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Trauma System/Injury Prevention Program Home > Indiana's Trauma System > Trauma System Updates Trauma System Updates

New "In the Process" trauma centers named - update

The EMS Commission approved two additional hospitals as “in the process” trauma centers at the June 19 meeting: Good Samaritan Hospital in Vincennes and Community Hospital of Anderson in Anderson.

Six Indiana hospitals—Indiana University (IU) Health Ball Memorial, Muncie; St. Elizabeth-East, Lafayette; St. Vincent-Anderson; IU Health Arnett, Lafayette; Good Samaritan, Vincennes; and Community Hospital of Anderson—have become trauma centers for purposes of the Triage and Transport Rule. The rule was adopted by the EMS Commission in mid-2012, requiring that seriously injured trauma patients be taken to trauma centers. The rule further defined “trauma centers” as hospitals “in the process of American College of Surgeons (ACS)-verification.”

The red areas on the map are those now within 45 minutes of a trauma center. Roughly 73 percent  of Hoosiers can access a trauma center within 45 minutes and 85 percent of Indiana interstate miles are now within 45 minutes of a trauma center.

Injuries in Indiana 2007-2010 Report

The Division of Trauma and Injury Prevention has published the third edition of the Injuries in Indiana report on injury-related deaths, hospitalizations, and emergency department  visits, for the years 2007-2010.  The report includes injuries by age and life stages, as well as breakdown by race and gender.  In Indiana, unintentional injury is the leading cause of death among persons 1 to 44 years of age and the fifth leading cause of death overall following heart disease, cancer, stroke (cerebrovascular disease), and chronic lower respiratory disease. During 2007-20010, 15,494 Indiana residents died from injury, of which 65 percent were unintentional. There were 90,566 injury-related inpatient admissions and 1,779,650 injury-related outpatient/emergency department visits.  The total charges were $2.57 billion and $2.53 billion for hospital admissions and outpatient/ED visits, respectively.  Injuries can be prevented and their consequences lessened through simple and effective interventions, such as using seat-belts and age-and size-appropriate car seats.

The report can be accessed here: http://www.in.gov/isdh/files/Injuries_in_Indiana_Report_2007-2010_Final.pdf

Commission on Accreditation for Rehabilitation Facilities

Submitted by Annette Seabrook, MPT, MHA, FACHE, Franciscan St. Francis Health

The Commission on Accreditation for Rehabilitation Facilities (CARF) is an elective, specialty accreditation available for rehabilitation facilities. CARF accreditation demonstrates a provider’s commitment to quality services and programs, while focusing on the satisfaction of the person served and their caregivers. Providers must comply with a large number of standards related to the care of the rehabilitation client, including specific areas to address when treating those with a stroke versus brain injury, spinal cord injury or amputation.  A large part of the focus is on areas of education/training for the person served and their caregivers, and successfully transitioning them back to their community with adequate resources. CARF involves a multi-day onsite survey and accreditation for existing facilities can be provisional, 1-year or 3-years.

As of April, 2014, there are 22 Inpatient Rehabilitation Facilities (IRFs) in Indiana with CARF Accreditation including:

  • Community Foundation of Northwest Indiana Rehabilitation Center
  • Daviess Community Hospital
  • Elkhart General Hospital
  • Franciscan St. Francis Health
  • Franciscan St. Margaret Health—Dyer
  • Franciscan St. Margaret Health—Hammond
  • Good Samaritan Hospital
  • IU Health Ball Memorial
  • IU Health Bloomington Hospital
  • Memorial Rehabilitation Center
  • Methodist Hospital (Northlake campus - Gary)
  • Methodist Hospitals, Inc. Rehabilitation Institute (Merrillville)
  • Parkview Rehabilitation Center
  • RehabCare Center at Riverview Hospital
  • Rehabilitation Hospital of Fort Wayne
  • Rehabilitation Hospital of Indiana
  • Roudebush VA Medical Center
  • Southern Indiana Rehabilitation Hospital
  • St. Catherine Hospital
  • St. Mary Medical Center (Hobart)
  • St. Mary’s Rehabilitation Institute (Evansville)
  • Union Hospital

(www.carf.org)

Fireworks injuries reporting form

All hospitals and private medical practices are mandated by law to report firework injuries and deaths to the ISDH to be published in an annual report. The 2014 Indiana Firework-Related Injury Report will be assembled and published this fall. The reporting cycle for 2014 lasts from Sept. 13, 2013 through Sept. 12, 2014. Per Indiana Code 35-47-7-7, reports must be completed within five business days after examination of the injury. The 2013 Firework-Related Injury Report can be found at: http://www.in.gov/isdh/files/ISDH_FireworksReport_2013.pdf

Forms can be found at http://www.state.in.us/isdh/19042.htm#Fireworks

The law requiring reporting can be found at http://www.in.gov/legislative/ic/code/title35/ar47/ch7.html.

Forms can be faxed to:  (317) 233-8199 Attn: Injury Prevention Epidemiologist or mailed to: Indiana State Department of Health
Division of Trauma and Injury Prevention
2 North Meridian Street
Indianapolis, IN 46204

 

Heatstroke deaths of children in vehicles

Based on National Highway Traffic Safety Administration (NHTSA) data from 2012, 38 children die each year from vehicular heatstroke in the U.S.  Heatstroke occurs when a person’s temperature exceeds 104˚F and the body’s thermoregulatory mechanism is overwhelmed. Children are at greater risk for vehicular heatstroke because their body temperature rises 3-5 times faster than an adult’s. NHTSA also indicates that it takes just 10 minutes for a car to reach deadly temperatures on an 80 degree day, and cracking a car window does not improve inside car temperatures. Male children are disproportionately affected; of all child deaths, male children are more likely to be left in cars and to play in cars, thus putting them at greater risk.

NHTSA provides some tips to prevent heatstroke death:

1) Never leave children in a vehicle unattended, even with the windows cracked, even “for a minute.”

2) Always check the backseat when exiting the vehicle (put your phone or your purse in the backseat to create a reminder system). Look before you lock.

3) Always keep vehicle doors and trunks locked and keys out of reach.

4) Make an agreement with your childcare provider to always call you when your child is absent.

5) Call 911 if you see a child alone in a vehicle.

The Children’s Safety Network released infographic can be accessed here: http://www.childrenssafetynetwork.org/sites/childrenssafetynetwork.org/files/heatstroke_infographic_pdf_print_version.pdf  For more information about heatstroke, visit:  http://www.kidsandcars.org/heatstroke.html and http://www.safercar.gov/parents/heatstroke.htm

 

Injury Prevention Advisory Council update

The Injury Prevention Advisory Council (IPAC) met for the second time this year on June 12. The IPAC heard a presentation from Dr. Jennifer Walthall, Associate Professor of Clinical Emergency Medicine and Pediatrics and Division Director of EM Pediatrics at Riley Hospital for Children, on her Rough Riders ATV– Safety Project. Rural injuries are on the rise, and children are disproportionately affected. Current policy recommendations include prohibiting use of ATVs by children less than 16 years of age, but young children are still riding and suffering severe injuries and even death. Dr. Walthall discussed the developmental milestones and whether those were sufficient for operating an ATV. The program’s proposal includes:

  • engaging rural critical access communities regarding ATV safety and use
  • pilot an injury surveillance system for ATV-related injury in rural settings
  • describe factors influencing ATV injury in children
  • develop an approach to reducing ATV-related injuries among children in rural areas in conjunction with the community and area critical access hospitals
  • develop and implement a summer “Safe ATVs” program.

Dr. Walthall explained some of the challenges of beginning an ATV safety program, including disconnects in the population, problem, culture, and worldview. To address these issues, the program focused on messaging and behavioral change theory, which included “qualitative cornhole”. The game tested the kids’ knowledge about ATVs by asking them true or false questions while throwing bean bags into tires.  They were awarded prizes after their responses were recorded.  The first phase of the project started at the Sullivan County Night Out. The Rough Riders All-Terrain Experience had a “Passport to ATV Safety” with four stations for children to complete in order to receive a $25 voucher to spend on a helmet at Jays Auto World. Participants at the event were between the ages of three and 20 years, 56 percent had driven an ATV, and of those, 50 percent started when they were under the age of six. 40 percent reported having seen or heard something about ATV safety in the past year, and 44 percent reported they had heard that ATVs are not meant to carry passengers. The second phase of the study will begin in the fall, 2014. This second phase is the GIS component and will gather data from track stick devices placed on ATVs to follow ATV riders to see how ATVs are driven and conditions children face.

In addition to Dr. Walthall’s presentation, IPAC members shared the status and progress of their injury prevention work, and discuss the bylaws and future of IPAC.  Updated Terms of Reference will be disseminated to the group for review in the future.

The IPAC is expanding its membership to include more stakeholders from across the state, so new members are always welcome.  Jessica Skiba, ISDH injury prevention epidemiologist, has sent all interested partners bi-weekly email updates with important injury prevention articles, news, and resources. 

IPAC will meet again Wednesday, September 10 from 10 a.m.-12 p.m. and Thursday, November 20 from 1 p.m.-3 p.m. in Rice Auditorium at ISDH.

If you are interested in becoming a member of IPAC or would like more information about IPAC, contact Jessica Skiba at jskiba@isdh.in.gov  or at 317-233-7716.

 

Trauma Registry Rule - update

The Trauma Registry rule, signed into law by Governor Pence last October, requires all EMS transport providers, hospitals with emergency departments and the State’s seven rehabilitation hospitals to report trauma cases to the ISDH trauma registry. The rule has been effective since November 24.

The following EMS services have submitted data to the Indiana Trauma Registry for 2014:

A&A Township VFD 
Aboite Township VFD
Adams County EMS
Adams Markleville Fire Protection Terr.
Air Methods Corporation / UCAN
Air Methods—Kentucky
Alcoa EMS Warrick—Newburgh
American Medical Response (AMR)
Batesville Vol. Fire & Rescue Depart.
Beech Grove FD
Boone County EMS
Burns Harbor FD
Carroll County EMS
City of Gary FD
City of Lawrence FD
City of Nappanee EMS
City of Rushville FD
Columbus Regional Hospital Ambulance Service
Culberson Ambulance Service
Decatur Township FD
DeKalb EMS
Dublin VFD Inc.
Eli Lilly & Company
Fayette County EMS
Fountain County Ambulance Service
Fulton County EMS
Gaston VFD
Gibson County EMS
Goshen FD
Grace on Wings
Grant County EMS
Greenfield FD
Hoagland EMS & VFD
Honey Creek FD
Huntertown VFD
IU Collegiate EMS
IU Health—Bedford EMTs
IU Health—Bloomington EMTs
IU Health—Lifeline
IU Health—Paoli EMTs
Jay County EMS
Jefferson Township Ambulance So.
Keener Township EMS
King’s Daughters’ Health EMS
LaPorte County EMS
Lutheran Hospital EMS
Madison Township VFD
Marion General Hospital EMS
Memorial Hospital Ambulance
Milan Rescue 30
Moral Township VFD
Morgan County Emergency Management
New Carlisle Area Ambulance Service
New Caste/Henry Co EMS
New Washington VFD
Noblesville FD
North East Allen Co. Fire & EMS
North Webster/Tippecanoe Twshp EMS
NW Ambulance Service
Osolo Emergency Medical
Parkview Huntington EMS
Parkview LaGrange EMS
Parkview Noble EMS
Parkview RMC EMS
Perry Co. Memorial EMS
Pike County EMS
Posey County EMS
Prompt Ambulance Central
Randolph County EMS
Richmond FD
Ripley Co. Em. Life Squad
Ripley County EMS
Rush Memorial Hospital EMS
Scott County EMS
Seals Ambulance Service
South Bend FD
Spencer Co. EMS
St. Joseph Township FD
St. Mary’s LifeFlight
St. Mary’s Warrick EMS
Steuben County EMS
Sugar Creek Twshp FD
Sullivan Co. Ambulance
Sunman Area Life Squad
Terre Haute FD
The Methodist Hospitals EMS
Three Rivers Ambulance Auth.
Tippecanoe EMS
Town of Plainfield Fire Terr.
Town of Schererville
Town of St. John
Turkey Creek Fire Terr.
Wabash FD
Warren County EMS
Washington Twshp/Avon FD
Wells County EMS
Whiting FD
Whitley County EMS
Wolcott Ambulance Service
Woodburn FD

The following hospitals have submitted data to the Indiana Trauma Registry for 2014:

Cameron Memorial
Clark Memorial
Columbus Regional
Community Anderson
Community Bremen
Community East
Community Howard
Community North
Community South
Daviess Community
Deaconess Gateway
Deaconess Hospital
DeKalb Health
Dukes Memorial
Dupont Hospital
Elkhart General
Eskenazi Health
Floyd Memorial
Gibson General
Good Samaritan
Greene County
Hancock Regional
Hendricks Regional
Henry County Memorial
IU Health—Arnett
IU Health—Ball Memorial
IU Health—Bedford
IU Health—Blackford
IU Health—Bloomington
IU Health—Goshen
IU Health—LaPorte
IU Health—Methodist
IU Health—Morgan
IU Health—North
IU Health—Paoli
IU Health—Riley
IU Health—White Memorial
Jay County
Johnson Memorial
King’s Daughters’ Health
Kosciusko Community
Lutheran Hospital
Major Hospital
Marion General
Memorial Hospital (Jasper)
Memorial South Bend
Methodist—Northlake
Methodist—Southlake
Monroe Hospital
Parkview Huntington
Parkview LaGrange
Parkview Noble
Parkview Randallia
Parkview RMC
Parkview Whitley
Perry County Memorial
Portage Hospital
Porter—Valparaiso
Pulaski Memorial
Putnam County
Reid Hospital
Rush Memorial
Schneck Medical Center
Scott County Memorial
St. Anthony—Crown Point
St. Anthony—Michigan City
St. Catherine Regional
St. Elizabeth—Central
St. Elizabeth—Crawfordsville
St. Elizabeth—East
St. Francis—Indianapolis
St. Francis—Mooresville
St. Joseph RMC—Mishawaka
St. Margaret—Dyer
St. Mary’s of Evansville
St. Mary’s Warrick
St. Vincent Anderson
St. Vincent Clay
St. Vincent Indianapolis
St. Vincent Salem
St. Vincent Williamsport
Sullivan County Community
Terre Haute Regional
Union (Clinton)
Union (Terre Haute)
Witham
Witham at Anson

The next trauma registry training event will be held at the ISDH located at 2 North Meridian Street, Indianapolis, in Rice Auditorium on July 11.  If your facility or service is currently not reporting trauma data to the Indiana trauma registry, please attend this training event.  The hospital and rehabilitation facility training session starts at 9 a.m. EDT.  The EMS provider training session will start at 1 p.m. EDT.  To register for the training event, visit: https://www.surveymonkey.com/s/GZ875YL 

 

St. Vincent Trauma Center hosts first Advances in Trauma Care conference

St. Vincent Trauma Center invites you to attend the inaugural Advances in Trauma Care Conference in New Castle, Indiana on Thursday July 24.  An outstanding day of education for all pre-hospital and other health care professionals will be presented by experts in the field of trauma to include the topics listed below.  The keynote speaker Christina Hernon, M.D., emergency medicine physician at UMASS Memorial Healthcare.  Dr. Hernon was volunteering at the Boston Marathon in the race’s medical tent when the bombs went off.  She will share her personal experience as one of the first medical professionals on the scene treating the wounded. Topics covered include:

Thoracic Trauma

Rapid Sequence Intubation

Pediatric Trauma

Farm Injuries

Orthopedic Trauma

Airway Management

Registration is FREE to all attendees.  A conference t-shirt, continental breakfast and catered lunch will be provided with raffle items to include an IPAD and $100 gas card.  Continuing education credits available.  Register at:  http://www.eventbrite.com/e/advances-in-trauma-care-conference-tickets-10116216877.  For more information please contact Judi Holsinger at jholsing@stvincent.org.

 

2011 Fatality data now available on WISQARS

Centers for Disease Control and Prevention’s Web-based Injury Statistics Query and Reporting System (WISQARS) has been recently updated to include 2011 data from the National Vital Statistics System. The data are now included in the following WISQARS modules: Fatal Injury Reports, Leading Causes of Death, and Years of Potential Life Lost (YPLL). The updated WISQARS can be accessed here: http://www.cdc.gov/injury/wisqars/

 

National inaugural injury prevention coordinators symposium

The Trauma Prevention Coalition is hosting the first summit for injury prevention coordinators on Wednesday, September 10 from 7 a.m.- 11:15 a.m. at the Philadelphia Marriott Downtown during the 73rd Annual Meeting of the American Association for the Surgery of Trauma. The symposium will include an update on the Trauma Prevention Coalition, a review of the Prevention chapter in the updated Resources for Optimal Care of the Injured Patient from the American College of Surgeons Committee on Trauma (Orange Book), and an overview of the newly developed Injury Prevention Coordinators Course Curriculum. The symposium will include a panel to discuss issues associated with hospital-based injury prevention and intervention programs and the specific needs of injury prevention coordinators in trauma programs.  

To register, visit: www.aast.org (click on annual meeting tab).

For more information about the symposium, contact: Glen Tinkoff, MD (gtinkoff@christianacare.org)or Tamara Jenkins (tjenkins@aast.org) (312) 202-5468

 

ISDH Division of Trauma and Injury Prevention display

The ISDH Division of Trauma and Injury Prevention staff recently attended the Indiana Rural Health Association conference and set up their trauma system display.  If your organization or association is interested in having the division staff attend your upcoming event to answer questions and concerns about the development of the statewide trauma system, please contact Katie Gatz, kgatz@isdh.in.gov.

 

ISDH Division of Trauma and Injury Prevention: Calendar of Events

To see a list of trauma and injury prevention events for 2014, visit: http://www.in.gov/isdh/26125.htmThe calendar will be updated throughout the year and if you have a trauma and/or injury prevention event, contact Katie Gatz, kgatz@isdh.in.gov, 317-234-2865 or Jessica Skiba, jskiba@isdh.in.gov,317-234-6325, to have your event added to the page.

 

Trauma Registry Reports

The Indiana Trauma Registry produces regular reports on a monthly, quarterly, and annual basis. In addition, certain ad hoc reports are produced upon request. These reports are archived on our web page.

 

Trauma Times Survey

Trauma Times wants your feedback! Please take this short survey to help us serve your needs: http://www.surveymonkey.com/s/WYY6TRJ

 

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