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