Solid Organ Injury

23/08/2003

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Table of Contents

Solid Organ Injury

What a solid organ ?

SOLID ORGAN INJURYThe ALFRED Experience

Trauma Registry

Abbreviated Injury Score (AIS)

Injury Severity Score

National Trauma Data Bank? 2002, American College of Surgeons

Traumatic Death

Top 3 Causes of Traumatic Death

How common is SOI ?

OZ & NZ data 12 months

Trauma Registry Data

Mechanism of Injury

Frequency of Organ Injured

How badly injured ?

ISS bands Solid Organ Injury

Frequency of other injuriesAlfred data

Isolated defined as MAIS ɮAlfred 8 / 130 pts

Trauma Laparatomies ~6% of patients with SOI need laparotomy (DSTC, 2000, Knudson)

When did they die ?Alfred n=18

So what do all these numbers mean ….

What does this mean for us ?

Post Splenectomy care...

Overwhelming Post SplenectomySepsis (OPSI)

“Guidelines for the prevention and treatment of infection in patients with absent or dysfunctional spleen.”

Recommendations:

Non-adherence to Guidelines Waghorn, 2001

Recommendation (Waghorn, 2001) Asplenic Registry

The Alfred “Asplenic Patient Registry for the Prevention of Sepsis”

The non-compliant patient

The non-compliant pt

Case 22 yo Male

Additonal slides

Major Trauma Frequency of Injury Body Region

The ALFRED Trauma Registry

Abdominal Trauma

Isolated v non-isolated SOIisolated defined as MAIS ɮ

Trauma Registry Data1/1/02 - 31/12/02

Mechanism of Injury

Frequency of body regions injured

Trauma Laparatomies on pts with SOI ~6% of patients with SOI need laparotomy (DSTC, 2000, Knudson)

Patient EducaitonIn hopsital

Patient EducationDischarge

Breakdown n=130All av Age 38 (14-84)

Author: template

Email: philb@adhb.govt.nz

Home Page: http://www.trauma.co.nz