Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17
Trauma surgery audit 2016
1. Division of Trauma Surgery and Critical Care
JPN Apex Trauma Center
All India Institute of Medical Sciences
TRAUMA CENSUS 2016
2. ED ATTENDANCE 2016 (n=66,891)
46998, 71%
15677, 23%
3926, 6%
Triage
Green
Yellow
Red
3. FIVE YEAR ED DATA
Year 2012 2013 2014 2015 2016
Total 53050 55171 55734 64913 66,891
2.6% INCREASE IN ED ATTENDANCE
38964 35316
40928
49677 46998
10950 17066
11729
11612 15677
3136 2789 3077
3624 3926
0
10000
20000
30000
40000
50000
60000
70000
2012 2013 2014 2015 2016
RED
YELLOW
GREEN
4. EMERGENCY DEPARTMENT
RED AREA DETAILS (N= 3906)
SPECIALITY TOTAL NO ADMITTED
RE-TRIAGED TO
YELLOW
ADMITTED/
TRANSFER OUT/
DISCHARGED
SURGERY 1465 1408 57 18/8/31
NEURO-
SURGERY 1530 1309 221 16/134/71
ORTHO 911 206 705 350/342/13
16. Abdominal Trauma (n=680)
(33.5% of all Trauma, n= 2029)
Organ Involved No.
Solid Organ
(Liver or Spleen)
Single
Organ
197
> 1 Organ 97
Hollow Viscus 103
Genitourinary 67
Pancreatico-duodenal 26
Others (Hemoperitoneum,
Retroperitoneal hematoma)
191
36. Neck trauma –Injury distribution (n=29)
7
15
7
0
5
10
15
20
AeroDigestive Vascular Soft tissues
Injuries
3
20
6
0
10
20
30
Zone I Zone II Zone III
Neck Zones
37. Neck trauma – Management (n=29)
Procedure No.
Primary Tracheal Repair 05
Exploration with Hemostasis 12
Primary Repair of Larynx 02
NOM 10
57. Cause of Death in ISS 15 and < 15 (n=16)
2
8
3
1
1
1
0 1 2 3 4 5 6 7 8 9
OTHERS
SS
MODS
ARDS
HS
HI
58. MULTIPLE CASUALTIES
SI.
NO
MODE OF
INJURY
MECHANISM PLACE DATE VICTIMS
BROUGHT TO
ED
1 RTI Head on collision
between 2 cars
Meerut 03-01-16 6
2 Constructio
n site
Mud collapse Kidwai
Nagar
11-01-16 12
3 RTI Truck overturn Suraj Kund 21-01-16 13
4 RTI Tempo hit by
Truck
Sarita Vihar 22-01-16 7
5 RTI Car hit with DTC
bus
BRT
Corridor
23-02-16 5
6 RTI Bike and
Rikshaw
passengers hit by
car
Kalkaji 27-02-16 6
59. 7 Assault Group Assault Fatehpur
Beri
14-04-16 15
8 Constructio
n site
Collapse of wall Fatehpur
Beri
20-04-16 5
9 RTI Head on collision
between 2 cars
Dwark
Express
25-04-16 12
10 Assault Group Assault Malaviya
Nagar
25-10-16 21
11 RTI Pedestrian hit by
4 wheeler
Noida 25-11-16 5
12 RTI Bus Overturn Sarai Kale
Khan
27-12-16 8
61. • Total ED admission – 1426
• Total ED mortality – 11
• Total OT mortality - 13
• Total ICU mortality – 108
• Total mortality Rate – 9.25%
62. Early and Late Mortality(n=132)
0
10
20
30
40
50
60
70
<6hrs 6-24hrs 24-72HRS >72HRS
36
8
21
67
63. SUMMARY
• Average ED attendance per day is 180
• Around 52 minor procedures done in ED per day.
• Majority of trauma victims are young males( 20-40 years, 59%).
• RTI is the most common mode of injury( 52.8%).
• Two wheeler were involved in 45.65% of RTI cases.
• Majority of thoracic, liver , spleen and renal injuries treated non operatively
• Newer interventions like PEN utilized.
Kindly correct.Check individual patient in following9 patients.
I have changed few indications.
Kindly match & change the no.
Monitoring-5
Ventilation-2
Shock-2