Central Ohio Trauma System

CENTRAL OHIO TRAUMA SYSTEM Annual Report • 2011 Motor Vehicle, Fall, & Firearm Injuries

Central Ohio Trauma System The Central Ohio Trauma System (COTS) was founded in 1997. COTS’ mission is to reduce injuries and save lives by improving and coordinating trauma care, emergency care and disaster preparedness systems.

COTS addresses a need that is otherwise unmet among its stakeholders—that of coordinating systemwide improvements in emergency medical care and medical surge capabilities affecting Central and Southeastern Ohio. COTS is a voluntary, cooperative, self-regulatory organization and maintains a 501(c)(3) Internal Revenue status for charitable, educational and scientific intent. COTS’ goals are:• To sustain an inclusive system where community partners work together to resolve issues associated with trauma & emergency care; • To maintain COTS’ two databases and use them to improve emergency care and injury prevention programming in Central Ohio; • To facilitate initiatives that accomplish appropriate resource utilization while reducing deaths and disabilities from trauma, strokes, heart attacks and other emergency health conditions; and • To coordinate and improve healthcare partners’ medical disaster preparedness and response.The COTS Board of Trustees is comprised of health care experts from hospitals, emergency medical services (EMS) providers, physicians, and representatives from local government health agencies serving Central Ohio.

The COTS Board meets quarterly. Board meetings are open to the public.

The COTS Board of Trustees is comprised of health care experts from hospitals, emergency medical services (EMS) providers, physicians, and representatives from local government health agencies serving Central Ohio. The COTS Board meets quarterly. Board meetings are open to the public.

COTS Board of Trustees Clifford L. Mason, Fire Chief, OFE, EMT-P, Fire

Kathryn Breeze, RN, Director of Emergency

David P. Keseg, MD, Medical Director, Columbus

Chief, Madison Township Fire Department, Grove-

Services, Knox Community Hospital, Mt. Vernon,

Division of Fire, Columbus, Ohio; EMS Advisor to

port, Ohio; representing the Franklin County Fire

Ohio

the COTS Board

Craig B. Cairns, MD, MPH, Vice President Medical

Medard R. Lutmerding, MD, FACEP, Department

Affairs, Licking Memorial Hospital, Newark, Ohio

of Emergency Medicine, Mt. Carmel Health Sys-

Chiefs Association; COTS President Robert A. Lowe, MD, FACEP, Emergency Services, Doctors Hospital, Columbus, Ohio; COTS Vice-President

tem, Columbus, Ohio; representing the Columbus Philip H. Cass, PhD, CEO, Columbus Medical

Medical Association

Association, Columbus Medical Association FounSusan A. Tilgner, MS, RD, LD, RS, Franklin County

dation, Columbus Medical Association Physician’s

Leanne L. Manring, RN, BSN, Manager, Emergen-

Health Commissioner, Franklin County Board

Free Clinic, & the Central Ohio Trauma System,

cy Services, Madison County Hospital, London,

of Health; representing the Franklin County

Columbus, Ohio (Ex-officio)

Ohio

Lowell W. Chambers, MD, FACS, General & Trau-

Douglas B. Paul, DO, FACOS, Director Trauma

ma Surgery, Mount Carmel Health System, Ohio;

Services, Grant Medical Center, Columbus, Ohio

Commissioners, Franklin County, Ohio; COTS Secretary-Treasurer Kathryn J. Haley, RN, BSN, Trauma Program

representing the Columbus Medical Association Tina M. Pierce, RN, BSN, Director of Emergency

Manager, Nationwide Children’s Hospital, Columbus, Ohio; COTS Immediate Past-President

Stuart J. D. Chow, MD, FACS, Director Trauma &

Services, Berger Health System, Circleville, Ohio

Acute Surgical Care, Genesis Health Care System, Robert E. Falcone, MD, FACS, Consultant, Colum-

Zanesville, Ohio

bus, Ohio; Emeritus The following individuals are

& Peak Performance, Columbus Public Health

appointed by their institutions to serve on the

William H. Cotton, MD, Ambulatory Pediatrics,

COTS Board of Trustees.

Nationwide Children’s Hospital, Columbus, Ohio; representing the Columbus Medical Association

Angie Allion, RN, MBA, Manager, Emergency Services, Fairfield Medical Center, Lancaster, Ohio

Mike Smeltzer, MPH, Division Director, Planning Department, Columbus, Ohio Steven M. Steinberg, MD, FACS, Director Division of Critical Care, Trauma & Burn, The Ohio State

Deborah L. Cramer, RN, BSN, Emergency De-

University Medical Center, Columbus, Ohio

partment Manager, Memorial Hospital of Union Sally E. Betz, RN, MSN, CCRN, CEN, Trauma Pro-

County, Marysville, Ohio

gram Director, The Ohio State University Medical

Emergency Services, Grady Memorial Hospital,

Center, Columbus, Ohio, representing trauma

Michael R. Dick, MD, Medical Director, Emergen-

program managers & directors

cy Medicine, The Ohio State University Hospitals East, Columbus, Ohio

Gina Birko, Emergency Management Administrator, Mount Carmel New Albany, New Albany, Ohio

Kimberly Thompson, RN, BSN, Nurse Manager, Delaware, Ohio Joseph Tulga, Director of Safety & Security, Marion General Hospital, Marion, Ohio

Victor V. Dizon, DO, FACOS, Director Trauma Services, Mount Carmel West, Columbus, Ohio

Michael S. Blue, MD, FACS, Chairman, Dept. of

Porter R. Welch, JD, Fire Chief, EMTP, Scioto Township Fire Department, Commercial Point,

Emergency Medicine, Mount Carmel St. Ann’s,

Steven C. Gentile, MD, FACEP, Emergency Medi-

Ohio, representing Central Ohio Fire Chiefs

Westerville, Ohio

cal Services, Mount Carmel East, Columbus, Ohio

Association

David C. Boehmer, DO, Medical Director, Emer-

Jan M. Gorniak, DO, Franklin County Coroner,

Howard Werman, MD, FACEP, Medical Director,

gency Services, Dublin Methodist Hospital, Dublin,

Franklin County Coroner’s Office, Columbus, Ohio

MedFlight of Ohio, Columbus, Ohio

Ohio Jonathan I. Groner, MD, FACS, Interim Chief,

David K. Whiting, Battalion Chief, EFO, EMTP,

Jennifer A. Bogner, PhD, Director of Research,

Department of Pediatric Surgery, Trauma Medical

MPA, Columbus Division of Fire, Columbus, Ohio

Department of Physical Medicine and Rehabilita-

Director, Nationwide Children’s Hospital, Colum-

tion, Dodd Hall Rehabilitation Services, The Ohio

bus, Ohio; representing the Columbus Medical

Jodi Wilson, RN, BSN, MBA, CEN, Site Administra-

State University Medical Center, Columbus, Ohio

Association

tor, Diley Ridge Medical Center, Canal Winchester,

Marco J. Bonta, MD, FACS, Director Trauma

Lucinda F. Hill, RN, BSN, Trauma Nurse Coordina-

Services, Riverside Methodist Hospital, Columbus,

tor, Southeastern Ohio Regional Medical Center,

Donald Wood, DO, FACEP, Assistant Medical

Ohio

Cambridge, Ohio

Director, Emergency Services, Marietta Memorial

Ohio

Hospital, Marietta, Ohio

0-4

Mortalities

YEARS OLD

Brain Trauma Total

3.13%

Each Rectangle Represents 100 Hospitalizations

Of Total Hospitalizations

Unintentional vs total Intentional

Female Male

Intentional窶ザnintentional Black

Other

Firearm

Falls

Vehicle

White

Population LESS

MORE

MOTOR VEHICLE CRASH UNINTENTIONAL FROM 2005-10

29 +5

24

NUMBER/RATE & TREND

11

10

2005-07

FALL

UNINTENTIONAL FROM 2005-10

2008-10

182

174

+18.5%

+8

NUMBER/RATE & TREND 69

71

2005-07

2008-10

+2.6%

5-14

Mortalities

YEARS OLD

Brain Trauma Total

5.17%

Each Rectangle Represents 100 Hospitalizations

Of Total Hospitalizations

Unintentional vs total Intentional

Female Male

Intentional窶ザnintentional Black

Other

Firearm

Falls

Vehicle

White

Population LESS

MOTOR VEHICLE CRASH

MORE

5-9

10-14

54

52

UNINTENTIONAL FROM 2005-10 NUMBER/RATE & TREND

50

-2

+19

35

24

FALL

UNINTENTIONAL FROM 2005-10

168

2008-10

146 -22

2005-07

2005-07

2008-10

121

NUMBER/RATE & TREND 77

23

-2.7%

+46.3%

16

2005-07

24

64

2008-10

-17.6%

107 56

2005-07

-14 50

2008-10

-10.5%

15-24

Mortalities

YEARS OLD

Brain Trauma Total

9.30%

Each Rectangle Represents 100 Hospitalizations

Of Total Hospitalizations

Unintentional vs total Intentional

Female Male

Intentional窶ザnintentional Black

Other

Firearm

Falls

Vehicle

White

Population LESS

MOTOR VEHICLE CRASH UNINTENTIONAL FROM 2005-10 NUMBER/RATE & TREND

MORE

15-19

20-24

269

240

238

-31

-80 160

111

108

69

2005-07

FALL

UNINTENTIONAL FROM 2005-10 NUMBER/RATE & TREND

2008-10

2005-07

117

99

74 33 2005-07

90 -18.3%

-36.0%

51

+51.8%

2008-10

2008-10

94 41

2005-07

-5 36

2008-10

-12.3%

25-44

Mortalities

YEARS OLD

Brain Trauma Total

19.43%

Each Rectangle Represents 100 Hospitalizations

Of Total Hospitalizations

Unintentional vs total Intentional

Female Male

Intentional窶ザnintentional Black

Other

Firearm

Falls

Vehicle

White

Population LESS

MOTOR VEHICLE CRASH

25-29

MORE

35-39

30-34

40-44

243

UNINTENTIONAL FROM 2005-10

218

NUMBER/RATE & TREND

-25 192

189

196

193

+3

177 -19 164

67

2005-07

65

72

66

2005-07

2008-10

-3.3%

2008-10

FALL

UNINTENTIONAL FROM 2005-10

+33

29 2005-07

2005-07

41

2008-10

+41.1%

32 2005-07

81

-10.1%

2008-10

2005-07

54

2008-10

-11.2%

2008-10

+7

+46

105

+69.1%

72

186

151 +75

84

73

179

158

140

107 NUMBER/RATE & TREND

81 -8.7%

-29

43

2005-07

62

75

81

+8.5%

+43.1%

2008-10

2005-07

2008-10

45-64

Mortalities

YEARS OLD

Brain Trauma Total

24.89%

Each Rectangle Represents 100 Hospitalizations

Of Total Hospitalizations

Unintentional vs total Intentional

Female Male

Intentional窶ザnintentional Black

Other

Firearm

Falls

Vehicle

White

Population LESS

MOTOR VEHICLE CRASH UNINTENTIONAL FROM 2005-10185

45-49

MORE

55-59

50-54

60-64

206 +21

NUMBER/RATE & TREND

165

165 150 +23

127

114 85

76

2005-07

78

+11.6%

2008-10

2005-07

FALL

72

70

-7.3%

2008-10

2005-07

+69

271

270

NUMBER/RATE & TREND

78 +10.3%

2008-10

2005-07

+36 76 +18.6%

2008-10

343 +67

280

+96 247

+67

203

64

347

340

UNINTENTIONAL FROM 2005-10

78

203

229 +12.7%

180 128

112 84

2005-07

155

149

+15.7%

+16.3%

+33.3%

2008-10

2005-07

2008-10

2005-07

2008-10

2005-07

2008-10

65-74

Mortalities

YEARS OLD

Brain Trauma Total

9.79%

Each Rectangle Represents 100 Hospitalizations

Of Total Hospitalizations

Unintentional vs total Intentional

Female Male

Intentional窶ザnintentional Black

Other

Firearm

Falls

Vehicle

White

Population LESS

MOTOR VEHICLE CRASH

MORE

65-69

UNINTENTIONAL FROM 2005-10 NUMBER/RATE & TREND

78

70-74

85 -12

2005-07

82

79 64 -24.9%

66

2008-10

65

60

2005-07

+3.5%

+5

2008-10

FALL

477

UNINTENTIONAL FROM 2005-10

371 348

NUMBER/RATE & TREND

335

+18 230

+28.5%

378

+97 +34.3%

281

249

2005-07

2008-10

2005-07

2008-10

75+

Mortalities

YEARS OLD

Brain Trauma Total

28.28%

Each Rectangle Represents 100 Hospitalizations

Of Total Hospitalizations

Unintentional vs total Intentional

Female Male

Intentional窶ザnintentional Black

Other

Firearm

Falls

Vehicle

White

Population LESS

MOTOR VEHICLE CRASH

MORE

75-79

UNINTENTIONAL FROM 2005-10

80-85

104

NUMBER/RATE & TREND 69

101

65

2005-07

-2.2%

85+

136 +44.5%

94

97

97

-0.1%

69

-4

46

2008-10

+23

2005-07

44

39

2008-10

2005-07

+5

2008-10

FALL

UNINTENTIONAL FROM 2005-10

2306

NUMBER/RATE & TREND +16.5% 1980

1353

+27.4% 1062

1044

+250 794

781 689

+39.4% 560

521

501 373

2005-07

+168

+128

2008-10

2005-07

2008-10

2005-07

2008-10

INTENTIONAL VS UNINTENTIONAL

WHITE BLACK

PERCENT INTENTIONAL

MALE FEMALE

TOTAL HOSPITALIZATIONS

MORTAL INJURIES BRAIN TRAUMA

36/64 32/68 41/59 18/82 45/55 21/79 67/33 Female/Male Hospitalizations

8:1 5:1 6:1 3:1 Black : White ratio of firearm injuries

496

1390

644

HOSPITALIZATIONS

HOSPITALIZATIONS

HOSPITALIZATIONS

2559

2675

HOSPITALIZATIONS

2464

HOSPITALIZATIONS

HOSPITALIZATIONS

2464

HOSPITALIZATIONS

FIrearm

Other

Motor Vehicle

Falls