Dr hamid reza javadzade

Emergency medicineBaghyatallah hospital

The first step in the control of injuries is the recognition that injury is a disease. Common public perception is that injuries are accidents or random and unexpected events, similar to the way infectious disease was regarded before the discovery of bacteria.

Similar to other diseases, characteristics of the host affect prevention strategies, acute care, and rehabilitation outcomes. These include physical

characteristics, such as age, gender, size, and motor skills,and mental and behavioral characteristics, such as intelligence, fatigue, alcohol use and abuse, emotional lability, social norms, and lifestyle

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During World War II, the average time from injury to definitive care was 6 to 12 hours,

with a mortality rate of 6%. In Korea, the time was 2 to 4 hours,with 2% Mortality. In Vietnam, the time was 65 minutes, and mortality was less than 1%.

ROSENS EMERGENCY MEDICINE ROSENS EMERGENCY MEDICINE 20062006

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Chain of Survival

Questions?

Injury PreventionInjury PreventionBegins at Conception!Begins at Conception!

Injuries,Injuries, the leading cause of death in children and young adults, cause more childhood deaths than all other causes combined.

The American College of Obstetricians and Gynecologists (ACOG) and the National Highway Traffic Safety Administration (NHTSA) recommend that the lap belt be placed as low as possible under

the gravid uterus (across both the anterior superior iliac spines and the pubic symphysis) and thaI the shoulder harness be positioned snugly between the breasts but off to the side of the uterus.

According to the NHTSA, seatbelt use in the

general public increased to its highest level ever of 75 percent in 2002,10 but the most recent studies in pregnant patients showed that 46 percent of pregnant patients involved in motor vehicle crashes were not wearing seat belts.

One leading panel of expert physicians on the subject has recommended that air bags not be disconnected for pregnant women. While there is a risk of injury to the more proximally located gravid

uterus. it is also known that the leading cause of fetal death in motor vehicle crashes is maternal death. With the pregnant woman properly seated as far away as possible from an airbag, the benefits of these restraint devices currently appear to outweigh the apparent risks.

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Magnitude of the Problem

3.5 million sports injuries for children < 15 years of age treated in medical settings

¼ of all Emergency Department visits

For children involved in organized sports 770,000 physician visits 90,000 hospitalizations / year

We have a responsibility to ensure that the place a child spends the majority of his/her waking hours is safe and stimulating

1 pill can kill