1. Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child Health Policy, Director Professor Pediatrics, COM Barry Nierenberg, PhD ABPP Associate Professor Center for Psychological Studies

2. Traumatic Brain Injury Cause: – Blow or jolt to the head or a penetrating head injury that disrupts the function of the brain. – The severity of a TBI may range from “mild,” i.e., a brief change in mental status or consciousness to “severe,” i.e., an extended period of unconsciousness or amnesia after the injury. Approximately 1.4 million people sustain a TBI each year in the United States

3. The Problem Among children ages 0 to 14 years, TBI results in an estimated: 2,685 deaths; 37,000 hospitalizations; and 435,000 emergency department visits. CDC estimates 5.3 million Americans currently have long-term or lifelong need for help to perform activities of daily living as a result of a TBI.

4. Children safety The goal – Create a safe surrounding Road & Environmental # Seat Belts # Helmets # Pedestrian safety # Home safety # Strangers # Online predators

5. Early Intervention Over 1.4 Million Americans suffer a Traumatic Brain Injury (TBI) each year That's 1 TBI every 21 SECONDS 50,000 people die as a result of their brain injury 90,000 suffer a permanent life-long disability Conservatively, TBI's cost the U.S. Economy over $56.3 Billion annually No known cure.

6. Rambam Health Care Campus: 1000 beds (A+P) Level 1 Trauma C. Biggest TC (~35%) Referral Center: 10 Peripheral hosp. IDF Palestinian Authority UN USA 6 th Fleet

8. Second Lebanon War, August 6, 2006

9. 18 killed (9 Kids) > 30 wounded Haifa – Bus 37 March 5, 2003

12. Terror - death toll 2000-2008 * From Sep 29, 2000 ** Until March 31, 2008 http://www.shabak.gov.il Total – 1141 dead (70% civilians) <17y – 123 dead (11%) >6600 wounded

14. Thank You www.nova.edu/ichp