2015-2016 Calgary Firefighters Burn Treatment Centre Annual Report Report Generated by: Kali Gordon, CHIM Burn Data Analyst, Trauma Services 2 Table of Contents ALBERTA HEALTH SERVICES ........................................................................................................ 4 MEDICAL DIRECTOR’S MESSAGE ................................................................................................. 5 EXECUTIVE SUMMARY 2015/2016 ANNUAL REPORT .................................................................. 6 SPECIAL ACKNOWLEDGEMENTS ................................................................................................. 7 WHAT WAS THE BURN TEAM UP TO IN 2015/2016?..................................................................... 8 Clinical ........................................................................................................................................... 8 Education ...................................................................................................................................... 8 Quality Assurance/Improvement ................................................................................................. 9 Research ....................................................................................................................................... 9 HOW DO WE COLLECT OUR DATA? .............................................................................................11 What is the Burn Registry? .........................................................................................................11 Who qualifies for the Burn Registry? .........................................................................................11 How do you identify a burn patient? ..........................................................................................11 What data is collected? ...............................................................................................................11 Why is this data collected? .........................................................................................................11 How reliable is the data? .............................................................................................................12 STATISTICS AND OUTCOME DATA ...............................................................................................13 WHO EXPERIENCED BURN INJURY & NON-BURN RELATED INJURIES IN 2015/2016?........14 Admissions ...............................................................................................................................14 Admission Source ....................................................................................................................19 Admission Status .....................................................................................................................20 ICU Admissions ........................................................................................................................21 HOW DID THE PATIENTS GET TO THE FOOTHILLS MEDICAL CENTRE? ..............................24 Mode of Transportation ............................................................................................................25 WERE ANY PATIENTS UNDER ANY INFLUENCE OF ALCOHOL OR DRUGS? .......................26 ETOH .........................................................................................................................................26 Drug Use ...................................................................................................................................27 HOW LONG DID THE PATIENTS STAY IN FMC? .......................................................................27 Total Hospital Days (LOS) ........................................................................................................27 WHAT INJURIES DID THE PATIENTS SUSTAIN? ......................................................................28 Diagnoses .................................................................................................................................28 Inhalation Injury ........................................................................................................................29 HOW WERE THE PATIENTS’ INJURIES TREATED? ..................................................................30 Operative Interventions ............................................................................................................30 3 HOW DID THESE INJURIES OCCUR? .........................................................................................32 Etiology of Injury ......................................................................................................................32 External Cause of Injury ...........................................................................................................33 WHERE DID THE INJURIES OCCUR? .........................................................................................34 Place of Occurrence .................................................................................................................34 WHERE WERE OUR PATIENTS DISCHARGED TO? ..................................................................35 Discharge Disposition ..............................................................................................................35 Mortality ....................................................................................................................................36 Resource Utilization .................................................................................................................38 Insurance ..................................................................................................................................39 OUTPATIENT BURN TREATMENT SERVICES ...........................................................................40 APPENDIX A ....................................................................................................................................41 APPENDIX B ....................................................................................................................................44 APPENDIX C ....................................................................................................................................45 4 ALBERTA HEALTH SERVICES Our Mission To provide a patient-focused, quality health system that is accessible and sustainable for all Albertans. Our Values We show kindness and empathy for all in our care, and for each other. We are honest, principled and transparent. We treat others with respect and dignity. We strive to be our best and give our best. 5 MEDICAL DIRECTOR’S MESSAGE It’s truly my privilege to serve as the Medical Director of the Calgary Firefighters’ Burn Treatment Centre. It’s a role that connects me with a wide variety and huge number of very special people. The multidisciplinary team of nurses, allied health professionals, and physicians is dedicated and talented and are often complimented by patients on the care they deliver, which makes me extremely proud to know them all. The support of the Calgary Firefighters’ Burn Treatment Society continues to grow, and continues to generously contribute to funding our clinical, educational, and research activities. Our relationship with the Firefighters is one that I treasure. Finally, and the reason that we do what we do…our patients. As Dr. Ross Tilley, a mid-20th century pioneer in Canadian burn care said, these are “tough patients with tough problems”. Their resilience in overcoming adversity and indeed triumphing in the face of adversity is an ongoing source of inspiration to me, and I believe, to this team as we continue to do our best to provide the best possible outcomes for survivors of burn injury. The following report outlines the activities of the burn program this past year. Respectfully submitted, D.A. Nickerson, BSc, MD, FRCSC, FACS Medical Director, Calgary Firefighters’ Burn Treatment Centre 6 EXECUTIVE SUMMARY 2015/2016ANNUAL REPORT Since 1978 The Calgary Firefighters Burn Treatment Centre at the Foothills Medical Centre cares for people from Southern Alberta, Southeastern British Columbia and Southwestern Saskatchewan that sustain burn injuries. The Burn Centre which is located on unit 30/31 is a twenty six bed unit with eight of the rooms being specifically designed to provide excellent burn treatment for the acutely burned, non-ventilator dependent adult patient. It takes an expert team that consists of plastics surgeons, a burn physiatrist, physician residents, a psychologist, nurses, therapists, dietitian and a social worker so we can meet the complex needs of our burn patients. Our multidisciplinary team meets weekly in burn rounds to review patients’ progress and clinical goals. Our team extends to the ICU where they care for the critically injured burn patients. Together in the burn care committee we continue to focus on the best possible patient outcomes through the development of best practices and education that can improve the patient and family transition from the ICU to the burn center. This tremendous team effort also includes the long-standing collaboration with the Calgary Firefighters Burn Treatment Society (CFBTS). Their commitment to fundraise enables equipment, education, research and burn survivor resources. Recently, with their support the burn clinic was renovated to meet the rehabilitation needs of the patients once they are able to return home, as well