Article Figures & Data
Figures
- Figure 1
Map of Jefferson County, showing number of patients with injuries potentially amenable to “stop the bleed” intervention (yellow circles), as well as the number of such injuries per population (by ZIP code tabulation area, shaded). please note that the ZIP code tabulation areas and County boundary are not congruous.
Tables
- Table 1
Trauma registry case definitions
Injuries likely amenable to STB intervention, and would most likely need a tourniquet or advanced hemostatic dressing Injuries likely amenable to STB intervention, but would probably not benefit from tourniquet (needs dressing/direct pressure only) AIS Code Description AIS Code Description Lower Extremity 800 999.9 Died of lower extremity injury without further substantiation of injuries or no autopsy confirmation of specific injuries 813 002.4 Crush injury, at or above knee, below hip 811 000.3 Amputation (traumatic), partial or complete between hip and foot, but NFS as to specific anatomic sites 813 003.3 Crush injury, below knee, at or above ankle 811 002.4 Amputation (traumatic), at or above knee, below hip 814 002.3 Degloving injury, entire extremity 811 012.5 Amputation (traumatic), bilateral 814 004.2 Degloving injury, thigh or calf 811 003.3 Amputation (traumatic), below knee, at or above ankle 816 006.3 Penetrating injury NFS, with blood loss >20% by volume 820 208.4 Femoral artery, major; rupture; transection; segmental loss; blood loss >20% by volume 816 017.3 Penetrating injury at or above knee, with blood loss >20% by volume 820 608.3 Popliteal artery, major; rupture; transection; segmental loss; blood loss >20% by volume 810 606.3 Skin/subcutaneous/muscle NFS, blood loss >20% by volume 821 008.3 Other named arteries NFS (e.g., tibial, peroneal), major; rupture; transection; segmental loss; blood loss >20% by volume 820 406.3 Femoral vein NFS, major; rupture; transection; segmental loss; blood loss >20% by volume 820 806.3 Popliteal vein NFS, major; rupture; transection; segmental loss; blood loss >20% by volume Upper Extremity 700 999.9 Died of upper extremity injury without further substantiation of injuries or no autopsy confirmation of specific injuries 713 002.4 Crush injury, at or above elbow, below shoulder 711 000.3 Amputation (traumatic), partial or complete between shoulder and hand, but NFS as to specific anatomic sites 713 003.3 Crush injury, below elbow, at or above wrist 711 002.4 Amputation (traumatic), at or above elbow, below shoulder 714 001.3 Degloving injury, entire extremity 711 012.5 Amputation (traumatic), bilateralc 714 002.2 Degloving injury, arm or forearm, including elbow 711 003.3 Amputation (traumatic), below elbow, at or above wrist 716 006.3 Penetrating injury NFS, with blood loss >20% by volume 720 608.3 Brachial artery, major; rupture; transection; segmental loss; blood loss >20% by volume 716 017.3 Penetrating injury at or above shoulder, with blood loss >20% by volume 721 008.3 Other named arteries NFS(e.g., radial, ulnar), major; rupture; transection; segmental loss; blood loss >20% by volume 710 606.3 Skin/subcutaneous/muscle NFS, blood loss >20% by volume 720 406.3 Axillary vein NFS, major; rupture; transection; segmental loss; blood loss >20% by volume 720 806.3 Brachial vein NFS, major; rupture; transection; segmental loss; blood loss >20% by volume STB, Stop the Bleed.
- Table 2
Characteristics of study population (n=139)
Source Trauma registry, n (%) 131 (94%) Medical examiner, n (%) 8 (6%) Year injured 2013, n (%) 27 (19%) 2014, n (%) 27 (19%) 2015, n (%) 22 (16%) 2016, n (%) 28 (20%) 2017, n (%) 35 (25%) Demographics Age, years, median (IQR) 32 (25–50) Male gender, n (%) 118 (85%) Mechanism Penetrating/ballistic, n (%) 54 (39%) Penetrating/non-ballistic, n (%) 11 (8%) Blunt, n (%) 74 (53%) Injury sites Upper extremity, n (%) 54 (39%) Lower extremity, n (%) 85 (61%) Injury types Likely need for tourniquet or advanced hemostatics, n (%) 77 (55%) Probably no need for tourniquet or advanced hemostatics, n (%) 62 (45%) Injury severity* Injury severity score, median (IQR) 14 (9.0–20.5) Injury severity score >15, n (%) 67 (48%) Outcome Prehospital death, n (%) 8 (6%) Inhospital death, n (%) 18 (13%) Survived, n (%) 113 (81%) *trauma registry patients only.
Stop the Bleed: gap analysis and geographical evaluation of incident locations
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