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Published byDamon Fowler Modified over 9 years ago
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Injury Prevention Overview WHAM
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Extent of the injury problem Science of injury prevention Ways to help your patients and communities Resources
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Injuries are not “accidents” Unintentional injuries are the leading cause of death and hospitalization from ages 1 through 44 Most are preventable Known, effective interventions work! 10 Leading Causes of Death by Age - -Blue boxes indicate injury deaths.
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Quick Quiz… What are the leading cause of most fatal unintentional injuries?
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Fatalities Motor Vehicle Falls (adults) Poisoning (adults) Drowning (toddlers/teens/older adults) Airway Obstruction (under 1 y.o.) Pedestrian (older adults, ages 1-4 and 20-24) Pedal Cyclist Fires and Burns Poisoning Firearms Source: Washington State Dept. of Health
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Fatalities: tip of the iceberg 1 Death 45 Hospitalizations 1,300 Emergency Room Visits 2,600 Treated at Doctor Office or Home
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Quick Quiz… What causes the most nonfatal unintentional injuries?
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Non-fatal Hospitalizations Falls (older adults) Motor Vehicle Poisoning (adults and toddlers) Natural environment (bites, stings, etc.) “Struck By/Against” Fires/Burns Cut/Pierce Source: Washington State Dept. of Health
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Fatal Hospitalized Non-hospitalized Total 149,075 Incidence Medical Costs Productivity Losses Total Costs $1 Billion$142 Billion $143 Billion 1,869,857$34 Billion$49 Billion $92 Billion 48,108,166$45 Billion$125 Billion $171 Billion 50,127,098$80 Billion$326 Billion $406 Billion US Incidence and Costs of Injury (Finkelstein, et al 2006) Cost Estimates Based on 2000 data
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Injury Prevention as a Science Known risk factors Scientific research (conducted by leaders such as Johns Hopkins, Centers For Disease Control, Harborview Injury Prevention & Research Center, etc.) Best practice interventions based on research and data
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Scientific “public health” model: Define problem: look at data! Define problem: look at data! Identify risk and protective factors Identify risk and protective factors Develop and test prevention strategies Develop and test prevention strategies Assure widespread adoption of injury prevention principals and strategies Assure widespread adoption of injury prevention principals and strategies
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Quick Quiz Who is most likely to be injured?
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Most at-risk Younger children Older adults Males Minority children Poor children
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Traditional “E’s” of Injury Prevention Education: community and individual Engineering: safer products, roadways, construction practices, etc. Enforcement: laws, policies,ordinances, building codes, etc.
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Another “E”: Evaluation Activity should be based on data that shows a) issue is important b) target population is appropriate c) intervention strategy is promising
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Trusted Resources Centers For Disease and Prevention Safe Kids Worldwide American Academy of Pediatrics Consumer Product Safety Commission National Highway Transportation Administration (NHTSA)
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Local coalitions Safe Kids Pierce County Pierce County Child Passenger Safety Team Pierce County Falls Prevention Coalition Pierce County Leadership for Alcohol and Drug Free Youth
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New resource developed for emergency personnel: Developed by local prevention specialists Modules added to OTEP Enables you to address prevention during the “teachable moment” following an injury or near- injury Provides you with resources to leave with the patient/patient’s family WHAM
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Why talk about injury prevention after an injury (or near miss)? On-scene EMS crews are in an ideal position to deliver prevention info because… Research with brief interventions in hospitals show a patient is psychologically open to information, creating a “teachable moment” EMS may be the "tipping point" for the patient or caregiver to incorporate safety practices If a person experiences one injury, he/she is at higher risk for a future injury Other healthcare providers often lack appropriate knowledge or resources Patients treat on-scene and released may not have another opportunity for safety counseling
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W hat risks are observed on scene? H ow can we keep from coming back? A ction to take to prevent future injuries M aterials to leave behind WHAM
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WHAM Folders Folders provided for emergency rigs Folders divided by injury areas: Helmets Helmets Firearms Firearms Poisoning Poisoning Falls among Older Adults Falls among Older Adults Child Passenger / Motor Vehicle Safety Child Passenger / Motor Vehicle Safety Airway Obstructions Airway Obstructions Burns Burns Open Water Drowning Open Water Drowning Contains prevention info and local resources
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WHAM developed by: Central Pierce Fire & Rescue City of DuPont Fire Department Gig Harbor Fire & Medic One Safe Kids Pierce County Tacoma-Pierce County Health Dept. With funding from: West Region EMS & Trauma Care Council
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