4. ED-ORTHO CONSULTATIONS
0
10000
20000
30000
40000
50000
60000
TOTAL PATIENTS
IN E/D
RED AREA YELLOW AREA GREEN AREA
2011 2012
24%
7% 9%
84%
6%
10%
84%
4
TOTAL ATTENDENCE
ED
TOTAL ORTHO
CONSULTATIONS
RED AREA
CONSULTATIONS
YELLOW AREA
CONSULTATIONS
GREEN AREA
CONSULTATIONS
2011 42539 34738 2343 3171 29224
2012 55698 42974 2756 4507 35711
16. ICU DEATHS DATA(AGE 15-60)-2012
SNO AGE SEX DIAGNOSIS DIED ON DAY CAUSE OF DEATH
1 32 M B/L; A/K ,AMPUT:LEFT A/E AMPUT POD1 HYPO SHOCK/ACIDOSIS
2 25 M B/L ;A/ K ,AMPUT/ABD INJURY POD 1 HYPO SHOCK/ACIDOSIS
3 35 M B/L ;A/ K, AMPUT/ABD INJURY POD 1 HYPO SHOCK/ACIDOSIS
4 32 F B/L; A /K AMPUT/PELVIS POD 1 HYPO SHOCK/ACIDOSIS
5 41 M POLYTRAUMA/PELVIS/ABD/CHEST DAY 3 MET ACIDOSIS
6 30 M PEVIS/MULTIPLE LONG # 2 WEEKS VENT ILATER ASSOC
PNEUMONIA/ARDS/SEPSIS
7 42 F PELVIS/SPINE/CHEST TRAUMA 6 DAYS VENTILATOR ASSOC
PNEUMONIA/ARDS/SEPSIS
8 38 M POLY TRAUMA DAY 4 ?FAT EMBOLISM
9 24 M C4# QUARIPARESIS DAY 2 CARD/RESP ARREST
10 32 M C5C6 DISLOCATION,QUADRI DAY 3 CARD/RESP ARREST
17. ICU DEATHS DATA(AGE >60)-2012
S.
N
O
AGE SEX DIAGNOSIS DIED ON
DAY
CAUSE OF DEATH
11 75 F INTER TROCH FRACTURE/DM/HT/IHD 12 IHD/THROMBOEMBOLISM
12 65 M C7 # QUADRIPARESIS/HT 2 CARD/RESP ARREST
13 73 M C5# QUADRIPLEGIA POD 20 ARDS/SEPTIC SHOCK
14 87 M INTER TROCH #/DM/HT/IHD POD 2 CARD/RESP ARREST
15 72 M DISTAL TIBIA #/DM/HT 15 ?THROMBOEMBOLISM
16 80 M INTER TROC #/DM/HT/IHD POD 5 CARD/RESP ARREST
17 90 F NECK FEMUR/IHD/DM/HT POD 6 CARD/RESP ARREST
18 75 M INTER TROC #/HT/IHD POD3 CARD/RESP ARREST
52. ACHIEVEMENTS….
• HIGHEST NUMBER OF PELVI-ACETABULAR SURGERIES IN INDIA (137 IN 2012).
• TOTAL OF SURGERIES:
– COMPLEX INTRA-ARTICULAR FRACTURES: 43% OF SURGERIES
• LATEST PRINCIPLES OF FRACTURE MANAGEMENT.
• VARIOUS RESEARCH WORK IN DIFFERENT TOPICS STARTED IN 2012
• GOLD MEDAL IN IOACON 2012-CHENNAI FOR TOPIC “BIOLOGICAL FIXATION OF
SUBTROCHANTERIC FRACTURES WITH PROXIMAL FEMORAL LOCKING PLATES”
• 2 ND PRIZE IN POSTER PRESENTATION IN TRAUMA 2012 FOR TOPIC” AUTOLOGOUS PRPP
INJECTION IN WOUND HEALING OF OPEN FRACTURES-A REGENERATIVE THERAPY”
• 8 INDEXED PUBLICATIONS INVOLVING ORTHOPAEDICS TEAM IN 2012.
52
54. CHAllENgES AHEAd …..
GERIATRIC PATIENTS : SILENT EPIDEMIC ON THE RISE!
– Establishment of geriatric trauma ward.
– Managing medical co-morbidities.
NEED TO INCREASE BED CAPACITY IN WARDS
– Regretted patients (1458)
DEDICATED 24 HOUR ORTHO OT,
--routine(72%)/emergency(28%)
TO INCREASE THE OPD TIMINGS/OPD ROOMS
--57% opd patients
ORTHO REGISTRY
Hinweis der Redaktion
17% INCREASE IN CONSULTATIONS AND 13% INCEASE IN DISCHARGES AND 2% DECREASE IN TRANSFER OUT CASES.
ADMISSIONS INCRESASED, MAJORITY IN HOT WINTER,INCREASE DUE TO AVAILABILITY OF CWG BEDS 4
INCREASE IN ADMISSION RAYE BY 16%
INCREASE IN DISCHARGE 25%
INCREASE IN ADMISSIONS AND DISCHARGES BY 25% 26% RESPECTIVELY..DEATH A\\SAME
NEED OF ORTHO REGISTRY TO MONITER THE DETAILS.
Need the help of trauma surgeons to decrease the tranfer out of these patients..
CHECK WITH CRITICAL CARE ADMISSIONS, START OF HD ICU, CRITICAL CARE TEAM..
INCREASED LOAD SO EITHER TO INCREASE THE OPD ROOMS/OPD TIMINGS/
PERCENTGE OF NEW CASES-overall increase, of 25% and old registration with 6% increase nd new reg with increase of 14%
INCREASE OF POP PROCEDURES BECAUSE OF INCREASE OF DISCHARGES FROM ED IN GREEN AREA, WE NEED QUALIFIED TRAINED PLASTER TECHNISIONS
ADDITIONAL CWG O.T
INCLUDES ROUTINE FIXATATION PROCEDURES AND EMERGENCY FIXATERS/C CLAMPS..
Majority of the load had been shared with the trauma surgeons so our compound fracture procedures had decreasedlats yearIf debridement and definitive fixation is considered as emergency similar to decompression and laprotomy the incidence of definitive fixation can increase in developing years.
Low incidence of fractures last year we had the relatively low in distal humerus..
Introduction of cwgo.t the procedures had increased in the last academic year..especially the implant removal. Also we had started the use of platelet rich plasma precipitate in different pathologies as a pilot study in last year.
Technological problems in nov and dec the incidence decreased.
LOAD TO ROUTINE THEATRE HAD DECREASED LAST YEAR…FRACTURE FIXATION WHICH DOESN’T NEED C ARM IMAGING,