Ministry of Health

http://newzealand.govt.nz/

    
 ©Copyright
 Published: 28/11/2011

Hong Kong Trauma System
Janice Yeung

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Outline

NTEC Prince of Wales Hospital 2004 Trauma Registry

Background
 Like most developed areas of the world, trauma is a major cause of death in Hong Kong, especially in the under 40 years age group
 Until 1995, trauma was not considered a significant health care problem in Hong Kong
 The Trunkey Report of 1994 suggested the development of a trauma system and the designation of trauma centres

Trauma Centres
 Hong Kong is divided into ‘hospital clusters’
 5 trauma centres in different clusters
 All of them are public hospitals
 2 of them are university teaching hospitals

“Commitment is 90% of a trauma system, 10% is physical resources”

Current developments
 Primary trauma diversion has started from Nov 2003
 Preliminary results suggest:
 Manageable impact on workload – 2 extra patients per week
 Saving of 89 minutes from time of injury to definitive care
 Now being extended and further options are being considered

Prince of Wales Hospital
 Hub of the NTEC trauma system
 ~1200 beds in the hospital
 Major teaching hospital of CUHK
 Fully equipped trauma and emergency centre
 24 hour emergency medicine specialist coverage

Prince of Wales Hospital
 All necessary specialties on site:
 ICU & Anaesthesia
 Surgery
 Orthopaedic surgery
 Neurosurgery
 Paediatric surgery
 Cardiothoracic surgery
 Burns & plastic surgery

Trauma Advisory Committee
Trauma Team

Trauma nurse coordinator
 Remit:
 To educate staff of all disciplines on trauma management
 To provide a clinical leadership role in the trauma room and help overall coordination of cases
 To follow up trauma cases throughout the hospital
 To establish a trauma audit system through the creation of a trauma registry

Initial results
 Trauma system operational since December 2000
 610 patients with ISS>15 treated up to Jun 2005
 30 patients per calendar month assessed and treated by the trauma system
 87.4% of trauma patients admitted to ICU have an ISS>15
 83.7% of ICU admission had urgent surgery

Trend of W Score

Acknowledgements
AADO: Asian Association for Dynamic Osteosynthesis
PWH: Prince of Wales Hospital, Hospital Authority
CUHK: The Chinese University of Hong Kong