About the Trauma Service

St George Hospital received over 1,800 presentations due to serious injury in 2014. These are only a small portion of the 66507 patients that attended our emergency department, one of the busiest in NSW. As a Level 1 Trauma Service, St George Hospital provides all clinical specialties including Trauma Rehabilitation services. Of the nearly 2,000 major trauma patients the St. George Hospital Trauma Team evaluates each year 327 have sustained serious, life-threatening injuries and generally required intensive care, operative and extensive recovery and rehabilitation care (Injury Severity Score greater than 12). In addition to being a major trauma service, St George Hospital is the first hospital in Australia to implement a dedicated admitting trauma team which reduced mortality, and one of the first to incorporate a Trauma Case Management Program which increases efficiency, reduces length of stay, and minimises complications among admitted patients.

Further information on the levels of trauma services can be found at the NSW Institute of Trauma and Injury Management Website http://www.itim.nsw.gov.au.

24 years of Trauma at St George

Since trauma monitoring commenced at SGH in 1992 there has been a 149% increase in trauma presentations. These are patients who have filled trauma call criteria and required a hospital wide response.

trauma4.png

 

Key Statistics
Time Period 2010 2011* 2012 2013 2014 2015 2016
Total Presented 1831 1696 1772 1952 1884 1842 1865
Total Admitted 1089 1064 1111 1306 1260 1198 1234
Total Deat 46 47 36 49 53 33 48
Total IHT 151 171 187 183 190 164 208
ICU Admissions   162 142 156 137 134 126
Time Period 2010 2011 2012 2013 2014 2015 2016
Fall: <1 metres 95 163 206 263 331 282 329
Fall: 1-5 metres 333 238 221 269 256 270 245
Fall: >5 metres 19 61 26 26 20 23 29
Fall: Height Unknown   17 6 5 5 3 3
MVC 719 613 645 668 577 574 568
MBC 165 144 182 187 179 178 177
Other MVC 7 18 22 20 20 21 25
Pedestrian 131 138 119 133 123 118 119
Pedal cyclist 120 118 109 137 108 96 98
Assault 69 56 65 57 51 60 68
Stabbing 35 35 35 51 48 47 49
Sporting Injury 21 10 19 17 17 21 9
Burns 26 10 26 20 19 21 21
Water Sport/Boating 11 26 23 19 44 29 38
Industrial injury 18 5 19 19 22 12 20
Gunshot wound 4 4 10 4 6 4 3
Horse riding incident 5 5 4 4 12 14 19
Railway/train incident 2 5 2 5 0 3 4
Other (incl. skateboard, rollerblades, aircraft) 13 30 33 48 46 66 41
Time Period 2010 2011 2012 2013 2014 2015 2016
< 9 (minor) 1288

(70.3%)

1150
(67.8%)
1210
(68.3%)
1312
(67.2%)
1298
(68.9%)
1293
(70.2%)
1280
(68.6%)
9-12 (moderate)

ISS>12 is NSW definition of severe trauma from 2011

191
(11.3%)
200
(11.3%)
221
(11.3%)
259
(13.7%)
240
(13.0%)
249
(13.4%)
13-15 (major) 87
(5.1%)
73
(4.1%)
95
(4.9%)
78
(4.1%)
76
(4.1%)
80
(4.3%)
9-15 (major) 266

(14.5%)

278
(16.4%)
273
(15.4%)
316
(16.2%)
337
(17.9%)
316
(17.2%)
329
(17.6%)
> 15 (severe) 277

(15.1%)

268
(15.8%)
289
(16.3%)
324
(16.6%)
249
(13.2%)
233
(12.6%)
256
(13.7%)

In 2011 we changed databases to the NSW state-wide system – “Collector”, resulting in several coding changes.