Transcript Dr hamid reza javadzade Emergency medicine Baghyatallah hospital

Dr hamid reza javadzade
 Emergency medicine
 Baghyatallah hospital
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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.
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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 2006
AIR TRANSPORT
Chain of Survival
Question
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Injury Prevention
Begins at Conception!
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Injuries, the leading
cause of death in
children and young
adults, cause more
childhood deaths than
all other causes
combined.
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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.
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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.
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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
years of age treated in medical settings
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¼ of all Emergency Department visits
For children involved in organized sports
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770,000 physician visits
90,000 hospitalizations / year
< 15
We have a responsibility to ensure
that the place a child spends the
majority of his/her waking hours is
safe and stimulating
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