Inclusion Criteria The Trauma Audit & Research Network (TARN) Foundation session - Trauma Audit and Research Network
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Inclusion Criteria
The Trauma Audit & Research
TANetwork (TARN)
Foundation session
R
N
The decision to include a patient should be based on the
following 3 criteria being met:
1. Trauma patients: Irrespective of age*
*Military personnel injured on active duty are excluded
*Exclude iatrogenic injuries i.e. rib fractures caused by CPR
2. Who fulfil one of the following length of stay criteria:
TA
In hospital for >3 overnight stays
Admitted to a Critical care area (regardless of LOS)
Transferred out for specialist care or repatriation* (total LOS >3 overnight stays)
R
Transferred in for specialist care or repatriation* (total LOS >3 overnight stays)
Deaths (including deaths in ED, even if COD is medical)
N
*Patients admitted under care of Rehabilitation team only: Not included in TARN
3. AND whose isolated injuries meet one of the following criteria>>>
HEAD Injuries
Include Exclude (in isolation)
TA
Skull fracture
Traumatic haemorrhage
Scalp injuries
Spontaneous haemorrhage
(stroke, aneurysm )
Brain Contusion
R
Brain Laceration/penetration
Loss of consciousness
Traumatic Brain swelling
Vascular injury
N
Nerve injury
Diffuse Axonal Injury (DAI)
FACIAL Injuries
Include Exclude (in isolation)
Unstable fracture Minor skin injuries
TA
(usually fixed in theatre)
Orbital Blow out fracture
Le fort fracture (I, II or III)
Closed/stable fracture/s
(even if multiple)
All other injuries to eye
Pan-facial fracture
Injury to branches of external carotid R All injuries to ear
artery
Optic/ Facial nerve injury
Eye Avulsion
N
Traumatic Retinal detachment
Globe rupture
NECK Injuries
TA
Include
Injury to major vessels: Carotid and
Exclude (in isolation)
Minor skin injuries
Vertebral arteries, Jugular vein
Organ injury
Hyoid fracture
R Nerve injury
N
THORACIC Injuries
Include Exclude (in isolation)
Vagus Nerve Injury Minor skin injuries
TA
Injury to major vessels
Organ injury
Traumatic Sternum fracture
Traumatic Rib fracture/s
R
Flail chest (unstable chest wall)
Haemothorax (blood in thorax)
Pneumothorax (air in thorax)
Haemomediastinum (blood in mediastinum)
N
Pneumomediastinum (air in mediastinum)
ABDOMINAL Injuries
TA
Include Exclude (in isolation)
Vagus Nerve Injury
Injury to major vessels
R Minor skin injuries
Organ injury
(including genitourinary organs)
(contusion, laceration, transection, avulsion,
perforation, rupture)
N
Retroperitoneal haemorrhage
SPINAL Injuries
TA
Include Exclude (in isolation)
Traumatic Vertebral fractureR Spinal strain
(whiplash)
Vertebral dislocation
Disc injury
Nerve root injury
N Ligament
Brachial Plexus injury
Cord injury
FEMORAL Injuries
TA
Include
Hip fractures Aged 65 years old
Hip fractures aged >65yrs old
Neck of Femur, Intertrochanteric,
R
Pertrochanteric or Greater trochanteric, basi-cervical,
intracapsular, subcapital
Head, Shaft, Distal or Subtrochanteric #:
Any age
Femoral Vessel injury
N
Femoral Nerve injury
PELVIS/ACETABULUM Fractures
Pubic Rami
Include Exclude >65 years old
Fracture(s) of a single pubic ramiUPPER LIMB or LOWER LEG Injuries
Excluding hands & feet
Upper Limb: Scapula, Clavicle, Humerus, Radius, Ulna
Lower Limb: Patella, Tibia, Fibula, Calcaneus, Talus
Include Exclude (even if multiple)
TA
Open (compound) fractures &/ or dislocations
Total Crush injury
Closed fractures &/or dislocations of 1 limb
(even if multiple)
All other Nerve injuries
Traumatic Amputation (incl. partial) Muscle injury
Fractures &/or dislocations of
multiple limbs
R Tendon injury
Transected vessels
Sciatic Nerve injury
N Ligament injury
Sprain
Minor skin injuries
Crush = Total destruction of bones, vessels/nerves & soft tissueHANDS & FEET Injuries
Include Exclude (even if multiple)
Crush of entire Hand Hand or Foot fracture/s
(including carpals, metacarpals and phalanges)
TA
Crush of entire Foot
(including tarsals, metatarsals and phalanges)
Amputation: entire Hand or entire
All injuries to digits (fingers & toes)
(including crush and amputation)
Foot
R
N
Crush = Total destruction of bones, vessels/nerves & soft tissueBURN or INHALATION Injuries
Include Exclude (in isolation)
Full thickness burn (any %) Any burn
(Not submitted to IBID) (Submitted to IBID)
>10% TBS burn Inhalation injury
(Not submitted to IBID) (Submitted to IBID)
Inhalation injuryOTHER INJURIES
Include Exclude (in isolation)
Electrocution injuries Bruises
Full thickness Frostbite Abrasions
Asphyxia (hanging, strangulation, choking- Minor Skin lacerations
patient must lose consciousness)
TA
Drowning (patient must lose consciousness)
Skin lacerations: Blood loss >20%
Penetrating injuries to skin: Blood loss >20%
Minor Penetrating Injuries to skin
Hypothermia
Major Degloving injury
R
Blood loss can be determined by using the volume of blood given as a proxy for the volume
N
of blood lost- 3 units of blood = more than 20%/ 1 litre
All injuries must be documented in the submission,
even if those not eligible for TARN in isolationInclusion Criteria: Quiz
1. Should you include?
Answer: No
50 year old
Fell
Injuries must meet criteria, regardless of outcome
Injuries: Closed fractured tibia & fibula on left
Died after 2 days
2. Should you include?
67 year old
Tripped
In hospital for 4 days
TA Answer: Yes
65+ Neck of Femur # with any other (non Hand or
Foot) fracture is included.
Injuries: Right # Neck of Femur & Right Radius #
R
3. Should you include?
68 year old
RTA
Fractured Pelvis & Femur
N
Answer:
Yes (if MTC) as patient received acute care.
No: If Trauma Unit
Patients admitted for rehab only are not included in
TARN.
Treated in MTC for a week then admitted to local
Trauma Unit for rehabilitation only .Inclusion Criteria: Quiz
4. Should you include?
Answer: No:
70 year old Only include if definitely Traumatic, with Date &
Frequent faller over past weeks : No definite date of mechanism of trauma.
fall.
Collapsed with possible stroke or traumatic Any ambiguity as to Traumatic or Spontaneous -
Subarachnoid haemorrhage exclude
5. Should you include?
TA
Answer: Yes as injury is TARN eligible
with medical condition. R
45 year old admitted to hospital on 20th February
Date of Arrival & Date of incident should be the date
the Trauma occurred in hospital (1st March), not the
Fell on Ward on 1st March & sustained Fracture to
skull
Discharged on 10th March
N
original medical admission date.You can also read
