ISDH Mission: Promoting and providing essential public health services to protect Indiana communities

ISDH Vision: A healthier and safer Indiana

Trauma and Injury Prevention Division Mission: Develop a state-wide trauma system to protect Hoosier communities

Trauma and Injury Prevention Division Vision: Prevent injuries in Indiana

Rural Trauma Team Development Course Update

The Indiana State Department of Health’s (ISDH) trauma and injury prevention program has teamed up with the agency’s Office of Primary Care to fund efforts by Indiana trauma centers to work with non-trauma hospitals to better coordinate trauma care throughout the state, especially in rural areas.

The agency will fund trauma centers to teach the Rural Trauma Team Development Course (RTTDC), which emphasizes the important role of smaller, often rural, non-trauma hospitals in the overall state trauma system. The RTTDC program covers key concepts in the triage of trauma patients, including the decision whether the hospital can meet the patient’s needs or needs to transfer the patient to a trauma center. Understanding everyone’s role in a statewide trauma system is crucial in providing good care to trauma patients, especially in light of the fact that at least 60% of all trauma deaths occur in areas where only 25% of the population lives.

If your facility is interested in participating in the RTTDC program with a nearby trauma center, please contact the ISDH (Katie Gatz at 317.234.7321 or kgatz@isdh.in.gov) or your nearest trauma center:

Triage and Transport Rule Update

Gov. Daniels has signed the Triage and Transport rule into law, after ISDH and EMS staff worked for more than a year to get the rule passed. The rule was published Wednesday, August 8, 2012. Our understanding is that the new rule took effect the same day. The rule mandates that the most seriously injured patients, those classified Step 1 and Step 2 by the CDC Field Triage Decision Scheme, be taken to a trauma center unless the trauma center is more than 45 minutes away or if the patient's life is endangered by going directly to a trauma center. In either case, the ambulance may take the patient to the nearest hospital.

Triage & Transportation Rule

New Rule in Effect for Trauma Patients

http://www.wibc.com/news/Story.aspx?ID=1753000

Summer Listening Tour

From June through September, the Indiana State Department of Health will hold a statewide Trauma Listening Tour. Division of Trauma and Injury Prevention staff, along with local stakeholders, will hold “open house” style meetings in all 10 Indiana public health preparedness districts for Hoosiers to learn more about trauma, learn how state and local agencies currently respond to trauma, learn how a trauma system could help the state and, most importantly, gather personal stories of how trauma has affected those in Indiana.

Traumatic injury is the No. 1 killer of Hoosiers under the age of 45; the same is true across the country and worldwide. Injury is the fifth most common killer of Hoosiers of all ages. Traumatic injuries kill young people in the prime of their lives, impacting society as a whole in health costs, lost productivity and emotional distress.

Injury prevention campaigns have gone a long way to decrease trauma deaths, but there is more that can be done. Indiana is one of only nine states without an integrated statewide trauma system. Indiana has elements of a statewide trauma system, such as emergency medical services (EMS) providers, trauma centers and a trauma registry. The State Health Department wants to work with the public and its many stakeholders to advance Indiana towards a formal trauma system.

Where trauma systems are in place, they save lives. When trauma patients are transported, by ground or by air, to trauma centers, the preventable death rates drop by 15-30 percent. Trauma systems correctly identify patients who need trauma care, anticipate needed resources for trauma treatment, route patients to the correct facility and improve care through a quality improvement process.

Below are the dates and location of each stop on the Trauma Listening Tour. The public can come at any time from 4:30-7:30 p.m. and talk with the State Health Department Division of Trauma and Injury Prevention staff and local stakeholders. There will not be a formal presentation but the open-house style meeting will have information and displays staffed by state and local trauma experts.

*Three hours of continuing education credit are available for the following who attend the Summer Listening Trauma Tour Sessions:

• First Responder
• Emergency Medical Responder
• Emergency Medical Technician-Basic
• Emergency Medical Technician-Basic Advanced
• Emergency Medical Technician-Intermediate
• Advanced Emergency Medical Technician
• Paramedic
• Coroners
• Deputy Coroners

News coverage of statewide Summer Trauma Listening Tour:

Indiana Pursuing Statewide Trauma system

New rule in effect for trauma patients

Holes in the state trauma network

Lack of trauma centers a big problem

Hoosiers can speak out about trauma experiences

EDITORIAL: Indiana on road to treating trauma gaps

State steps up trauma treatment efforts

GUEST COMMENTARY: Tonight's trauma listening session vital to community

IN moving towards integrated trauma system, why it could save lives

http://www.courierpress.com/news/2012/jun/03/no-headline---ev_trauma/

http://tristatehomepage.com/fulltext-news?nxd_id=517512

http://www.courierpress.com/news/2012/jun/04/no-headline---ev_traumameeting/

Program to Examine Trauma Care

Trauma Listening Session Important to Community

Health Agency Sponsors Trauma Meeting

Summer Trauma Listening Tour Dates

Stop 1: District 10 (Knox, Daviess, Martin, Gibson, Pike, Dubois, Crawford, Posey, Vanderburgh, Warrick, Spencer and Perry counties)
Date: Monday June 4, 4:30-7:30 p.m. (Central)
Location: Evansville Vanderburgh Central Library
                Central Library
                200 SE Martin Luther King Jr. Blvd.
                Evansville, IN 47713

Stop 2: District 7 (Vermillion, Parke, Putnam, Vigo, Clay, Owen, Sullivan and Greene counties)
Date: Wednesday, June 20, 4:30-7:30 p.m.
Location: Landsbaum Center for Health Education
                1433 N. 6 1/2 Street
                Terre Haute, IN 47807

Stop 3: District 1 (Lake, Porter, Newton, Jasper and LaPorte counties)
Date: Thursday, June 28, 4:30-7:30 p.m. (Central)
Location: Woodland Park in Portage
                2100 Willowcreek
                Portage, IN 46368

Stop 4: District 3 (LaGrange, Steuben, Noble, Dekalb, Whitley, Allen, Miami, Wabash, Huntington, Wells and Adams counties)
Date: Wednesday, July 11, 4:30-7:30 p.m.
Location: The Public Safety Academy
                7602 Patriot Crossing
                Fort Wayne, IN 46816

Stop 5: District 2 (St. Joseph, Elkhart, Starke, Marshall, Kosciusko, Pulaski and Fulton counties)
Date: Tuesday, July 17, 4:30-7:30 p.m.
Location: St. Joseph County Public Library
                304 South Main Street
                South Bend, IN 46601

Stop 6: District 9 (Decatur, Franklin, Jennings, Ripley, Dearborn, Scott, Jefferson, Ohio, Switzerland, Clark, Floyd and Harrison counties)
Date: Tuesday, July 24, 4:30-7:30 p.m.
Location: Mid America Science Park
                821 South Lake Road South
                Scottsburg, IN 47170

Stop 7: District 4 (Benton, Warren, White, Cass, Carroll, Tippecanoe, Clinton, Montgomery and Fountain counties)
Date: Tuesday, August 7, 4:30-7:30 p.m.
Location: Tippecanoe County Fairgrounds
                1010 Teal Road
                Lafayette IN, 47905
                Home Economics Building

Stop 8: District 6 (Howard, Grant, Blackford, Jay, Tipton, Madison, Delaware, Randolph, Henry, Wayne, Rush, Fayette and Union counties)
Date: Tuesday, August 21, 4:30-7:30 p.m.
Location: Fairgrounds
                1210 N. Wheeling Ave.
                Muncie, IN 47303

Stop 9: District 8 (Monroe, Brown, Bartholomew, Lawrence, Jackson, Orange and Washington counties)
Date: Wednesday, August 29, 4:30-7:30 p.m.
Location: Columbus Learning Center
                4555 Central Avenue, 
                Columbus, Indiana 47203

Stop 10: District 5 (Boone, Hamilton, Hendricks, Marion, Hancock, Morgan, Johnson and Shelby counties)
Date: Wednesday, September 5, 4:30-7:30
Location: Fort Harrison State Park
                6002 North Post Road
                Indianapolis, Indiana 46216
                Garrison Conference Center

Please contact Art Logsdon if you have any questions.

Art Logsdon
Director of the Trauma and Injury Prevention Division
Email: ALogsdon1@isdh.IN.gov
Phone: 317.234.2865

Key highlights of trauma and injury prevention for the state of Indiana are:

• Injury is the No. 1 killer of Hoosiers under the age of 45 and the No. 5 killer of Hoosiers of all ages.
• Problems posed by injury are most acute in our rural areas.
• A major way that states address the problem of trauma is through the design, implementation and oversight of a statewide trauma system. The ISDH has that statutory responsibility in Indiana.
• Bad things happen where state trauma systems are not in place; where trauma systems exist, they save lives. Trauma systems lower preventable death rates by as much as 25-30 percent.
• Indiana has in place several elements of a statewide trauma system, but we don’t yet have what can honestly be described as a “system.” Other challenges with our current approach to trauma include:
  • We don’t have enough EMS providers, especially in rural areas.
  • There aren’t enough trauma centers.
  • At the state level, not all components of the trauma system are located in the same state agency.

See the Trauma White Paper for more information about the trauma system in Indiana.

Trauma White Paper