Unintentional Injuries In Children By Todd Twogood MD, FAAP.
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Transcript of Unintentional Injuries In Children By Todd Twogood MD, FAAP.
Unintentional InjuriesIn Children
By Todd Twogood MD, FAAP
1/3rd of our population
Our entire future
C. Everett Koop MD Former Surgeon General
1952 : 3,000 Americans died of Polio 20,000 people left paralyzed 1999 : 30,000 died from firearms ( 9 per
day) Greater than 3,300 involve children each
year most are unintentional 20,000 people each year are paralyzed
from gunshots
Accidents : implies that they are due to chance
Unintentional Injuries : characterizes the event as predictable and preventable if safety measures are implemented
Health is Years of Potential Life Lost
(YPLL)
5th leading cause of death overall
Unintentional Injuries is the leading cause of death in ages 1 – 18 years old (Hovert 2005)
Developmental or Genetic cause
SIDS
Prematurity
Accidents – Airway obstruction
Accidents – Drowning #1 , MVA’s #2
Developmental or Genetic cause
Cancer
Accidents
Cancer
Homicide
Accidents
Homicide
Suicide
40% reduction in deaths from unintentional injuries from 1987 - 2001
Still is the leading cause of death in children
About 6,000 kids die each year About 92,000 are permanently disabled Each year 14 million children sustain
injury warranting medical attention
14 billion in lifetime medical spending 1 billion in other resource cost 66 billion in present and future issues Medicaid and government source paid for
39% of all days spent in the hospital by children for unintentional injuries (Miller et al.)
MVA Firearms Drowning Fires Playground injuries Bicycle injuries Poisonings A whole lot more
Daily average of 4 deaths 602 injuries per day More than ½ killed were unrestrained 1 of 4 involve a drunk driver Among 5 y/o estimated 425 lives saved if
properly restrained Booster seats
1 out of 3 deaths among teens is from MVA
12 teens die each day because of MVA’s Teens are 14% of the population, but
30% of all MVA’s Estimated cost of this is 40.8 billion
dollars Lowest rate of seat belt use Drinking and drugs Who’s at risk?
Education
Graduated Driver’s Licenses (GDL) systems
Children 3 – 14 years old account for 21% of pedal cyclist killed in MVA’s
35 children each day are seriously harmed because of not wearing a helmet
Bike helmets are 85-88% effective in reducing head injury from crashes
Parents need to be responsible Legislation
Drowning is still one of the top causes of injury related death (10 deaths per day, 4 kids)
For every child that drowns, 4 ER visits occur (40% require hospitalization)
Consequences How do we prevent this
Greater than 200,000 children 14 and younger
45% are serious injuries
75% of non-fatal injuries are on public playgrounds
70% of fatal cases occur at home
Ingestions
52% of all poisonings occurred among children < 6 years old
Unintentional (72%) Undetermined (10%) Intentional (18%)
In North Dakota
Sad Statistics
Prevention
Antidepressants
Fireworks Cold weather Hot weather (Look before you leave) Farm safety ATV’s Hunting Lawn mowers Home safety
If some infectious disease came along [in the proportion that injuries do] , there would be an outcry and we would be told to spare no expense to find a cure and to be quick about it.
Be Safe