2012 Texas Trauma System Trauma Registry Annual Report

2012 Texas Trauma System Trauma Registry Annual Report Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 Garrett Hall, CSTR Trauma Registry Manager Parkland Health & Hospital System Jorie Klein, RN GETAC Trauma Systems Committee Chair Director Trauma & Disaster Management Program Parkland Health & Hospital System Trauma & Disaster Management Special Thank You Tammy Sajak & Jessica Doyle Epidemiology Studies & Initiatives Branch Texas Department of State Health Services

2012 Texas Trauma System Trauma Registry Annual Report 2011 Texas Trauma Registry Incidents Report February 2013 The 2012 Texas Trauma Systems Trauma Registry Annual Report is the first ever report of Texas Trauma aggregated data received from the Epidemiology Studies & Initiatives Branch of the Texas Department of State Health Services. The report was developed using trauma incidents data reported to the State of Texas EMS & Trauma Registry Data Base. The 2012 Annual Report reviews 2011 trauma admissions data submitted to the State of Texas during the 2012 annual call for data, totaling 117, 122 trauma records meeting the State of Texas Trauma Registry Inclusion criteria. This report was developed to mirror parts of the 2012 NTDB Annual Report and to serve as a benchmark report for the State of Texas Trauma System compared to the Nation. The goal of this report is the same as the 2012 NTDB Annual Report. To inform the medical community, the public, and decision makers about a wide variety of issues characterize the current state of care for injured persons in the State of Texas and benchmarked to our country.

2011 Texas Trauma Incidents by Trauma Center Level Trauma Registry Incidents Report 2012 Texas EMS Trauma Registry Reported Trauma Incidents by Trauma Center Level N=117, 122 Trauma Systems Committee 40000 Governor’s EMS and Trauma Advisory Council February 2013 35000 30000 25000 Level II 20000 Level III Level IV 15000 Non-Designated 10000 5000 0 Level III Level IV Non-Designated

2011 Texas Trauma Incidents by Age Trauma Registry Incidents Report Texas Trauma Incidents by Age N=117, 122 Age < 1 year 1 -4 5 -9 10 - 14 15 - 19 20 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 ≥ 85 NK / NR Total Incidents Percent Deaths Trauma Committee 1686 Systems 1. 440% 32 Case Fatality Rate 4. 812% 81 Council Governor’s 5636 EMS and Trauma Advisory 5092 4. 348% 29 4883 February 2013 4. 170% 35 7239 8959 14099 11436 12653 11335 9970 12895 11222 7 117112 6. 181% 7. 650% 12. 039% 9. 765% 10. 804% 9. 679% 8. 513% 11. 011% 9. 582% 0. 006% 100% 188 249 433 321 352 385 306 423 431 2 3267 1. 8980% 1. 4372% 0. 5695% 0. 7168% 2. 5970% 2. 7793% 3. 0711% 2. 8069% 2. 7819% 3. 3966% 3. 0692% 3. 2803% 3. 8407% 28. 5714% 2. 7896%

2011 Texas Trauma Incidents by Percent by Trauma Center Level Trauma Registry Incidents Report Texas Trauma System Percent of Trauma Registry Incidnets Reported by Trauma Center Level N=117, 122 Non 11% Level 1 32% Level 4 20% Level 3 26% Level 2 11%

2011 Texas Trauma Incidents by Age Trauma Registry Incidents Report Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 <

Comparison of Texas Trauma Incidents by Age to NTDB Trauma Incidents by Age 2011 Texas Trauma Registry Incidents Report 2012 Texas Annual Report Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 2012 NTDB Annual Report

Trauma Incidents by Age Compared to NTDB 2012 Annual Report 2011 Texas Trauma Registry Incidents Report Texas Trauma Incidents by Age N=117, 122 Age < 1 year 1 -4 5 -9 10 - 14 15 - 19 20 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 ≥ 85 NK / NR Total NTDB 2012 Annual Report Incidents by Age N=773, 299 Case Incidents Percent Deaths Fatality Rate 1686 1. 440% 32 1. 8980% 9469 1. 224% 188 1. 9854% Governor’s Trauma 26790 Advisory 3. 464% Council 431 5636 4. 812% EMS 81 and 1. 4372% 1. 6088% 5092 4. 348% 29 0. 5695% 26404 3. 414% 216 0. 8181% February 2013 4883 4. 170% 35 0. 7168% 29276 3. 786% 279 0. 9530% 7239 6. 181% 188 2. 5970% 56558 7. 314% 1721 3. 0429% 8959 7. 650% 249 2. 7793% 67970 8. 790% 2512 3. 6957% 14099 12. 039% 433 3. 0711% 100576 13. 006% 3500 3. 4800% 11436 9. 765% 321 2. 8069% 81537 10. 544% 2560 3. 1397% 12653 10. 804% 352 2. 7819% 96609 12. 493% 3355 3. 4728% 11335 9. 679% 385 3. 3966% 83375 10. 782% 3154 3. 7829% 9970 8. 513% 306 3. 0692% 60667 7. 845% 2981 4. 9137% 12895 11. 011% 423 3. 2803% 71492 9. 245% 4322 6. 0454% 11222 9. 582% 431 3. 8407% 62476 8. 079% 4129 6. 6089% 7 0. 006% 2 28. 5714% 100 0. 013% 60 60. 0000% 117112 100% 3274 2. 7896% 773299 100% 29408 3. 8029% Trauma Systems Committee

2011 Texas Case Fatality Rate by Age Trauma Registry Incidents Report Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 <

Texas Trauma Incidents by Age and Trauma Center Level 2011 Texas Number of Trauma Cases Trauma Registry Incidents Texas Trauma Incidents by Age and Trauma Center. Report Level 7000 6000 5000 4000 Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 Level 2 Level 3 Level 4 3000 Non-Designated 2000 1000 0 Level 1 < 1 1 - 45 - 910 - 15 - 20 - 25 - 35 - 45 - 55 - 65 - 75 - ≥ 85 year 14 19 24 34 44 54 64 74 84 Age

2011 Texas Level 1 Trauma Center Incidents by Age Trauma Registry Incidents Report Texas Level 1 Trauma Incidents by Age N=37, 490 Age Incidents Percent Deaths Case Fatality Rate < 1 year 1 -4 5 -9 10 - 14 15 - 19 20 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 ≥ 85 NK / NR Total 529 1861 1533 1484 2780 3851 6147 4820 4890 3675 2224 2181 1512 3 37490 1. 411% 4. 964% 4. 089% 3. 958% 7. 415% 10. 272% 16. 396% 12. 857% 13. 043% 9. 803% 5. 932% 5. 818% 4. 033% 0. 008% 100% 13 38 10 14 92 127 229 166 192 203 142 162 127 0 1515 2. 4575% 2. 0419% 0. 6523% 0. 9434% 3. 3094% 3. 2978% 3. 7254% 3. 4440% 3. 9264% 5. 5238% 6. 3849% 7. 4278% 8. 3995% 0. 0000% 4. 0411%

2011 Texas Level 2 Trauma Center Incidents by Age Trauma Registry Incidents Report Texas Level 2 Trauma Incidents by Age N=13, 034 Age < 1 year 1 -4 5 -9 10 - 14 15 - 19 20 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 ≥ 85 NK / NR Total Incidents Percent Deaths Trauma Systems 186 1. 427% Committee 6 Case Fatality Rate 607 EMS and 4. 657% Governor’s Trauma Advisory 6 Council 671 5. 148% 2 February 666 5. 110%2013 5 725 877 1428 1225 1457 1306 1215 1471 1199 1 13034 5. 562% 6. 729% 10. 956% 9. 398% 11. 178% 10. 020% 9. 322% 11. 286% 9. 199% 0. 008% 100% 18 26 44 42 42 59 45 58 75 0 428 3. 2258% 0. 9885% 0. 2981% 0. 7508% 2. 4828% 2. 9647% 3. 0812% 3. 4286% 2. 8826% 4. 5176% 3. 7037% 3. 9429% 6. 2552% 0. 0000% 3. 2837%

2011 Texas Level 3 Trauma Center Incidents by Age Trauma Registry Incidents Report Texas Level 3 Trauma Incidents by Age N=29939 Age < 1 year 1 -4 5 -9 10 - 14 15 - 19 20 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 ≥ 85 NK / NR Total Incidents Percent Deaths Trauma Systems 324 1. 082% Committee 9 Case Fatality Rate 1081 3. 611% 17 Governor’s EMS and Trauma Advisory Council 977 3. 263% 8 954 3. 186%2013 9 February 1868 2469 3650 2765 3146 2963 2733 3697 3306 6 29939 6. 239% 8. 247% 12. 191% 9. 235% 10. 508% 9. 897% 9. 129% 12. 348% 11. 042% 0. 020% 100% 54 74 114 78 71 70 67 110 94 2 777 2. 7778% 1. 5726% 0. 8188% 0. 9434% 2. 8908% 2. 9972% 3. 1233% 2. 8210% 2. 2568% 2. 3625% 2. 4515% 2. 9754% 2. 8433% 33. 3333% 2. 5953%

2011 Texas Level 4 Trauma Center Incidents by Age Trauma Registry Incidents Report Texas Level 4 Trauma Incidents by Age N=23737 Age < 1 year 1 -4 5 -9 10 - 14 15 - 19 20 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 ≥ 85 NK / NR Total Incidents Percent Deaths Trauma Systems 1. 171% Committee 1 278 985 and Trauma 4. 150% 11 Governor’s EMS Advisory Council 922 3. 884% 6 February 2013 822 3. 463% 4 1120 1256 2002 1800 2158 2294 2664 3842 3587 7 23737 4. 718% 5. 291% 8. 434% 7. 583% 9. 091% 9. 664% 11. 223% 16. 186% 15. 111% 0. 029% 100% 20 12 39 28 33 27 34 60 88 0 363 Case Fatality Rate 0. 3597% 1. 1168% 0. 6508% 0. 4866% 1. 7857% 0. 9554% 1. 9481% 1. 5556% 1. 5292% 1. 1770% 1. 2763% 1. 5617% 2. 4533% 0. 0000% 1. 5293%

2011 Texas Non-Designated Incidents by Age Trauma Registry Incidents Report Texas Non-Designated Trauma Incidents by Age N=12922 Age < 1 year 1 -4 5 -9 10 - 14 15 - 19 20 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 ≥ 85 NK / NR Total Incidents Percent Deaths Trauma Systems 369 2. 856% Committee 3 1102 Governor’s 989 957 746 506 872 826 1002 1097 1134 1704 1618 0 12922 Case Fatality Rate 8. 528% 9 EMS and 7. 654% Trauma Advisory Council 3 7. 406%2013 3 February 5. 773% 4 3. 916% 10 6. 748% 7 6. 392% 7 7. 754% 14 8. 489% 26 8. 776% 18 13. 187% 33 12. 521% 47 0. 000% 0 100% 184 0. 8130% 0. 8167% 0. 3033% 0. 3135% 0. 5362% 1. 9763% 0. 8028% 0. 8475% 1. 3972% 2. 3701% 1. 5873% 1. 9366% 2. 9048% 0. 0000% 1. 4239%

Texas Incidents by CDC Mechanism of Injury Grouping 2011 Texas Trauma Registry Incidents Report Texas Trauma Registry Incidents Percentage by CDC Mechanism of Injury Grouping N = 117, 112 3% 3% 5% 2% 2% 1% 1% 2% 1% Fall Motor Vehicle Traffic Struck by Against Cut / Pierce Transport Firearm Other Specified and Classifable Fire / Burn Natural / Enviormental Unspecified 5% 45% Machinery Pedal Cyclist Other Not Elsewhere Classifable 8% Overexertion Pedestrian NR/NK 22% Poisoning Drowning / Submersion Suffocation

2011 Texas Incidents by Selected Mechanism of Injury Trauma Incidents Percent Trauma Registry Incidents Report by Selected Mechanism of Injury Percent N=117, 122 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 46% Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 22% 8% Fall Motor Vehicle Traffic Struck by Against 5% 5% 3% Cut / Pierce Transport Firearm Mechanism of Injury

Texas Incidents by CDC Mechanism of Injury Grouping 2011 Texas Trauma CDC Grouping Registry Incidents Report State of Texas Trauma Registry Total 1 Cut / Pierce 2 Drowning / Submersion 3 Fall 4 Fire / Burn 5 Firearm 6 Machinery 7 Motor Vehicle Traffic 8 Pedal Cyclist 9 Pedestrian 10 Transport 11 Natural / Enviormental 12 Overexertion 13 Poisoning 14 Struck by Against 15 Suffocation Other Specified and 16 Classifable Other Not Elsewhere 17 Classifiable 18 Unspecified 19 NR/NK Total Female Deaths NR / NK Sex Death Total Death Male Death Female 5384 71 53291 2619 3419 1461 25452 1301 399 5350 1987 450 138 9471 31 73 14 1040 70 520 8 1148 2 34 70 15 2 4 122 5 4526 47 24211 1753 3022 1362 16328 1026 273 3664 1214 263 77 7851 18 60 9 559 44 445 8 807 2 27 55 9 1 2 100 2 856 24 29075 865 397 99 9120 274 126 1686 772 187 61 1619 13 11 5 481 26 75 0 341 0 7 15 6 1 2 22 3 1 0 0 4 1 0 0 0 0 0 3068 79 2292 63 775 16 1 0 1128 1777 325 117122 12 48 1 3267 808 1172 53 69960 8 30 0 2231 319 605 68 46941 3 18 0 1032 1 0 204 218 1 0 1 2

Texas Level 1 Trauma Centers Incidents by Selected Mechanism of Injury 2011 Texas Level. Registry 1 Trauma Centers Incidents Percent. Report Trauma Incidents by Selected Mechanism of Injury 35% Percent 30% N=37, 490 31% 30% 25% 20% 15% 10% 5% 0% Fall Motor Vehicle Traffic Struck by Against 6% 5% 5% Cut / Pierce Firearm Transport Mechanism of Injury

Texas Level 1 Trauma Centers Incidents by Selected Mechanism of Injury 2011 Texas Trauma Registry Incidents Report CDC Grouping Level 1 Trauma Centers Total Death Total 1 Cut / Pierce Male Female Male Death Female Deaths 1929 28 319 NR/NK Sex NR/NK Deaths 2 0 0 2248 32 23 11630 1415 1881 545 11122 520 102 1703 602 90 11 3660 3 2 375 55 288 5 611 0 13 22 6 0 1 60 1 15 6646 941 1658 520 7404 415 73 1199 364 60 8 3130 3 0 241 36 245 5 430 0 9 17 4 0 1 50 1 8 4984 474 223 25 3718 105 29 504 238 30 3 530 0 2 134 19 43 0 181 0 4 5 2 0 0 10 0 0 0 0 0 0 0 16 Other Specified and Classifable 997 27 793 22 204 5 0 0 17 Other Not Elsewhere Classifable 18 Unspecified 19 NR/NK 364 510 64 5 12 0 282 405 0 4 7 0 82 105 0 1 5 0 0 0 64 0 0 0 2 Drowning / Submersion 3 Fall 4 Fire / Burn 5 Firearm 6 Machinery 7 Motor Vehicle Traffic 8 Pedal Cyclist 9 Pedestrian 10 Transport 11 Natural / Enviormental 12 Overexertion 13 Poisoning 14 Struck by Against 15 Suffocation

Texas Level 2 Trauma Centers Incidents by Selected Mechanism of Injury 2011 Texas 2 Trauma Centers Incidents Percent Report Trauma Level Registry Incidents by Selected Mechanism of Injury Percent N=13, 034 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 47% 23% 8% Fall Motor Vehicle Traffic Struck by Against 6% Transport Mechanism of Injury 4% 3% Cut / Pierce Firearm

Texas Level 2 Trauma Centers Incidents by Selected Mechanism of Injury 2011 Texas Trauma Registry Incidents Report CDC Grouping Level 2 Trauma Centers Total 1 Cut / Pierce 2 Drowning / Submersion 3 Fall 4 Fire / Burn 5 Firearm 6 Machinery 7 Motor Vehicle Traffic 8 Pedal Cyclist 9 Pedestrian 10 Transport 11 Natural / Enviormental 12 Overexertion 13 Poisoning 14 Struck by Against 15 Suffocation 16 Other Specified and Classifable 17 Other Not Elsewhere Classifable 18 Unspecified 19 NR/NK Total Death Male Death Female Deaths Female NR/NK Sex Deaths 506 6 429 6 77 0 0 0 5 6074 75 354 198 3022 156 62 824 211 39 3 1027 0 3 163 3 58 1 137 2 11 15 4 0 0 12 0 5 2717 52 310 1867 125 36 553 124 20 3 838 0 3 83 2 51 1 101 2 9 12 2 0 0 7 0 0 3357 23 44 18 1155 31 26 271 87 19 0 189 0 0 80 1 7 0 36 0 2 3 2 0 0 5 0 0 0 0 0 0 0 0 342 10 226 9 116 1 0 0 56 68 12 13034 0 3 0 428 38 47 9 7579 0 1 0 289 18 21 3 5455 0 2 0 139 0 0 0 0

Texas Level 3 Trauma Centers Incidents by Selected Mechanism of Injury 2011 Texas 3 Trauma Centers Incidents Percent Report Trauma Level Registry Incidents by Selected Mechanism of Injury Percent N=29, 939 60% 50% 40% 30% 20% 10% 0% 48% 24% 7% Fall Motor Vehicle Traffic Struck by Against 5% 4% Transport Cut / Pierce Mechanism of Injury 2% Firearm

Texas Level 3 Trauma Centers Incidents by Selected Mechanism of Injury 2011 Texas Trauma Registry Incidents Report Level 3 Trauma Centers CDC Grouping 1 Cut / Pierce 2 Drowning / Submersion 3 Fall 4 Fire / Burn 5 Firearm 6 Machinery 7 Motor Vehicle Traffic 8 Pedal Cyclist 9 Pedestrian 10 Transport 11 Natural / Enviormental 12 Overexertion 13 Poisoning 14 Struck by Against 15 Suffocation 16 Other Specified and Classifable 17 Other Not Elsewhere Classifable 18 Unspecified 19 NR/NK Total Death Total Male Death Male Female Deaths Female NR/NK Sex NR/NK Deaths 1263 24 1054 17 209 7 0 0 17 14304 428 731 337 7292 254 164 1441 435 110 21 1952 6 2 241 6 127 2 283 0 7 15 4 1 0 25 0 13 6214 292 651 312 4608 207 113 1007 285 61 15 1643 6 2 126 3 109 2 199 0 6 14 2 1 0 23 0 4 8089 136 80 25 2680 47 51 434 150 49 6 309 0 0 115 3 18 0 84 0 1 1 2 0 0 1 0 0 0 4 0 0 0 0 0 0 606 25 473 19 133 6 0 0 244 290 44 29939 3 12 0 777 167 199 0 17320 2 10 0 535 77 91 0 12570 1 2 0 242 0 0 44 49 0 0

Texas Level 4 Trauma Centers Incidents by Selected Mechanism of Injury 2011 Texas Trauma Level Registry Incidents 4 Trauma Centers Incidents Percent Report Percent by Selected Mechanism of Injury N=23, 737 70% 60% 50% 40% 30% 20% 10% 0% 59% 11% Fall Motor Vehicle Traffic 7% Struck by Against 4% 4% 1% Transport Cut / Pierce Firearm Mechanism of Injury

Texas Level 4 Trauma Centers Incidents by Selected Mechanism of Injury 2011 Texas Trauma Registry Incidents Report Level 4 Trauma Centers CDC Grouping 1 Cut / Pierce 2 Drowning / Submersion 3 Fall 4 Fire / Burn 5 Firearm 6 Machinery 7 Motor Vehicle Traffic 8 Pedal Cyclist 9 Pedestrian 10 Transport 11 Natural / Enviormental 12 Overexertion 13 Poisoning 14 Struck by Against 15 Suffocation 16 Other Specified and Classifable 17 Other Not Elsewhere Classifable 18 Unspecified 19 NR/NK Total Death Total Male Death Male Female Deaths Female NR/NK Sex NR/NK Deaths 906 10 750 9 155 1 1 0 19 14070 469 313 280 2551 194 55 973 498 127 74 1706 10 5 179 5 32 0 86 0 3 11 1 0 1 17 0 10 5587 326 276 261 1567 134 41 630 302 78 34 1372 5 4 75 3 26 0 54 0 3 7 1 0 0 15 0 9 8481 142 37 19 984 59 14 343 196 49 40 334 5 1 104 2 6 0 32 0 0 4 0 0 1 2 0 0 2 1 0 0 0 0 0 0 718 6 533 5 185 1 0 0 276 402 96 23737 2 4 1 363 192 243 0 12341 1 4 0 207 84 159 0 11295 1 0 0 155 0 0 96 101 0 0 1 1

2011 Texas Incidents by Injury Severity Score (ISS) Percent Trauma Incidents by ISS Grouping. Report Trauma. Texas Registry Incidents N=117, 122 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 1 -8 9 - 15 16 - 24 ISS Group ≥ 25 NK / NR

2011 Texas Incidents by Injury Severity Score (ISS) Trauma Registry Incidents Report Case Fatality Trauma. Percent Systems. Deaths Committee ISS Group Incidents Rate Governor’s and Trauma Advisory 1 -8 54990 EMS 46. 951% 354 Council 0. 6438% February 2013 9 - 15 38558 32. 921% 559 1. 4498% 16 - 24 10236 8. 740% 469 4. 5819% ≥ 25 6181 5. 277% 1710 27. 6654% NK / NR 7157 6. 111% 175 2. 4452% Total 117122 100% 3267 2. 7894%

Texas Level 1 Trauma Centers Incidents by Injury Severity Score 2011 Texas Percent Level 1 Trauma Centers Incidents by ISS Grouping Trauma Registry Incidents Report N= 37, 490 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 1 -8 9 - 15 16 - 24 ISS Group ≥ 25 NK / NR

Texas Level 2 Trauma Centers Incidents by Injury Severity Score 2011 Texas Percent Level 2 Trauma Center Incidents by Injury Severity Score Trauma Registry Incidents Report N=13, 034 60% Trauma Systems Committee 50% Governor’s EMS and Trauma Advisory Council February 2013 40% 30% 20% 10% 0% 1 -8 9 - 15 16 - 24 ISS Group ≥ 25 NK / NR

Texas Level 3 Trauma Centers Incidents by Injury Severity Score 2011 Texas Trauma Registry Incidents Report Level 3 Trauma Centers Incidents by Injury Severity Score N=29, 939 50% 45% 40% Percent 35% 30% Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 25% 20% 15% 10% 5% 0% 1 -8 9 - 15 16 - 24 ISS Group ≥ 25 NK / NR

Texas Level 4 Trauma Centers Incidents by Injury Severity Score 2011 Texas Level 4 Trauma Centers Incidents by Injury Severity Score Trauma Registry Incidents Report N=23, 737 60% Percent 50% 40% Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 30% 20% 10% 0% 1 -8 9 - 15 16 - 24 ISS Group ≥ 25 NK / NR

2011 Texas Regional Trauma System Data by RAC Trauma Registry Incidents Report Regional Trauma System Data by RAC & EMS Trauma System Data Coming Soon!!!!

2012 Texas Trauma System Trauma Registry Annual Report Trauma Systems Committee Governor’s EMS and Trauma Advisory Council February 2013 Garrett Hall, CSTR Trauma Registry Manager Parkland Health & Hospital System Jorie Klein, RN GETAC Trauma Systems Committee Chair Director Trauma & Disaster Management Program Parkland Health & Hospital System Trauma & Disaster Management Special Thank You Tammy Sajak & Jessica Doyle Epidemiology Studies & Initiatives Branch Texas Department of State Health Services