is the leading cause of death for Canadians ages 1-44 (Parachute Canada, n.d). Not only is there a human toll but the financial costs of injury are paramount, exceeding the cost of heart disease and stroke. Preventable injuries account for 3.5 million Emergency Room visits per year. Diligence to best practice for management of traumatic injury is essential for decreased associated mortality and morbidity. A comprehensive, concise and collaborative trauma system is imperative to achieving optimal, accessible care. The Trauma Association of Canada (TAC) has defined five levels for trauma services. Levels I and II, are the highest level of care, located in urban centers. Level I are university affiliated, this often includes but is not a defining criteria for Level II centers. Level III centres are required in areas without access to I and II facilities. They are large or medium sized, community- based medical centers that are generally not university affiliated. Levels IV, V provide trauma care to small rural areas or within urban areas. The Northern Lights Regional Health Centre (NLRHC) is a Level III trauma centre, located in the city of Fort McMurray. The NLRHC provides trauma care to the catchment population of the Regional Municipality of Wood Buffalo (RMWB) and surrounding areas. As of the RMWB, 2018 census the population in the RMWB was 111,687, with an urban population of 73,974 and rural population of 3,120. The RMWB, at 66 361 square kilometers is the second largest municipality in Canada. (Regional Municipality of Wood Buffalo, 2018). Northern
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