Inclusion Criteria
The Trauma Audit & Research Network
(TARN)
Data Collection session
The decision to include a patient should be based on the
following 3 criteria being met:
1. Trauma patients: Irrespective of age
2. Who fulfil one of the following length of stay criteria:
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In hospital for >3 days
Admitted to a Critical care area (regardless of LOS)
Transferred out for specialist care or repatriation* (total LOS >3days)
Transferred in for specialist care or repatriation* (total LOS >3days)
Deaths (including deaths in ED, even if COD is medical)
*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)
Skull fracture
Scalp injuries
Traumatic haemorrhage
Spontaneous haemorrhage
(stroke, aneurysm )
Brain Contusion
Loss of consciousness
Brain Laceration/penetration
Traumatic Brain swelling
Vascular injury
Nerve injury
Diffuse Axonal Injury (DAI)
FACIAL Injuries
Include
Exclude (in isolation)
Unstable fracture
Skin injuries
(usually fixed in theatre)
Orbital Blow out fracture
Closed/stable fracture/s
(even if multiple)
Le fort fracture (I, II or III)
All other injuries to eye
Pan-facial fracture
All injuries to ear
Vascular injury
Nerve injury
Eye Avulsion
Traumatic Retinal detachment
Globe rupture
NECK Injuries
Include
Exclude (in isolation)
Vascular injury
Skin injuries
Organ injury
Nerve injury
Hyoid fracture
THORACIC Injuries
Include
Exclude (in isolation)
Vascular injury
Skin injuries
Organ injury
Rib fracture/s
Flail chest (unstable chest wall)
Haemothorax
(blood in thorax)
Pneumothorax (air in thorax)
Haemomediastinum (blood in mediastinum)
Pneumomediastinum (air in mediastinum)
Sternum fracture
ABDOMINAL Injuries
Include
Exclude (in isolation)
Vascular injury
Skin injuries
Organ injury
(contusion, laceration, transection, avulsion,
perforation, rupture)
Retroperitoneal haemorrhage
SPINAL Injuries
Include
Exclude (in isolation)
Vertebral fracture
Spinal strain
(whiplash)
Vertebral dislocation
Disc injury
Nerve root injury
Cord injury
Ligament
FEMORAL Injuries
Include
Exclude >65 years old
Hip fractures:
Neck of Femur, Intertrochanteric, Pertrochanteric
or Greater trochanteric:
Aged <65yrs old
Hip fractures:
Neck of Femur, Intertrochanteric,
Pertrochanteric or Greater trochanteric:
Aged >65yrs old
Distal or Proximal or Shaft or Subtrochantic #:
Any age
Femoral Vessel injury
Femoral Nerve injury
PELVIS/ACETABULUM Fractures
Include
Exclude >65 years old
Acetabulum fracture
Single pubic rami fracture
Ischium, Sacrum, Coccyx or Ileum
Single pubic rami fracture <65
Multiple pubic rami fractures
Symphysis pubis joint injury
Sacro-iliac joint injury (SIJ)
Lateral compression fracture (LC1-LC3)
Anterior posterior compression fracture (AP1-AP3)
Open Book fracture
Vertical Shear fracture
Malgaigne fracture
UPPER LIMB or LOWER LEG Injuries
Excluding hands & feet
Include
Exclude (even if multiple)
Open fracture
Closed fractures &/or dislocations of 1 limb
(even if multiple)
Total Crush injury
All other Nerve injuries
Traumatic Amputation
Muscle injury
Multiple limb fractures &/or dislocations
Tendon injury
Transected vessels
Ligament injury
Sciatic Nerve injury
Sprain
HANDS & FEET Injuries
Include
Exclude (even if multiple)
Crush of entire Hand
Hand or Foot fracture/s
(including carpals, metacarpals and phalanges)
Crush of entire Foot
Crush: Digits alone
(including tarsals, metatarsals and phalanges)
Amputation: entire Hand or entire
Foot
Amputation: Digits alone
All other digit injuries
Crush = Total destruction of bones, vessels/nerves & soft tissue
BURN or INHALATION Injuries
Include
Exclude (in isolation)
Full thickness burn
Any burn
(Not treated at Burns unit)
(Treated at Burns unit)
>10% TBS burn
Inhalation injury
(Not treated at Burns unit)
Inhalation injury
(Not treated at Burns unit)
(Treated at Burns unit)
<10% burn
OTHER INJURIES
Include
Exclude (in isolation)
Electrocution injuries
Bruises
Full thickness Frostbite
Abrasions
Asphyxia (hanging or strangulation)
Minor Skin lacerations
Drowning
Minor Penetrating Injuries to skin
Skin lacerations: Blood loss >20%
Hypothermia
Penetrating injuries to skin: Blood loss >20%
Once one injury is TARN eligible. All injuries must be documented in the submission.
Inclusion Criteria: Quiz
1. Should you include?
50 year old
Tripped
Injuries: Closed fractured tibia & fibula on left
Died after 2 days
2. Should you include?
67 year old
Fall over rug
In hospital for 4 days
Injuries: Right # Neck of Femur & Right Radius #
3. Should you include?
28 year old
Crushed fingers in lift door
In Hospital for 6 days
Injuries: Fracture to Metacarpals 2+3 on left.
Answer: No
Injuries must meet criteria, regardless of outcome
Answer: Yes
65+ Neck of Femur # with any other (non Hand or
Foot) fracture is included.
Answer: No
Injuries to digits alone are not included in TARN
(including crush)
Inclusion Criteria: Quiz
4. Should you include?
70 year old
Frequently faller over past weeks : No definite date of
fall.
Collapsed with possible stroke or traumatic
Subarachnoid haemorrhage
Answer: No:
Only include if definitely Traumatic, with Date &
mechanism of trauma.
Any ambiguity as to Traumatic or Spontaneous exclude
5. Should you include?
Answer: Yes as injury is TARN eligible
45 year old admitted to hospital on 20th February
2015 with medical condition.
Date of Arrival & Date of incident should be the date
the Trauma occurred in hospital (1st March), not the
original medical admission date.
Fell on Ward on 1st March 2015 & sustained Fracture
to skull
Discharged on 10th March 2015
Questions?