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March 24, 2015
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of attendees (75 ting began with aurgeon at the Sm
Dr. Gomez was fedianapolis Monthutbine, an attornn, ISDH divisionand statutes thaon and the Traumalth Commissiontled “the trauma l connect resear
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s at 7:30 a.m.
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Room 22
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revention prograased programs am. The Confere
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402 W. Washington Street
Indianapolis, IN 46202
Registration is open now!! Visit: https://www.eventbrite.com/e/injury-prevention-conference-tickets-14963874351 (agenda below)
For more information, please contact:
Jessica Skiba, M.P.H.
Injury Prevention Epidemiologist
Indiana State Department of Health
317-233-7716
5
Child FatSubmitteCoordinaChildren impact, nmembersfor childrebeen prevwho diedper year.Understamake senReview (Cwhy child
tality Review: Wd by Gretchen M
ator at the Indianare not suppose
not only on that cs of the communen ages 1-17 yevented. From 2d from injuries. .
anding the circumnse of the tragedCFR) is a collab
d deaths occur w
Working TogethMartin, MSW, Cha State Departm
ed to die. The dechild’s family, butity. In Indiana, iars, and tragical
2006-2013 in Ind This is an ave
mstances involvedy and help prevorative process t
within our commu
her to Safe Indiaild Fatality Revie
ment of Health eath of a child hat also friends, nenjury is the leadily, most of these
diana, there werrage of 245 pre
ed in a child’s devent future deaththat can help us
unity, and help us
ana's Kids ew Program
as a profound eighbors and ing cause of deae deaths could hre 1,961 childreventable death
ath is one way tos. Child Fatalitybetter understa
s identify how we
ath ave n s
o y nd e
6
can keepprofessiochild’s deunderstanpreventedIn July 20in every cimplemenmembersseveral otheir revie
Tippecaneducate tof infant dheld a puand the dcommuni
The Jackhealth claproject recurriculumfamily co
p our children heaonal teams whicheath, the circumsnd how and whyd. 013, a new law (county. Since thnted, or are in ths of these teams of the local teamsews to identify tr
noe and Jacksontheir citizens abodeaths througho
ublic forum to prodevastating impaity.
kson County teamass, which providesulted in anothem. Additionally, urt judge to integ
althy and safe. Ch will conduct a cstances and risk y the child died s
IC 16-49) took ehat time, 97 perce process of impvolunteer their t
s have begun to rends and begin
n Counties’ Fatalout safe sleep prut the state. The
ovide education aact unsafe sleep
m developed a pded students witer high school imthe team was ab
grate safe sleep
CFR teams are mcomprehensive, factors involvedo that future inju
effect that requireent of Indiana’s plementing, locatime to keep our use the informatimplementing pr
ity Review Teamractices for infane Tippecanoe Coand information environments ha
presentation for ah infant safe slee
mplementing the tble to obtain an ainto the curriculu
multidisciplinaryin-depth review , and then seek
ury and death ca
ed local CFR teacounties have l CFR teams. Tkids safe, and tion gathered frorevention activitie
ms took steps to ts - a leading ca
ounty team recenon infant safe slave had on their
a county high schep education. Ttopic in its agreement from um for the paren
, of a to n be
ams
he
om es.
ause ntly eep,
r
hool This
the nting
7
classes th
The Crawyouth. Aftapproachcollaboraand solicvouchersto sign a parents tohave themgiven aw
A child’s should besurrounddedicatiovolunteerinvaluabl“It is our hthat even
Counties contact G1240 or e
Infrared Contact Tissue InBy Todd Indiana, I
hat all divorcing
wford County teater the team revi
h towards prevenated with their locited businesses
s to children at thwater safety pleo take their childm fitted with the ay that day.
death should urge made to undering that child’s dn and commitmer their time to sere,” says State Hhope that their h
ntually save the l
that want to creGretchen Martin ae-mail GMartin1@
Technology forLow-Frequencynjury Zortman, RN anIndianapolis)
parents are requ
am addressed thiewed a drowninntion of drowningcal Department oand individuals f
he Little League Pdge, and then w
dren to a local buproper size life j
ge our communitrstand the risk fadeath to prevent fent exemplified brve on Indiana’s ealth Commissio
hard work and peives of countless
ate or enhance tat the Indiana [email protected].
r Early Identificy Ultrasound (N
nd James Malec,
uired to take in J
e problem of wang fatality, they dg was needed. Tof Natural Resoufor funding to proPark. The partici
were given vouchusiness to redeemacket. Nearly 10
ties into action. Ectors and circumfuture injuries anby those professchild fatality rev
oner Jerome Adaerseverance will s Hoosier childre
their child fatalitytate Department
ation and Treat
NLFU) to Rapidly
PhD (Rehabilita
Jackson County.
ter safety for couecided a proacti
The team urces (DNR) officovide free life jacipants were aske
hers which allowem the voucher a00 vouchers were
Every attempt mstances nd deaths. “The ionals who
view teams is ams, M.D., M.P.lead to changes
en.”
y review teams mof Health, 317-2
tment with Non-y Resolve a De
ation Hospital of
unty ve
cer cket ed ed
and e
H. s
may 233-
-ep
8
Early Identification and Treatment is Key
Pressure ulcers are a chronic healthcare burden frequently associated with disabling trauma, e.g, spinal cord injury. More than 2.5 million U.S. patients are affected annually by pressure ulcers with nearly 60,000 of those cases directly resulting in death and annual costs of $9.1 to $11.6 billion.
The most serious (Stage III and IV) pressure ulcers are caused by damage of the underlying soft tissue, that is, deep tissue injury (DTI). However, early identification of DTIs is challenging. This case study demonstrates how two new technologies (infrared scanning with the Wound Vision Scout™ and noncontact low-frequency ultrasound provided by MIST Therapy®) can be used to identify and treat DTI’s to provide rapid resolution.
A High-level Tetraplegic
A 57 year-old male, a recent history of cervical spinal cord injury/vertebral artery dissection with resulting tetraplegia, neurogenic bowel and bladder, frequent urinary tract infections and orthostatic hypotension presented for admission to the Rehabilitation Hospital of Indiana (RHI) in Indianapolis about eight months after his injury. He required several acute care re-hospitalizations in this period. During his last hospitalization, he developed a large Stage IV sacral pressure ulcer.
Rehabilitation Admission Skin and Ulcer Assessment
At the time of transfer to the rehabilitation hospital, the pressure ulcer had responded to standard treatment with negative pressure and was 90 percent healed.
Courtesy of WoundVision (www.woundvision.com),a digital and infrared imaging device (Scout™) is available to RHI wound care staff. The Scout™ is a non-invasive, non-radiating device that provides digital imaging for the measurement of wound size (length, width, surface area and perimeter) as well as long-wave infrared scanning for measuring the thermal intensity (temperature) of an area on the body. Digital and infrared images are captured simultaneously to provide congruent anatomical and physiological views. Using the Scout™, the infrared image of the wound or suspected area of damage is compared to adjacent healthy tissue. Since the temperature of injured or infected tissue differs from healthy tissue, this
9
comparis
The patietuberositiarea of thtissue) onnoted to tconfirm thwhich wa3X3 cm, by the Sc
Treatmen
MIST TheDTI that c(NLFU) adiscovereBalsam Pperi arealimited. all signs o
son provides an i
ent was scannedies, sacrum and he ulcer. Infraredn the right upperthe naked eye ohe results identif
as palpable. Theand the location
cout™.
nt
erapy® (www.micombines stimul
and the simultaneed, daily noncontPeru (Vasolex) os and wheel chaAfter three daysof the DTI were
index of the heal
d using The Scouhips) to provide
d imaging revealer buttock. There n the surface. A fying a new suspe area of indurati
exactly matched
istherapy.com) isation with noncoeous applicationtact treatments wintment was app
air and rehabilitat, assessment useliminated sugge
ling status of the
ut™ on high risk a baseline for coed a cold spot (rwere absolutelyrepeat scan was
pected deep tissuion on the upperd the infrared im
s an evidence-baontact low-freque of a saline mistwith MIST Theraplied twice daily ttion therapy timesing the Scout™ esting complete
e wound.
areas (heels, iscomparison with trelative to adjacey no visible changs performed to ue injury (sDTI) r right buttock waaged sDTI provi
ased treatment fency ultrasound . When the DTI
apy® were initiateto the buttocks aes were was repeated aresolution.
chial the ent ges
as ded
for
was ed. and
nd
10
Implicati
In this caadvancedquick respreventindevelopinpatients w
National
By DeirdrIndiana P
Nationa
ions for Future
se, the combinad infrared technoolution of a DTI
ng an open pressng a protocol for with mobility imp
Poison Preven
re M. George DaPoison Center
al Poison Preve
Practice
tion of early idenology and early tprior to tissue im
sure ulcer. At RHroutine infrared
pairments.
ntion Week, Mar
avis, M.P.H., Coo
ention Week Higfrom Pois
ntification providereatment with NL
mpact on the surfHI, we are in thescanning of high
rch 15-21
ordinator-Poison
ghlights Need tosons
ed by a camera LFU allowed for face, thus
e process of h risk areas amo
n Prevention,
o Protect Childr
with
ong
ren
11
Prevention Awareness Campaign March 15-21
Why is it necessary to devote one whole week every March to promoting poison prevention? A look at the numbers provides an explanation. In 2014, the Indiana Poison Center received 57,396 requests for assistance (averaging 157 calls per day). In addition, the staff of the Poison Center placed 80,995 calls to patients and health care professionals for follow-up (averaging 222 calls per day). The goal of National Poison Prevention Week is to raise awareness about what kinds of things can potentially be poison and to teach ways to keep children and others safe from poisons.
As a young child’s mobility increases, so does his or her ability to reach for a dangerous product. “Young children constantly explore the world around them, touching and tasting everything they see,” says Dr. James Mowry, Director of the Indiana Poison Center. “The goal of National Poison Prevention Week is to raise awareness about what kinds of things can potentially be poison and to teach ways to keep children and others safe from poisons.”
During National Poison Prevention Week, March 15-21, the Indiana Poison Center encourages you to take some simple steps to help keep your family safe:
Choose products and medicines with child resistant packaging whenever it is available
Replace child-resistant caps tightly every time you give or take medicine or use a product
Lock medicines and household products away from children – products placed up high may not be secure since children climb
Return medicine and household products to a locked storage place immediately after use
Always read the label before giving or taking a medicine or using household products – never guess about how to use a product
Take medicines where children can’t watch – they learn by imitating Put the number for the Indiana Poison Center, 1-800-222-1222 on or
near every telephone. Program the number into your cell phones. Make sure babysitters and family members caring for your children
also have the emergency number posted in their homes and
12
programmed into their phones.
Poison can be found everywhere. Items commonly found in and around the home can easily become a danger to young children if they are left in the open within easy reach. Such items include:
Medicines (prescription and over the counter) Cleaning products (drain openers, toilet bowl cleaners, oven
cleaners, rust removers) Automotive products (windshield washer fluid, antifreeze) Hydrocarbons (gasoline, kerosene, lighter fluid, furniture polish, hair
and body oils) Pesticides, herbicides, insect repellents
According to Dr. Mowry, “There is no substitute for careful supervision, wherever children live or spend time.” At the same time, it’s important to realize that children are fast and curious so that poisoning can happen in the home of even the most careful parent. It can take only seconds for a child to reach for cleaners, pesticides or medications, possibly resulting in serious injury or even death. A young child should never be left alone with a dangerous product. And when not being used, dangerous products should be stored up and out of the reach of children, preferably in a locked cabinet. Call 1-800-222-1222 even if you just think that someone has been poisoned. Don’t wait to see if the person gets sick, call the experts at the Poison Center immediately.
To request a free magnet, phone sticker or wallet card and to learn more about poison safety, call the Indiana Poison Center at 1-800-222-1222, or visit the Center’s website at www.indianapoison.org. For a poisoning emergency, call the Poison Center experts immediately at 1-800-222-1222.
The Indiana Poison Center is an independent, non-profit, agency providing coverage and services for the entire state of Indiana. It serves as both an emergency telephone service and an information resource center, with services accessible to the general public and health care professionals 24 hours a day, 365 days per year. The IPC is the designated Regional Poison Information Center for Indiana and is certified by the America Association of Poison Control Centers. It is a collaborative effort of the Indiana State
13
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NominatDO YOUTHAT GOBEYONDHAS DOEXTRAOCHILD?
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May 5-6, 2015
Cheyenne, Wyo
200 (includes me
NVITED: Rural Ealth, Flex Programedical directors
ABOUT: The futuperformance impucation, simulatio
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17
LODGING:
Little America Hotel, 2800 West Lincolnway, Cheyenne, Wyoming 82009
For reservations, call: 800.445.6945
Group rates from $99 - $129, depending upon your needs and room availability.
Room block name: Rural EMS Conference
HOST: Joint Committee on Rural Emergency Care National Association of State EMS Officials National Organization of State Offices of Rural Health National Rural Health Resource Center National Rural Health Association
Conference Website: http://nosorh.org/calendar-events/national-rural-ems-conference/
TRAVEL TO CHEYENNE: There are a number of options for getting to Cheyenne.
1. Air: Great Lakes Airlines - offers connections to United Airlines and Frontier Airlines.
2. Rental Car: Cheyenne is 100 miles or 90 minutes from Denver.
3. Shuttle: GreenRide – 888.472.6656 or http://greenrideco.com/.
VENDOR OPPORTUNITIES: Click here.
QUESTIONS: Contact Stephanie Hansen at 208.375.0407
18
Ar
Jerome AJennifer Wa
rt Logsdon, J.D.
Jessica SCamry H
MurRamzi Nimry —
indianatrau
Adams, M.D., M.althall, M.D., M.P. — Assistant C
Katie HoSkiba, M.P.H. —Hess, M.P.H. —rray Lawry, M.P— Trauma Syste
P.H. — State HeP.H. — Deputy
Commissioner, H
okanson — Dire— Injury Prevent
Database Analy.A. — EMS Reg
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ov
ealth CommissHealth CommisHealth and Hum
ctor tion Epidemioloyst Epidemiolo
gistry Managere Improvement
Indianatraum
ioner ssioner man Services
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