1. Inclusion Criteria The Trauma Audit & Research Network (TARN)

2. Trauma patients: Irrespective of age
The decision to include a patient should be based on the following 3 criteria being met:
Trauma patients: Irrespective of age
Who fulfil one of the following length of stay criteria:
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
AND whose isolated injuries meet one of the following criteria>>>

3. Exclude (in isolation)
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)

4. Exclude (in isolation)
FACIAL Injuries
Include
Exclude (in isolation)
Unstable fracture
(usually fixed in theatre)
Skin injuries
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

5. Exclude (in isolation)
NECK Injuries
Include
Exclude (in isolation)
Vascular injury
Skin injuries
Organ injury
Nerve injury
Hyoid fracture

6. Exclude (in isolation)
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

7. Exclude (in isolation)
ABDOMINAL Injuries
Include
Exclude (in isolation)
Vascular injury
Skin injuries
Organ injury
(contusion, laceration, transection, avulsion, perforation, rupture)
Retroperitoneal haemorrhage

8. Exclude (in isolation)
SPINAL Injuries
Include
Exclude (in isolation)
Vertebral fracture
Spinal strain
(whiplash)
Vertebral dislocation
Ligament
Disc injury
Nerve root injury
Cord injury

9. Hip fractures Aged <65yrs old Hip fractures aged >65yrs old
FEMORAL Injuries
Include
Exclude >65 years old
Hip fractures Aged <65yrs old
Neck of Femur, Intertrochanteric,
Pertrochanteric or Greater trochanteric
Hip fractures aged >65yrs old
Distal or Shaft or Subtrochantic #:
Any age
Femoral Vessel injury
Femoral Nerve injury

10. 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

11. Exclude (even if multiple)
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
Fractures &/or dislocations of
multiple limbs
Tendon injury
Transected vessels
Ligament injury
Sciatic Nerve injury
Sprain

12. Exclude (even if multiple)
HANDS & FEET Injuries
Include
Exclude (even if multiple)
Crush of entire Hand
(including carpals, metacarpals and phalanges)
Hand or Foot fracture/s
Crush of entire Foot
(including tarsals, metatarsals and phalanges)
Crush: Digits alone
Amputation: entire Hand or entire Foot
Amputation: Digits alone
All other digit injuries
Crush = Total destruction of bones, vessels/nerves & soft tissue

13. Exclude (in isolation)
BURN or INHALATION
Include
Exclude (in isolation)
Full thickness burn
<10% superficial or partial thickness burn
>10% TBS burn
Inhalation injury

14. Exclude (in isolation)
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.

15. Inclusion Criteria: Quiz
1. Should you include?
50 year old
Fell
Injuries: Closed fractured tibia & fibula on left
Died after 2 days
Answer: No
Injuries must meet criteria, regardless of outcome
2. Should you include?
67 year old
Tripped
In hospital for 4 days
Injuries: Right # Neck of Femur & Right Radius #
Answer: Yes
65+ Neck of Femur # with any other (non Hand or Foot) fracture is included.
3. Should you include?
68 year old
RTA
Fractured Pelvis & Femur
Treated in MTC then admitted to local Trauma Unit for rehabilitation only .
Answer:
Yes (if MTC) as patient received acute care.
No: If Trauma Unit
Patients admitted for rehab only are not included in TARN.

16. 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?
45 year old admitted to hospital on 20th February with medical condition.
Fell on Ward on 1st March 2015 & sustained Fracture to skull
Discharged on 10th March 2015
Answer: Yes as injury is TARN eligible
Date of Arrival & Date of incident should be the date the Trauma occurred in hospital (1st March), not the original medical admission date.

17. Questions?