2. DISTRIBUTION OF RED AREA PATIENTS
TRAUMA SURGERY PTS
ADMITTED TRANSFER OUT DISCHARGED
2013 525 33 02
2012 242 25 03
2011 200 10 1

3. Admissions
2013
Area No.
admitted
Transfer
-out
Red 525 33
Yello
w
350 5
Gree
n
Nil Nil
2012
Area No.
admitte
d
Transfe
r-out
Red `242 25
Yello
w
381 5
Gree
n
Nil Nil
2011
Area No.
admitte
d
Transfe
r-out
Red 126 35
Yello
w
232 50
Gree
n
nil nil

4. Interventions
ED Interventions( 2012)
Procedure No
Suturing 22188
ICDT insertion 265
Cricothyroidotom
y
15
Venous cut-down 4
SPC 24
ED Interventions (2013)
Procedure No
Suturing 15162
ICDT insertion 146
Cricothyroidoto
my
05
Venous cut-
down
7
SPC 11
ED Interventions (2011)
Procedure No
Suturing 21451
ICDT insertion 214
Cricothyroidotom
y
8
Venous cut-down 02
SPC 19

5. DEMOGRAPHIC PROFILE
120
210
275
375
180
130
60
20
70
140
210
270
140
100
40
10
50
120
190
240
110
80
45
7
0
50
100
150
200
250
300
350
400
less
than 10
11-20
yrs
21-30
yrs
31-40
yrs
41-50
yrs
51-60
yrs
61-70
yrs
more
than 70
2013
2012
2011

6. MODE OF INJURY
585
140
255
60 60
709
320
210
20
50
624
122
189
27 40
0
100
200
300
400
500
600
700
800
RTI Fall from
height
Assault self inflicted Accidental
2013
2012
2011

7. MODE OF RTIs
18
3
252
40
3
50 45
14
160
21
2
333
32
4
82
27
10
212
15
1
260
36
2
75
30
11
150
0
50
100
150
200
250
300
350
2013
2012
2011

8. 2 Wheeler RTI
2013 2012
RIDER
(n=212)
PILLON
(n=40)
RIDER
(n=270)
PILLON
(n=63)
HELMET 190 25 167 29
WITHOUT
HELMET
22 15 103 34

9. Abdominal Trauma

10. Abdominal Trauma
Part 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

11. LIVER TRAUMA
0
5
10
15
20
25
30
35
40
45
50
GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5
2013
2012
2011

12. 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

13. SPLENIC TRAUMA

14. SPLENIC TRAUMA
0
5
10
15
20
25
30
35
40
Grade 1 Grade 2 Grade 3 Grade 4 Grade 5
2013
2012
2011

15. Management
0
10
20
30
40
50
60
70
80
90
splenectomy embolization NOM splenoraphy
2013
2012
2011

16. HOLLOW VISCUS TRAUMA

17. HOLLOW VISCUS TRAUMA
0
10
20
30
40
50
60
70
80
90
100
2013
2012
2011

18. HOLLOW VISCUS PROCEDURES 2013 2012 2011
Esophagus 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 8
Colon+rectum Repair 4 10 3
RA 5 9 3
End colostomy 18 10 12
Loop colostomy 14 8 6
Stoma closure
(routine - OT )
Ileostomy
reversal
9 12 4
Colostomy
reversal
12 17 1

19. PANCREATICODUODENAL TRAUMA

20. PANCREATICODUODENAL TRAUMA
0
2
4
6
8
10
12
14
PANCREAS DUODENAL COMBINED
2013
2012
2011

21. Operative management
OPERATIVE
2013 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

22. GENITOURINARY TRAUMA
32
37
35
3
0
5
10
15
20
25
30
35
40
45
50
KIDNEY BLADDER URETHRA URETER
2013
2012
2011

23. 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

24. UROLOGY
URETHRA
(105)
Urethroplasty(el
ective)
105 54 13
SPC 40 32 20
URETHRA
(105)
Urethroplasty
End 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

25. LAPROSCOPIC AND ENDOSCOPIC PROCEDURES
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) AND FIBRE OPTIC BRONCHOSCOPY FOR LUNG COLLAPSE

26. LAPROSCOPIC AND ENDOSCOPIC PROCEDURES
2013 2012 2011
Diagnostic lap 26 8
Lap 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 2
Bronchoscopy 16

27. Thoracic Trauma

28. 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

29. 2013 2012 2011
Operative 13 32
INDICATION
FOR
THORACOTOMY
Pneumonecto
my
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

30. Cardiac injuries
STAB INJURY LEFT
ANTERIOR CHEST
CERVICAL COLLAR
RIGHT NIPPLE
STERNUM

31. Cardiac injuries
Mechanisms of
injury
2013 2012 2011
Blunt 0 3 2
Penetr
ating
Stab 3 2 0
GSW 2 2 1

32. VASCULAR INJURY

33. PERIPHERAL VASCULAR INJURY

34. PERIPHERAL VASCULAR INJURY
TIME SINCE
INJURY
<6HRS >6 HRS
2013 2012 2011 2013 2012 2011
Upper
limb
Cases 52 39 24 16 26 20
Amput
ation 07 2 1 05 4 4
Lower
limb
Cases 18 22 7 09 15 11
Amput
ation 05 3 1 06 9 4

35. VESSEL INVOLVED
VESSEL 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

36. CENTRAL VASCULAR INJURY
2013 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

37. NECK INJURIES

38. 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

39. 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 Cholecystec
tomy
Blunt 4 Cholecystectomy 1 Cholecystec
tomy
GB gangrene 2 cholecystectomy Incidental
stones - 1
cholecystec
tomy
EXTRAHEPATIC BILIARY SYSTEM

40. MAXILLO FACIAL INJURIES

41. MAXILLO FACIAL INJURIES
2013 2012 2011
Total 146 99 85
ORIF 54 66 74
Interdental
wiring
9 22 11
Conservative 83 11 0

42. Operative Procedures
Type of Ax 2013 2012
GA 1346 1402
Spinal 620 487
LA 98 29
REGIONAL 78 102
2013 2012
Total 2142 2020

43. PLASTIC & RECONSTRUCTIVE
PROCEDURES
0
100
200
300
400
500
600
2013
2012
2011

44. Flaps

45. Early mortality( < 6Hrs )
32
HS
88%
Severe Head
injury
6%
Cardiac Injury
6%
MEAN ISS – 48.61

46. INTERMEDIATE MORTALITY (6-24HRs)
Mean ISS – 29.62
HS & sequelae
94%
Severe Head
injury
6%

47. LATE MORTALITY >24Hrs
Sepsis & sequelae
31%
VAP to ARDS
8%
Brain
injury
9%
ARF
8%
DIC
12%
ARDS
7%
sepsis
25%
HS Sequelae
51%

48. OUR WORKFORCE
Non acad
JRs –
Sanctione
d
Acad JRs SRs Pool
Officer
Trauma
fellow
Consultan
ts
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

49. McH IN TRAUMA
M.S IN TRAUMA