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Wed, 9 Jan 2002 07:58:38 -0500

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Kate,

I doubt you'll find an easy answer here.  For most, penetrating trauma is
like pornography: "I know it when I see it."

>From "Recommendations For Uniform Reporting of Data following Major Trauma -
The Utstein Style," a 1998 initiative of the International Trauma
Anaesthesia and Critical Care Society (ITACCS):

When more than one injury type is present, the predominant type, i.e., the
type most responsible for mortality/morbidity will be assessed in the
hospital at a time considered appropriate. Core data mandatorily must
include data as to whether the trauma is blunt or penetrating. In general,
all trauma is classified as blunt, including amputation, crush, laceration,
and asphyxia with the exception of stab, spike, or missile injuries, which
are classed as penetrating trauma.

Good luck nailing this one down.  Since you're writing a data dictionary,
I'm assuming this all relates to a trauma registry?  For what it's worth,
most registry software assigns a blunt or penetrating characteristic to each
diagnostic code.  May not be highly sensitive to nuance, but it does remove
subjectivity, and promotes consistency of reporting.

Pret Bjorn
Trauma Coordinator
EMMC Trauma Program
489 State Street
Bangor, ME 04401

207.973.7260 (office)
207.973.7673 (fax)
207.941.5085 (voice pager)

PS-- Next question: is 'mandatorily' a word?

-----Original Message-----
From: Kate Curtis [ mailto:CurtisK@sesahs.nsw.GOV.AU
<mailto:CurtisK@sesahs.nsw.GOV.AU> ]
Sent: Tuesday, January 08, 2002 1:16 AM
To: trauma-list@trauma.org
Subject: penetrating trauma definition

Hi all

We're compiling a regional trauma data dictionary, and have conflicting
views on the definition of penetrating trauma.  Obviously a gsw or stabbing
is likely to be penetrating, what about falling through a glass window and
getting a laceration?  What about a chainsaw injury? 

Can anyone provide their concise definition from their data dicitonary?

Many thanks

Kate

Kate Curtis
Trauma Coordinator
St George Hospital
Gray St, Kogarah
NSW, 2217
ph:   (02) 9350 3499 or (02) 3950 1111 page 019
fax:   (02) 9350 3974
email: curtisk@sesahs.nsw.gov.au

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Kate, I doubt you'll find 
an easy answer here.&nbsp; For most, penetrating trauma is like pornography: "I 
know it when I see it." From "Recommendations For Uniform Reporting of 
Data following Major Trauma - The Utstein Style," a 1998 initiative of the 
International Trauma Anaesthesia and Critical Care Society 
(ITACCS):
<BLOCKQUOTE style="MARGIN-RIGHT: 0px">
 When more than one injury type is present, the predominant 
 type, i.e., the type most responsible for mortality/morbidity will be assessed 
 in the hospital at a time considered appropriate. Core data mandatorily must 
 include data as to whether the trauma is blunt or penetrating. In general, 
 all trauma is classified as blunt, including amputation, crush, laceration, 
 and asphyxia with the exception of stab, spike, or missile injuries, which are 
 classed as penetrating trauma.</BLOCKQUOTE>
Good luck nailing this one down.&nbsp; Since 
you're writing a data dictionary, I'm assuming this all relates to a trauma 
registry?&nbsp; For what it's worth, most registry software assigns a blunt or 
penetrating characteristic to each diagnostic code.&nbsp; May not be highly 
sensitive to nuance, but it does remove subjectivity, and promotes consistency 
of reporting.
<DIV>
<DIV>Pret 
Bjorn</DIV>
<DIV>Trauma 
Coordinator</DIV>
<DIV>EMMC 
Trauma Program</DIV>
<DIV>489 
State Street</DIV>
<DIV>Bangor, ME 04401</DIV>
<DIV>&nbsp;</DIV>
<DIV>207.973.7260 (office)</DIV>
<DIV>207.973.7673 (fax)</DIV>
<DIV>207.941.5085 (voice 
pager)</DIV></DIV>
PS-- Next question: is 'mandatorily' a 
word?
-----Original Message----- From: Kate Curtis [<A 
href="mailto:CurtisK@sesahs.nsw.GOV.AU">mailto:CurtisK@sesahs.nsw.GOV.AU</A>] Sent: 
Tuesday, January 08, 2002 1:16 AM To: trauma-list@trauma.org Subject: 
penetrating trauma definition Hi all We're compiling a 
regional trauma data dictionary, and have conflicting views on the definition 
of penetrating trauma.&nbsp; Obviously a gsw or stabbing is likely to be 
penetrating, what about falling through a glass window and getting a 
laceration?&nbsp; What about a chainsaw injury?&nbsp; Can anyone provide 
their concise definition from their data dicitonary? Many 
thanks Kate Kate Curtis Trauma Coordinator St George 
Hospital Gray St, Kogarah NSW, 2217 ph:&nbsp;&nbsp; (02) 9350 3499 or 
(02) 3950 1111 page 019 fax:&nbsp;&nbsp; (02) 9350 3974 email: 
curtisk@sesahs.nsw.gov.au *********************************************************************************** This 
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of the incorrect addressing. This note also confirms that this email 
message has been virus scanned and although no computer viruses were detected, 
South East Health accepts no liability for any consequential damage resulting 
from email containing any computer 
viruses. *********************************************************************************** -- trauma-list 
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