Wilderness Falls: Multi-Institutional Trial Purpose: to study wilderness and rock climbing falls across the entirety of the United States Time frame: 1/1/2007 to 12/31/2016 Inclusion: Diagnosis from cliff” “fall ICD 9: e884.1, ICD10: w15.xxa Exclusion: any fall not occurring in the wilderness or while rock climbing Data points Mechanism of injury- (blunt/penetrating) Number and type of operation(s) AIS body regions Discharge Disposition (Home, Acute, Sub-Acute, LTAC, Morgue) ISS Admitting Location (Home, OR/ ANGIO, Date Ward, ICU, or Morgue) Trauma activation Tier 1/ Tier 2 Helmet use Time of injury Injuries Time of arrival Operations ARDS-Y/N (P/F < 300 or diagnosis by Gustillo provider) Time to systemic antibiotics (for open PE-Y/N (diagnosis by provider) fractures; time of injury to time of DVT-Y/N (diagnosis by provider as antibiotics administered) acute) Infection of open fracture (Yes, or No) Pneumonia-Y/N (diagnosis by provider Serum alcohol and urine toxicology and/or CDC definition) Height of fall Sepsis-Y/N (diagnosis by provider) Transport time (Injury time to trauma Acute renal failure-Y/N (diagnosis by center arrival time) provider/NTDB definition) Climber/ Non-Climber status (Climber = Mortality Y/N someone injured while climbing up Ventilator days-first episode an exposed rock face, someone ICU LOS-first episode injured while partaking in the sport Hospital LOS of rock climbing, or someone injured Number of blood transfusions while using rock climbing Method of transportation (Air, Ground, or equipment. Non-Climber = any Self) other wilderness fall Location of Origin (Scene, or facility) .
Wilderness Falls: Multi-Institutional Trial Purpose: to study wilderness and rock climbing falls across the entirety of the United States Time frame: 1/1/2007 to 12/31/2016 Inclusion: Diagnosis “fall from cliff” ICD 9: e884.1, ICD10: w15.xxa Exclusion: any fall not occurring in the wilderness or while rock climbing Data points Mechanism of injury- (blunt/penetrating) AIS body regions ISS Date Trauma activation Tier 1/ Tier 2 Time of injury Time of arrival ARDS-Y/N (P/F < 300 or diagnosis by provider) PE-Y/N (diagnosis by provider) DVT-Y/N (diagnosis by provider as acute) Pneumonia-Y/N (diagnosis by provider and/or CDC definition) Sepsis-Y/N (diagnosis by provider) Acute renal failure-Y/N (diagnosis by provider/NTDB definition) Mortality Y/N Ventilator days-first episode ICU LOS-first episode Hospital LOS Number of blood transfusions Method of transportation (Air, Ground, or Self) Location of Origin (Scene, or facility) Number and type of operation(s) Discharge Disposition (Home, Acute, Sub-Acute, LTAC, Morgue) Admitting Location (Home, OR/ ANGIO, Ward, ICU, or Morgue) Helmet use Injuries Operations Gustillo Time to systemic antibiotics (for open fractures; time of injury to time of antibiotics administered) Infection of open fracture (Yes, or No) Serum alcohol and urine toxicology Height of fall Transport time (Injury time to trauma center arrival time) Climber/ Non-Climber status (Climber = someone injured while climbing up an exposed rock face, someone injured while partaking in the sport of rock climbing, or someone injured while using rock climbing equipment. Non-Climber = any other wilderness fall .
WTA%20Handout.docx