Birmingham Children's Hospital
Injuries to the Limbs & Pelvis
Last updated 02 Mar 2022. All data shown is by calendar year.
All figures shown here must be looked at in conjunction with data completeness. If data completeness is low then the figures may not be reflective of true practice.
BOA STANDARDS FOR TRAUMA (BOAST) BOAST
Early wound excision to reduce dead tissue and bacterial contamination is critical in avoiding both primary and hospital acquired infection. This should be undertaken promptly and thoroughly by a senior experienced surgeon. Concurrent reduction and stabilisation of an open fracture will reduce further ongoing damage and swelling and allow optimum and prompt soft tissue reconstruction; these are the most important measures in reducing the potential for infection. In achieving the above, there is strong evidence to support the combined early involvement of Orthopaedic and Plastic surgery.
| Hospital: Birmingham Children's Hospital |
Number of Patients: 24 |
|
admitted between January 1st 2019 and December 31st 2021 |
|
Cases submitted and eligible for this standard:
| Year | Cases |
|---|
| 2019 | 4 | | 2020 | 12 | | 2021 | 8 |
|
Time to Theatre |
| Birmingham Children's Hospital: 16.33 hrs | National Database: 16.52 hrs |
|
Grade of Orthopaedic Surgeon |
treating patients with Open Limb injuries
|
| Grade of Doctor | Number of patients seen | National Database |
| Consultant | 20 (100.0 %) | 2192 (85.3 %) |
|
| STR | 0 (0.0 %) | 284 (11.1 %) |
|
| Foundation Year / Other | 0 (0.0 %) | N/A |
|
| Grade Not Recorded | 0 (0.0 %) | 95 (3.7 %) |
|
| 4 patients did not have relevant operations recorded |
|
| STR* = Includes Associate Specialist, Staff Grade, Research Fellow and all former Registrar gradings |
| Foundation Year/Other** = Includes all former SHO Gradings |
 Why we assess the quality of care for different types of injury:
Injuries to the Limbs & Pelvis: |
Early wound excision to reduce dead tissue and bacterial contamination is critical in avoiding both primary and hospital aquired infection. This should be undertaken promptly and thorougly by a senior experienced surgeon.
Concurrent reduction and stablisation of an open fracture will reduce further ongoing damage and swelling and allow optimum and prompt soft tissue reconstruction; these are the most important measures in reducing the potential for infection. In acheiving the above, there is strong evidence to support the combined early involvement of Orthopaedic and Plastic surgery. |