Prevent the Worst- Put You Family’s Safety First

Julie Philbrook, RN, DNPTrauma Prevention SpecialistHennepin Healthcare- HCMC

Goal and Objectives

Goal: To educate participants about trauma prevention efforts that address unintentional injuries across the age span.

Objectives: Upon completion the participant will be able to:1. List the four leading causes of trauma in the U.S.2. Explain the most common causes injuries for children, teens,

adults and seniors.3. Describe 3 prevention intervention to help keep family members

safe

Trauma Prevention Programs are required/desired for all levels of Trauma Centers in Minnesota

Level I and II• Participate in injury prevention activities• Have a coordinator/job description/salary• Presence of prevention activities that center on priorities

based on local data •Demonstrate collaboration/participation in national,

regional or state programs• Have process to identify and referral of problem drinkers

Deaths from preventable injuries are only the tip of the iceberg

Injured children = increased demands for medical care

• Each day 39,000 children are injured seriously enough to warrant medical attention

• Injuries to children ages 14 and under are the cause of 234,000 hospitalizations, 8.4 M ED visits, and more then 11.7 M visits to clinics.

Source: www.mnsafetycouncil.org

• Suffocation- safe sleep• Seventy percent of suffocation

deaths among infants are from accidental suffocation or strangulation in bed.

• In 2010, cribs and playpens were responsible for more than 20 percent of all nursery product-related emergency room injuries for children under 5.

• The majority of childhood suffocation, choking and strangulation incidents occur at home.

• https://www.safekids.org/tip/sleep-safety-and-suffocation-prevention-tips

Children under age 1

ABC of Safe Sleep• "A" is for Alone: Always let the baby sleep alone, never in a

bed with another person where the baby could be smothered.• "B" is for on the baby's Back: An infant should be placed to

sleep on his or her back, not on his or her side or stomach.• "C" is for Crib: Always put your child to sleep in a crib with

only a firm mattress and tight-fitting sheet. Do not use cribs with drop down sides

https://www.kidcentraltn.com/article/abc-s-of-safe-sleep

https://www.minnesotasafetycouncil.org/2020Plan/chartbook.pdf

• Bath Safety– Bath rings or seats are bathing

aids - not safety aids!– Hot water can scald– Put all necessary items in the

tub before baby goes in– Only fill the tub with enough

water to cover legs– NEVER leave baby

unattended, ALWAYS within arms reach

• Keep children away from buckets, toilets, pools and other containers of water

• Parents and caregivers should be trained in basic CPR

Children 1-4 year old

Baby Gates• Do NOT use accordion style

gates• securely anchor to doorways

High Chairs• always use a crotch strap and

tray• keep chair away from walls,

tables, • high chair is not a jungle gym

Toy Chests• Hinges that can stay up• ventilation holes

Walkers• AAP recommends not using!

Consumer Product Safety Commission www.cpsc.gov

• Poison Prevention- children under six are at highest risk for poisoning– Post the Poison Center

telephone number near the phone

– Never refer to medicine as “candy”

– Store all products in locked cabinets

– Make sure visitors keep their medications away from children

www.mnpoison.org

Coin size lithium button battery ingestion

• Where Found– Calculators– Cameras– Hearing aids– Penlights– Watches

https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/Button-Battery.aspx

Fire Safety and Prevention

• Working smoke detectors• Make a family escape plan

and PRACTICE it every six months

• Stop, drop and roll• Burn prevention - many

things besides fire cause burns!

Hot Water Burns Like FireCampaign

http://www.hcmc.org/clinics/burncenter/EducationResources/index.htm?clinicDocName=HCMC_CLINICS_426&conditionDocName=

5- 12 year oldsPedestrian and bike safety

• Bike Helmets - bike helmets reduce the risk of serious head injury by 85% and brain injury by 88%.

– Start the helmet habit with the child’s first trike

– Teach children the rules of the road

– Proper fit is essential– Parents teach by example!– Helmets are for in-line skating,

sledding ,– snowboarding, scooters– Should not ride in behind a bike

carrier until at least age 1

• More than 5,000 pedestrian per year are killed in traffic-related incidents

• Toddlers get run over in the driveway

• Preschoolers dart out between parked cars on residential streets

• 6-12 year olds collide with cars in the middle of the block and on busy streets

• Children pedestrians tend to sustain more serious injuries to the head and neck than adults

https://www.youtube.com/watch?v=0yzSwxWIJTk

All Ages Motor Vehicle Crashes

• Don’t Skip a Step- seat belts for all ages– RF- till at least age 2– FF- as long as the seat allows– Booster- 4’9” (appox 10-12 years old) – Seat Belts

• Graduated Drivers Licensing• Cell phone/texting• Parent Driver’s Education• Parents- Be a good role model• Towards Zero Deaths• https://dps.mn.gov/divisions/ots/Pages/default.aspx

25-65 year olds PoisoningMedicine/Drug Overdoses • While children have more poison

exposures than adults, adults are more likely to suffer serious injuries and deaths from poisonings.

• Almost 90 % of poisoning deaths can be attributed to illicit and licit drugs, with prescription drugs accounting for the majority of the drug overdose deaths.

• Over 43,000 exposure calls were received by the Poison Center last year, and over 60% of those were medication-related.

Carbon Monoxide• Another leading cause of

unintentional poisoning deaths is carbon monoxide, which causes hundreds of deaths and thousands of ED visits in the US each year.

• There were 217 deaths due to carbon monoxide poisoning in MN between 2000-2015

Medicine/Drug Overdoses

• Follow all label instructions• Aske pharmacist or doctor check

for potential interactions • Do not share medications • Properly dispose of medicines in a

take-back location• Call the Poison Center Poison

experts are available 24/7 so can help when your regular doctor or pharmacist are not available.

• 1-800-222-1222• Mnpoisoin.orghttp://www.aapcc.org/alerts/opioids/http://www.health.state.mn.us/divs/eh/indoorair/co/

Carbon Monoxide NEVER…

• Use a charcoal or gas grill inside a house, garage, closed-in porch, or tent

• Use a generator inside your home –not even in the basement, garage, or porch.

• Use a gas stove or oven to heat the house.

• Leave a car running inside a garage, even if the garage door is open.

• Sleep in a parked car while the engine is running.

Do….• Have your furnace inspected B/4 every

heating season • Have a carbon monoxide detector,

with a battery back-up Within 10 feet of sleeping area and on each level.

Falls Prevention for Seniors• CDC (2013) 2.5 million nonfatal falls

among older adults were treated in emergency departments,

• More than 734,000 of these patients were hospitalized.

• Medical costs of falls in 2013 for people age 65 or older were $34 billion.

• (MDH) -unintentional falls as the leading cause of injury-related emergency room visits, hospitalizations, and deaths for Minnesotans aged 65 or older.

• Minnesota has the 4th highest rate of mortality from falls at 85.11 per 100,000.

• Falls are the most common cause of traumatic brain injuries (TBI).

Senior Fall Prevention

Stepping On• The goal of the classes is to build

participants’ confidence in their ability to manage their health behaviors, as well as reduce their risk of falls, and maintain active and fulfilling lives

• www.hcmc.org/traumaprevention• www.yourjuniper.org

Senior Fall Prevention

• Resources/Partners– Areas Agency on Aging- Sr. Linkage line– State Fall Prevention Coalition– Faith Community Nurses– MN Safety Council SafeSenior– Matter of Balance– HCMC TBI Center– Vison Loss Resources– PT– Pharmacy– THINK FIRST for Seniors – Links on www.hcmc.org/traumaprevention

ECHO (Emergency, Community and Health Outreach) exists to ensure that people with limited English proficiency receive life-saving health and safety information—in some of the languages they understand best.

Providing information on the Web, on television (ECHO TV), through community partners (ECHO Fax) and over the telephone through ECHO Phone.

ECHO Phone, 1-888-883-8831, provides useful health advice when there are no local or statewide emergencies. You can choose ECHO Phone health information in 10 languages:

•Spanish•Hmong•Somali

• Lao•Khmer

•Vietnamese•Russian •Arabic •Oromo •English

Local program• www.thinkfirst.org (Julie.Philbrook@hcmed.org)• Safekids.org (Erin.Petersen@MSC.org MN Safety Council) • Safe Routes www.dot.state.mn.us/saferoutes/index.html• Stepping On Fall prevention (Julie.Philbrook@hcmed.org)• MN Child Passenger Safety (Buckleupkids.state.mn.us)• MN Dept of Health data (Mark.kinde@state.mn.us)• https://www.minnesotasafetycouncil.org/2020Plan/chartbook.pdf

Prevent the Worst- Put You Family’s Safety First

Julie Philbrook, RN, DNPTrauma Prevention SpecialistHennepin Healthcare- HCMC Julie.philbrook@hcmed.org

612-873-8500