Penetrating Trauma Registry and Open Source Data

Penetrating injuries comprise roughly 30% of Methodist Health System (MHS) trauma patients. Firearm-related events have become more prevalent in the past few years . Active shooter events, mass casualties, assaults, and homicide are more commonplace which leads to an increase of trauma patients needing management of penetrating injuries. On average, penetrating traumas only make up 14% of comparable center patient volumes. In spring 2022, we also were ranked 3/10 for our penetrating trauma outcomes with lower than expected mortality (TQIP Benchmarking Report). Together, as a Level 1 trauma center with above average penetrating injury volume we must take efforts to best understand the opportunities for our patients and disseminate those observations to the trauma community

• Treatment measures and intervention strategies (Behavioral), also known as Injury prevention: To conduct observational process improvement and hypothesis-deriving studies related to penetrating traumatic injuries using data from the Methodist trauma registry and open source data repositories.

Primary outcomes

• comprehensive data series [3 years]: To establish a comprehensive data series from observational data to gain a better understanding of the specifics surrounding penetrating trauma and related events
• observational process improvement [3 years]: To conduct observational process improvement and hypothesis-deriving studies related to penetrating traumatic injuries using data from the Methodist trauma registry and open source data repositories.

Sex: All, ages: 16 Years to 75 Years

Inclusion Criteria:

* • Aged 16 years or older (National Trauma Data Standard for adult)

  * Penetrating injury or intent to cause penetrating injury

Exclusion Criteria:

* • Aged 15 years or younger

  * Prisoners, pregnant persons, or other protected population
  * Not involved in penetrating trauma

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