What is Trauma?

Trauma: Public Health Epidemic

• 3rd Leading Cause of Death

• Leading Cause of Death Ages 1 – 44

• 150,000 US Deaths/Year

• 400,000 Persons Disabled/Year

• 3.6 Million Hospital Admissions > 7 Days

• 11.8 Billion Dollars – 6.9% of health care dollars

Disease of Everyone!

Trauma System Development

• Decrease deaths

• Decrease morbidity

• Return trauma patient to pre-injured condition

• Provide optimal cost – effective care throughout the trauma care continuum

TREATMENT – PREVENTION – RESEARCH

Trauma Care and the Bay Area

San Francisco General Hospital:An Early Leader in Teaching, Research,

Patient Trauma Care

• Founded, Indigent care contract (1849)

• Emergency Medical System (1873)

• Teaching Institute (1904)

• Trauma Center (1972)

• OTA (1985)

Trauma Growth 1966-1970

Admissions surgery 1966-67 1969-70

General surgery 382 1500

Trauma surgery 987 3143

Levels of Trauma Care

• Level I – Regional Resource Center

• Level II – Lead Facility/Community Hospital

• Level III – Initial Management/Transfer

• Level IV – ATLS, Transfer Agreements

SFGH Level I Trauma Center

Only Trauma Center in the City and County of San Francisco

Provider of Trauma care for the Northern portion of San Mateo County

Service area of 1.5 million people

History of The Orthopaedic Trauma Association

•Drs. Ramon Gustilo, Edwin Bovill, and Michael Chapman

meet in San Francisco, founding Orthopaedic Trauma Center

Study Group (1977)

Why is Orthopaedics Important for a Trauma Center?

• 50% of hospitalized injuries are a result of extremity

trauma (motor vehicle accidents = 20% and

industrial accidents = 20%)

• 12% of all functional impairment (medical and non-

medical) due to limb trauma

Traumatic Musculoskeletal Injuries

• 19.2 million injuries result in disability annually, 564 million days per year work lost

• 147 million workdays and 21.2 billion school days lost each year secondary to musculoskeletal injuries (annual cost $26 billion)

• 51% of workers with an extremity fracture do not return to work by 6 months

• 600,000 fractures with delayed/non-union annually

• $325 billion total cost of limb trauma annually

Who Are We?

Mission

• To mend the injured, inspire innovators, and

empower leaders to restore lives.

Orthopaedic Trauma Institute (Founded 2/19/09)

• Clinical:

- Orthopaedic Subspecialties (Trauma)

- Physical Medicine and Rehabilitation

- Podiatry

- Orthotics and Prosthetics

• Education:

- Student, Resident and Fellow Training

- Orthopaedic Trauma Course

- Surgical Training Facility

• Research:

- Laboratory for Skeletal Regeneration

- Biomechanical Testing Facility

- Clinical Research Center

- Procedure Based Research

• Outreach

Full-time Clinical Faculty

Physician

Coughlin, Richard

Kandemir, Utku

Lee, Nicholas

Marmor, Meir

Matityahu, Amir

McClellan, Trigg

Meinberg, Eric

Miclau, Theodore

Morshed, Saam

Pekmezci, Murat

Shearer, Dave

Schroeder, Nicole

Toogood, Paul

Nagao, Masato

Pascual, Lisa

Dini, Monara

Werner, Diana

Specialty

Foot and Ankle, Sports, Trauma

Sports, Trauma

Hand/Microvascular/Upper Extremity

Trauma

Trauma

Spine, Trauma

Arthroplasty/Reconstruction, Trauma

Trauma, Basic Research

Trauma, Clinical Research

Spine, Arthroplasty, Trauma

Trauma, Foot and Ankle, Clinical Research

Hand/Microvascular

Trauma, Arthoplasty, Basic Science

Physical Medicine & Rehabilitation

Physical Medicine & Rehabilitation

Podiatry

Podiatry

Full-time Research Faculty

Scientist

Bahney, Chelsea

Herfat, Safa

Marcucio, Ralph

Young, Nathan

Expertise

Tissue Engineering, Biology of Musculoskeletal

Injury and Repair

Biomechanics, Computer Modeling

Musculoskeletal Injury and Repair,

Craniofacial Development

Developmental and Evolutionary Biology

Web Page

www.orthotrauma.com

OTI Channel: https://www.youtube.com/user/orthosurgery

IGOT Channels: https://www.youtube.com/channel/UCfj2hzNFiS1akAknwqnZvdw

https://vimeo.com/igot

Fundraising: https://crowdfund.ucsf.edu/project/541c8b5909206564a0807c11

Videos

Facebook:

https://www.facebook.com/pages/Orthopaedic-Trauma-Institute/232727505789

Yelp:

https://www.youtube.com/channel/UCfj2hzNFiS1akAknwqnZvdw

Social Media

UCSF Osher Mini Medical School for the Public

Course Schedule

UCSF/Zuckerberg San Francisco General Hospital Orthopaedic Trauma Institute

May 10 - The wonders of bone healing

Bone repair: Unlocking the clues of a remarkable process

Stem cell therapies: How far away are we?

May 17 - Mending the injured: How are fractures treated?

Non-surgical treatment: Why don’t I see many casts anymore?

Fixing fractures: Modern day carpentry or technological wizardry?

May 24 - The “broken arm”: How are the most common injuries treated?

Shoulder and Elbow

Wrist

May 31 - Fractures in an Aging Population

Prepare your bones!: Managing osteoporosis and its complications

The broken hip: Are joint replacements the answer?

June 7 - Living with limb-loss: Advances in amputation medicine

Rehabilitation after a traumatic amputation

The artificial limb: What new treatments are available?

June 14 - Bone injuries around the world: A new perspective

Trauma: A growing global epidemic

Making differences that are built to last

UCSF Osher Mini Medical School for the Public

Course Schedule

UCSF/Zuckerberg San Francisco General Hospital Orthopaedic Trauma Institute

May 10 - The wonders of bone healing (Chelsea Bahney, PhD)

Bone repair: Unlocking the clues of a remarkable process

Stem cell therapies: How far away are we?

May 17 - Mending the injured: How are fractures treated?

Non-surgical treatment: Why don’t I see many casts anymore?

Fixing fractures: Modern day carpentry or technological wizardry?

May 24 - The “broken arm”: How are the most common injuries treated?

Shoulder and Elbow

Wrist

May 31 - Fractures in an Aging Population

Prepare your bones!: Managing osteoporosis and its complications

The broken hip: Are joint replacements the answer?

June 7 - Living with limb-loss: Advances in amputation medicine

Rehabilitation after a traumatic amputation

The artificial limb: What new treatments are available?

June 14 - Bone injuries around the world: A new perspective

Trauma: A growing global epidemic

Making differences that are built to last

Thank You

www.orthotrauma.com Referrals: 415-20-ORTHO