DISTRIBUTION OF RED AREA PATIENTS

TRAUMA SURGERY PTS

ADMITTED TRANSFER OUT DISCHARGED

2013 525 33 02

2012 242 25 03

2011 200 10 1

Admissions 2013

Area No. admitted

Transfer-out

Red 525 33

Yellow

350 5

Green

Nil Nil

2012

Area No. admitte

d

Transfer-out

Red `242 25

Yellow

381 5

Green

Nil Nil

2011

Area No. admitte

d

Transfer-out

Red 126 35

Yellow

232 50

Green

nil nil

InterventionsED Interventions( 2012)

Procedure No

Suturing 22188

ICDT insertion 265

Cricothyroidotomy

15

Venous cut-down 4

SPC 24

ED Interventions (2013)

Procedure No

Suturing 15162

ICDT insertion 146

Cricothyroidotomy

05

Venous cut-down

7

SPC 11

ED Interventions (2011)

Procedure No

Suturing 21451

ICDT insertion 214

Cricothyroidotomy

8

Venous cut-down 02

SPC 19

DEMOGRAPHIC PROFILE

less than 10

11-20 yrs

21-30 yrs

31-40 yrs

41-50 yrs

51-60 yrs

61-70 yrs

more than 70

0

50

100

150

200

250

300

350

400

120

210

275

375

180

130

6020

70

140

210

270

140100

4010

50

120

190

240

11080

457

201320122011

MODE OF INJURY

RTI Fall from height

Assault self inflicted Accidental0

100

200

300

400

500

600

700

800

585

140

255

60 60

709

320

210

20 50

624

122189

27 40

201320122011

MODE OF RTIs

Bicycle

Tricyc

le

2 Wheeler

3 Wheeler

Bullock

Cart

4 Wheeler

Heavy v

ehicle

Railway

Injury

Pedestrian

s0

50

100

150

200

250

300

350

183

252

40

3

50 4514

160

21

2

333

324

82

2710

212

151

260

36

2

7530

11

150201320122011

2 Wheeler RTI

2013 2012RIDER

(n=212)PILLON(n=40)

RIDER(n=270)

PILLON(n=63)

HELMET 190 25 167 29

WITHOUT HELMET

22 15 103 34

Abdominal Trauma

Abdominal TraumaPart involved 2013 2012 2011

Solid Organ(Liver &Spleen)

Single Organ

277 247 210

Multiple Organs

21 33 24

Hollow Viscera

131 154 90

Genito-urinary

107 78 67

Pancreatico-duodenal

17 19 21

LIVER TRAUMA

GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 50

5

10

15

20

25

30

35

40

45

50

201320122011

Management of liver trauma

2013 2012 2011

mortality 9 19 20

MANAGEMENT

2013 2012 2011

OM 16 29 28

OM + EMB. 07 9 0

EMBOLIZATION 22 16 12

NOM 60 87 58

Laparotomy for other injuries

09 19 5

SPLENIC TRAUMA

SPLENIC TRAUMA

Grade 1 Grade 2 Grade 3 Grade 4 Grade 50

5

10

15

20

25

30

35

40

201320122011

Management

splenectomy embolization NOM splenoraphy0

10

20

30

40

50

60

70

80

90

201320122011

HOLLOW VISCUS TRAUMA

HOLLOW VISCUS TRAUMA

small

bowel

large

bowel

stomac

h

esophag

us

mesenteric

tear

0102030405060708090

100

201320122011

HOLLOW VISCUS PROCEDURES 2013 2012 2011Esophagus Primary Repair 2 2 1

Cervical esophagostomy

2 3 1

Stomach Repair 6 7 4

Jejunum Repair 9 20 12

RA + FJ 20 25 16

Ileum Repair 6 12 4

RA 7 13 4

Ileostomy 17 9 8Colon+rectum Repair 4 10 3

RA 5 9 3End colostomy 18 10 12

Loop colostomy 14 8 6Stoma closure (routine - OT )

Ileostomy reversal

9 12 4

Colostomy reversal

12 17 1

PANCREATICODUODENAL TRAUMA

PANCREATICODUODENAL TRAUMA

PANCREAS DUODENAL COMBINED0

2

4

6

8

10

12

14

201320122011

Operative management

OPERATIVE2013 2012 2011

DISTAL PANCREATECTOMY 05 6 2

DISTAL PANCREATECTOMY WITH SPLENECTOMY

01 2 4

DEBRIDMENT + NECROSECTOMY 01 2 1

WHIPPLES’ PROCEDURE 02 0 1

TRIPLE TUBE DRAINAGE 02 5

UNCINATE PROCESS EXCISION +RESECTION OF D4 PART OF

DUODENUM

0 1 3

2013 2012 2011

mortality 2 3 3

GENITOURINARY TRAUMA

KIDNEY BLADDER URETHRA URETER0

5

10

15

20

25

30

35

40

45

50

32

3735

3

201320122011

UROLOGY MANAGEMENT 2013 2012 2011

KIDNEY(42) Nephrectomy 03 5 5

NOM 24 31 25

Exp Lap for other indication 3

AE 2 0

Laproscopic renorrrhaphy 1 0 0

URETER DJ stenting 6 3 2

REPAIR&DJ 3 1 2

BLADDER(43)

REPAIR 12 10 7

REPAIR&SPC 12 17 11

SPC 13 9 8

Laser lithotripsy 06 0 0

UROLOGYURETHRA

(105)Urethroplasty(el

ective)105 54 13

SPC 40 32 20

URETHRA(105)

UrethroplastyEnd to end

62 54 13

Perineal urethrostomy

03 02 01

Transpubic urethroplasty

03 02

Laser core through

14 0 0

Laser oiu 24 0 0

LAPROSCOPIC AND ENDOSCOPIC PROCEDURES

PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) AND FIBRE OPTIC BRONCHOSCOPY FOR LUNG COLLAPSE

LAPROSCOPIC AND ENDOSCOPIC PROCEDURES 2013 2012 2011

Diagnostic lap 26 8Lap hernioplasty

(elective)4

2

Lap cholecystectomy

3

Lap diaphragmatic repair

3 2

Lap small bowel perf. repair

1

Lap foreign body removal(needle)

1

Upper GI endoscopy

1 3

PEG 2 2Bronchoscopy 16

Thoracic Trauma

Thoracic Trauma

2013 2012 2011

Non-operative cases

345 358

With ICD 280 335

Without ICD

65 23

2013 2012 2011

VATS 1 6 2

Epidural 82 93

Descending thoracic aorta stenting

1 1 0

Diaphragma-tic repair

abdominal approach

6 4

laproscopic 3 2

2013 2012 2011

Operative 13 32

INDICATION FOR THORACOTOMY

Pneumonectomy

01 3 2

Lobectomy 01 1 1

Bronchial repair

03 1

Massive Hemothorax

06 6 7

Resuscitative thoracotomy

5 7

Thoracoplasty 2

Decortication 5 7

F.B removal 3 1

Cardiac injuries

STAB INJURY LEFT ANTERIOR CHEST

CERVICAL COLLAR

RIGHT NIPPLE

STERNUM

Cardiac injuries

Mechanisms of injury

2013 2012 2011

Blunt 0 3 2

Penetrating

Stab 3 2 0

GSW 2 2 1

VASCULAR INJURY

PERIPHERAL VASCULAR INJURY

PERIPHERAL VASCULAR INJURYTIME SINCE

INJURY <6HRS >6 HRS

2013 2012 2011 2013 2012 2011

Upper limb

Cases 52

39 24 16 26 20

Amputation

07

2 1 05 4 4

Lower limb

Cases 18

22 7 09

15 11

Amputation

05 3 1

06 9 4

VESSEL INVOLVEDVESSEL INVOLVED 2013 2012 2011

Brachial Artery 16 10 17

Radial Artery 22 12 11

Ulnar Artery 24 14 12

Radial+Ulnar Artery 6 3 4

Femoral artery 17 12 13

Popliteal Artery 10 6 5

CENTRAL VASCULAR INJURY2013 2012

VESSEL INVOLVED

NO MANAGEMENT NO MANAGEMENT

Axillaty art./SUB CLAVIAN

04 Repair 2 cases 1 - expired(<6hrs),NOM -1( >24hrs),Amputation

-1

03 REPAIR , STENTING , NOM

DTA 01 Stenting

IVC 03 Repair- 3cases (mortality -1)

02 REPAIR

IIA 03 Ligated-2,repair -1(<6 hrs)

1 ligated

HEPATIC ARTERY

03 Ligation (<6hrs),Repair-2 c ases <6hrs

Aorta 3 NOM-2, stenting

NECK INJURIES

NECK INJURIES 2013 2012 2011

TRACHEAL REPAIR + TRACHEOSTOMY

6 2 1

LIGATION OF INT JUG VEIN 01 2

F.B REMOVAL 02 2 0

NON THERAPEUTIC EXPLORATION

02 3 1

CERVICAL OESOPHAGOSTOMY

02 2

PRIMARY REPAIR OF HYPOPHARYNX

02 2 0

TRACHEAL REPAIR +CERVICAL ESOPHAGOSTOMY

03 1 4

HEMITHYROIDECTOMY 1 0

NOM 5 8 3

2013 2012

CBD injury (blunt)(1.CBD mid part

transection)(2.CBD contusion &

perforation –mid part)

2 Infant feeding tube put inside for drainage

T Tube drainage

1 ERCP stenting

GB perforation

2013 2012

GB Penetrating 5 Cholecystectomy 2 Cholecystectomy

Blunt 4 Cholecystectomy 1 Cholecystectomy

GB gangrene 2 cholecystectomy Incidental stones - 1

cholecystectomy

EXTRAHEPATIC BILIARY SYSTEM

MAXILLO FACIAL INJURIES

MAXILLO FACIAL INJURIES

2013 2012 2011

Total 146 99 85

ORIF 54 66 74

Interdental wiring

9 22 11

Conservative 83 11 0

Operative Procedures

Type of Ax 2013 2012GA 1346 1402Spinal 620 487LA 98 29REGIONAL 78 102

2013 2012

Total 2142 2020

PLASTIC & RECONSTRUCTIVE PROCEDURES

STGS DEBRIDEMENT DEBRIDEMENT+STSG

FLAP0

100

200

300

400

500

600

201320122011

Flaps

Early mortality( < 6Hrs )32

HS88%

Severe Head in-

jury6%

Cardiac Injury6%

MEAN ISS – 48.61

INTERMEDIATE MORTALITY (6-24HRs)

Mean ISS – 29.62

HS & sequelae94%

Severe Head injury6%

LATE MORTALITY >24Hrs

Sepsis & sequelae31%

VAP to ARDS8%

Brain injury9%

ARF8%

DIC12%

ARDS7%

sepsis25%

OUR WORKFORCE

Non acad JRs – Sanctioned

Acad JRs SRs Pool Officer

Trauma fellow

Consultants

2011 10 3-4 18 0 1 5

2012 30 3-4 18 0 1 5+2

2013 30 3-4 18 1 1 5+2

McH IN TRAUMA

M.S IN TRAUMA