Successfully reported this slideshow.
Your SlideShare is downloading. ×
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Upcoming SlideShare
OT audit 2016
OT audit 2016
Loading in …3
×

Check these out next

1 of 34 Ad
Advertisement

More Related Content

Slideshows for you (19)

Advertisement

Similar to TNCS audit 2016 (20)

More from All India Institute of Medical Sciences (15)

Advertisement

Recently uploaded (20)

TNCS audit 2016

  1. 1. Injury Surveillance Data 2016 Trauma Nurse Coordination System J.P.N. Apex Trauma Centre, AIIMS
  2. 2. Initial Triage ED 5.86% 23.43% 70.26% 0.43% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% RED YELLOW GREEN BROUGHT DEAD n=66891 YEAR 2016 Footfall in Emergency Department 66891 Patients Included in Trauma Registry 18172
  3. 3. Gender Distribution 76.95% 23.04% MALE FEMALE n=18172
  4. 4. Distribution as per the age of patient 0.58% 11.90% 14.42% 29.45% 18.28% 11.74% 6.65% 2.67% 4.25% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% < 1 1 - 10 11-20 21-30 31-40 41-50 51-60 61-65 >65 (n=18172)
  5. 5. Broad Classification by Cause of Injury 48.02% 35.04% 15.12% 0.79% 0.61% 0.38% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% ROAD TRAFFIC INJURIES UNINTENTIONAL/ ACCIDENTAL ASSAULT RAILWAY TRACK INJURIES INTENTIONAL SELF HARM NON TRAUMA (n=18172)
  6. 6. Mode of Injuries in various age groups RTI Unintentional Assault Non-Trauma Int. Self Harm Rail Track < 01 14 88 2 2 0 0 1-10 442 1688 27 3 2 1 11-20 1336 756 482 4 23 21 21-30 3062 1113 1070 15 50 43 31-40 1788 829 625 14 30 36 41-50 1191 583 326 7 6 22 51-60 562 502 121 11 1 13 61-65 183 253 39 7 0 5 > 65 150 557 56 7 0 4 n = 18172
  7. 7. Mechanism of Injury 96.45% 17,527 1.37% 250 0.94% 172 0.67% 122 0.08% 15 0.39% 71 0.05% 10 0.02% 5 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00% BLUNT PENETRATING SSC DSC MIXED NON TRAUMA BURNS POISIONING (n=18172)
  8. 8. Direct V/S Referral Direct 85% referred 15% n=18172)
  9. 9. Referral Time 81.12% 18.87% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% < 24 Hrs > 24 Hrs n=2718
  10. 10. Outcome of Referrals 21.37% 19.35% 7.65% 20.30% 28.10% 0.40% 1.28% 0.73% 0.77% (n=2718) 48.38%
  11. 11. Victims Brought By Person 0.34% 0.01% 2.39% 2.61% 0.04% 65.48% 0.15% 3.77% 23.31% 1.38% 0.46% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% (n=18172)
  12. 12. Vehicles used to bring patients 0.09% 18 12.03% 2187 2.61% 475 30.95% 5625 27.63% 5022 23.23% 4222 1.17% 214 1.70% 310 0.39% 72 0.04% 8 0.10% 19 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% (n=18172)
  13. 13. Victims brought by PCR in all modes 57.98% 35.59% 4.42% 0.75% 1.04% 0.18% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% RTI Assault Unintentional Injury Int. Self Harm Rail Track Injury Non-Trauma (n=4222)
  14. 14. Victims brought by CATS in all modes 65.05% 10.52% 15.78% 0.84% 7.36% 0.42% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% RTI Assault Unintentional Injury Int. Self Harm Rail Track Injury Non-Trauma (n=475)
  15. 15. RTI Victims Brought By Person 0.56% 4.39% 3.54% 56.78% 0.18% 3.98% 28.13% 1.43% 0.97% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% Ambulance Personnel By Stander CATS Family & Relative Hospital Staff Known Person Police Self Who Hit The Patient n=8728
  16. 16. RTI Victims Brought By Vehicle 28.04% 26.97% 23.10% 15.45% 3.54% 1.38% 1.07% 0.24% 0.03% 0.03% 0.09% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% n=8728
  17. 17. Road Traffic Injuries Who is Injured 74.16% 22.23% 3.59% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% IN/ON Vehicle Pedestrian Unknown n=8728
  18. 18. Road Traffic Injuries Victim’s Vehicle Involved 71.01% 8.97% 8.38% 6.53% 1.69% 1.65% 1.17% 0.26% 0.24% 0.04% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% Two Wheeler Auto Car Pedalcycle Bus Truck Pick Up Truck Animal Drwan Vehicle Tractor Industrial Vehicle n=6473
  19. 19. 96.95% 58.23% 100.00% 3.04% 41.76% 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00% Driver,(n=3476) Pillion (n=1087) Unknown (n=34) MALE FEMALE n=4597 Road Traffic Injuries Who is Injured while travelling on a Two Wheeler
  20. 20. Road Traffic Injuries Helmet Usage by Status of Patient 0% 20% 40% 60% 80% 100% PILLION,(n=1087) Driver,(n=3476) unknown,(n=34) 28.05% 55.29% 17.64% 71.94% 44.41% 82.35% Helmet No Helmet
  21. 21. Road Traffic Injuries Helmet Usage by Gender of Patient 30.53% 51.07% 69.46% 48.92% 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00% Female,(n=273) Male, (n=2172) Helmet No Helmet
  22. 22. Road Traffic Injuries Disposition of Helmeted / Non-Helmeted ADM Tr-Out Disc LAMA Absc BD ED Death Male Helmeted (n=2062) 15.90% 21.24% 56.88% 0.48% 4.70% 0.58% 0.14% Male Non- Helmeted (n=1975) 22.58% 19.59% 50.32% 0.55% 4.35% 2.17% 0.40% Female Helmeted (n=171) 9.35% 0.58% 70.17% NONE 6.43% 0.58% NONE Female Non- Helmeted (n=389) 16.96% 15.68% 61.95% NONE 4.62% 0.25% 0.51%
  23. 23. Road Traffic Injuries Pedestrian Hit By Vehicle 38.12% 36.37% 7.77% 6.90% 3.91% 2.78% 2.26% 0.82% 0.82% 0.20% (n=1941)
  24. 24. Unintentional cause of injuries 29.91% 26.53% 25.56% 5.93% 0.56% 0.25% 4.27% 1.64% 0.91% 0.83% 0.81% 0.45% 0.45% 0.31% 0.28% 0.15% 0.10% 0.07% 0.04% 0.86% n=6369 88.75%
  25. 25. Railway Track Injuries 88.27% 11.72% Brought Alive Brough Dead 51.72 % 48.27 % PASSANGER TRESSPASSER n=145
  26. 26. Assault 85.51% 7.71% 4.62% 1.81% 0.32% n=2748 High Velocity Low Velocity 40.56 % 59.43 % n=212Penetrating Injuries
  27. 27. Intentional Self Harm Sharp Object Hanging Fire Arm Jumped From Height Lying infront of Moving Object Poisioning Others 46.42% 32.14% 5.35% 5.35% 3.57% 3.57% 3.57% n=112
  28. 28. Admissions From Emergency Department Neurosurgery Trauma Surgery Orthopaedics 34.00% 44.34% 21.64% n=3211
  29. 29. Final Disposition of all patients From Emergency Department Admission Tr-Out Discharge Abscond LAMA Brought Dead ED Death 17.67% 17.76% 57.39% 4.79% 0.40% 1.59% 0.37% n=18172
  30. 30. ISS Based Outcome of Admitted Patients 73.80% 26.19% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% ISS <15 ISS>15 n=2550 0% 50% 100% ISS <15 (n=1882) ISS >15 (n=668) 92.29% 82.00% 7.70% 17.96% Survivors Deaths
  31. 31. Multiple Casualty Incidents 2016 • Total no. of incidents = 12 • Incidents where total no. of patient were 6 or >6 = 9 • Incidents description : Assault = 02 R.T.I. = 08 Construction Site = 02 • 8 incidents happened within 15 km radius from T.C. • 2 Incidents were happened outside Delhi (Noida & Merrut) Contd……
  32. 32. Details of Patients Injured in MCI SL No. Type Total Patients Red Yellow Green Black Admission Disch Tr-Out 1 RTI 6 1 4 1 Nil Nil 5 1 2 CS 12 0 0 12 0 0 12 0 3 RTI 13 3 10 0 0 4 7 2 4 RTI 7 0 5 0 2 2 3 0 5 RTI 5 1 2 1 1 1 3 0 6 RTI 6 0 4 2 0 1 5 0 7 ASLT 12 0 3 12 0 0 15 0 8 CS 5 0 5 0 0 1 4 0 9 RTI 12 11 0 0 1 6 5 0 10 ASLT 21 1 6 14 0 1 19 1 11 RTI 5 1 4 0 0 2 2 1 12 RTI 8 1 7 0 0 0 8 0
  33. 33. TNCS Team Faculty In-charge : Prof. Amit Gupta Suresh Chand Sangi Tulsi Ram Gupta Shallu Chauhan Bincy Denny Vipin Bihari Mishra Rebecca Mary Teenu Preetha Francis Sandhya Antony Josmy Nibin Jisha Rakesh Vishnu Kumar V Ramchandran R Robin Anu Babu Ashish Jhakal

Editor's Notes

  • OK
  • OK

×