Transcript of The role of public health in achieving the “toward zero deaths - TZD” goals AASHTO Safety...
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- The role of public health in achieving the toward zero deaths -
TZD goals AASHTO Safety Leadership Forum V The Paris Hotel, Las
Vegas, NV May 5, 2011 John Fildes, MD, FACS, FCCM Medical Director
of Trauma Programs American College of Surgeons Committee on Trauma
Professor & Vice Chair of Surgery Program Director of Surgery,
Critical Care, & Acute Care Surgery Chief, Trauma &
Critical Care Univ. of Nevada School of Medicine Medical Director
of the Trauma Center Univ. Medical Center of Southern NV
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- The Injury Pyramid Mild Moderate Severe Fatal Severity of
Injury Number of Patients
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- Injury facts Injury is the leading cause of death 0-44 Half of
all injury deaths occur before medical intervention For every 1
death there are: 3 permanent disabilities 75 temporary disabilities
Injury deaths cause the loss of more years of productive life than
cancer & heart disease combined Injury care is the most
expensive medical care
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- Trimodal mortality distribution
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- You are 25% more likely to live if you are treated at a Trauma
Center
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- NTDB Annual Report 2010 American College of Surgeons 2010. All
Rights Reserved Worldwide National Trauma Data Bank 2010 Annual
Report
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- Maull KI. Dispelling fatalism in a cause-and-effect world: 1989
Eastern Association for the Surgery of Trauma presidential address.
J Trauma. 1989; 29: 752-756.
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- TZD, the nexus with health care Engineering Education
Enforcement Emergency health care: Access to care Pre-hospital care
Hospital care Organized into a Trauma System!
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- TZD, the nexus with health care Health Care supports: All the
Es The strategic safety planning efforts Trauma Systems: Save lives
Spans from education & prevention to rehab & outcomes
informatics Driven by performance improvement
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- Key Infrastructure Elements Leadership at the state &
regional level Professional Resources Education and Advocacy
Information Management Finances Research Technology Disaster
Preparedness and Response
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- Center for Traffic Safety Research Nevada Crash Data Nevada
Medical Data In 2009 Nevada Motor Vehicle Crash records and UMC
Trauma registry data were linked to create a unique database that
includes crash scene data, EMS and hospital information. The Center
for Traffic Safety Research is working to demonstrate the link
between prevention and outcomes.
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- Thank You
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- Injury facts Injury is the leading cause of death 0-44 Half of
all injury deaths occur before medical intervention For every 1
death there are: 3 permanent disabilities 75 temporary disabilities
Injury deaths cause the loss of more years of productive life than
cancer & heart disease combined Injury care is the most
expensive medical care
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- Fundamental Components of the Trauma Care System Injury
Prevention Prehospital Care Acute Care Facilities Post-hospital
Care
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- Leading cause of death, Traffic Research Center, Health care
nexus, costs, Chief Health Official in each state should be
involved Health community role in zero deaths/fatality Strategic
safety planning efforts Education, prevention, cost reduction
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- The Goal of the Trauma System: