Learning and Development,Pediatrics,

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Safety Center Presentation Slides

Safety Center Presentation Slides - Ambulatory Education, Educational Opportunities, Educational Videos, Pediatrics, Well Child, Safety, Safety Center Live Presentation, Resources

Pediatric Injury Prevention
Jim Savage
Injury Prevention Programs Manager
Amy Hugill
Child Passenger Safety Coordinator

Safety: Learning Objectives
 Identify injury prevention best practices in the infant,
child and adolescent
 Provide appropriate answers to safety and injury
prevention encountered during well child visits
 List three resources to support knowledge related to
safety and injury prevention in infancy, childhood and

Injury is a Disease
 There are predictable
patterns and proven
prevention strategies
 Education
 Enactment/Enforcement
 Economic Incentives
 Empowerment
 Evaluation

Childhood Injury Pyramid
1 death
35 admissions
1,308 ED visits
1,821 visits to healthcare provider

Leading types for Childhood Injury Death
Dane County: 2009-2013, Ages 0-14
1. Suffocation/strangulation
– 15 (32.6%)
2. Motor vehicle traffic
crashes – 13 (28.3%)
3. Drowning – 7 (15.2%)
4. Poisoning – 5 (10.9%)
Compiled by Lisa Bullard-Cawthorne, MS, MPH and Mamadou Ndiaye, MD, MPH: Public Health Madison/Dane Co.

Unintentional Childhood Injury Hospital Visits
Dane County: 2010-2014
0-1 years 1-4 years 5-9 years 10-14 years 15-19 years
676 (49.3%)
3300 (40.3%)
2224 (36.1%)
Struck by
2145 (30.9%)
Struck by
2158 (25.1%)
Struck by
134 (9.7%)
Struck by
1370 (16.7%)
Struck by
1393 (22.6%)
1919 (27.6%)
1734 (20.1%)
95 (6.9%)
504 (6.2%)
378 (6.1%)
533 (7.7%)
1154 (13.4%)
53 (3.9%)
438 (5.4%)
332 (5.4%)
373 (5.4%)
817 (9.5%)
51 (3.7%)
260 (2.9%)
222 (3.6%)
291 (4.2%)
627 (7.3%)
Source: Hospital Discharge / PHMDC
Compiled by Lisa Bullard-Cawthorne, MS, MPH and Mamadou Ndiaye, MD, MPH: Public Health Madison/Dane Co.

How did THAT happen?
 Fall?
 Piercing?
 Struck by?
 Motor vehicle?
 Intentional sibling?

Injury Prevention Counseling
 Falls
 Fire/burns
 Drowning
 Poisoning
 Bike helmets
 Motor vehicle

Falls Injury Prevention Counseling
 Use safety gates at the top and bottom of stairs
 Gates at top of stairs should be hardware-mounted
 Pressure-mounted gates OK for bottom of stairs and in
between rooms on same level
 Keep stairways free of clutter and lit with
 Keep beds away from windows and use window
guards and locks
 Screens keep out bugs but they DO NOT prevent falls

Falls Injury Prevention Counseling
 Secure dressers, book shelves
and other furniture with wall
 One strap on each end
 Avoid placing items that attract a
child’s interest on high shelves
 Place heavier items on bottom
shelves to prevent tipping

Falls Injury Prevention Counseling
 Secure TVs
 Wall mounting most secure
 Secure to wall or TV stand with

Burns Injury Prevention Counseling
 Lock up dangerous items
 Keep hot liquids out of reach and turn pot handles
toward the back of the stove
 Water heaters: 120 degrees or less. Test bath
water with wrist or elbow (yours, of course)
 3 feet: a safe distance away from stoves, grills,
campfires and fireplaces

Fire Safety Prevention Counseling
 Smoke alarms in EVERY bedroom, outside of
EVERY bedroom, and on EVERY level. Test
alarms EVERY six months
 Carbon monoxide alarms on EVERY level
 Family develops and practices a
safe escape plan
 At least 2 ways to exit
 Name a safe place to meet outside

Drowning Prevention Counseling
 Constant supervision for infants
and toddlers in the tub or at the
pool and beach
 Kids should NEVER swim alone,
no matter what age
 Life jackets at the pool/beach
for infants and toddlers
 EVERYONE wears a life jacket
on the boat

Drowning Prevention Counseling
 Eliminate drowning hazards such as open
containers of water. A child can drown in as little
as ½ inch of water
 Toilet locks for curious infants and toddlers
 Pools gated and locked
 Install pool alarms

Poisoning Prevention Counseling
 Lock up dangerous substances in the home and
garage and store out of reach
 Lock up laundry soap and pods (pods look like
 Lock up medications
 Take outdated and unused
medications to a drop-off location
 Post phone number for
Poison Center

Brain Safety Counseling
 Helmets work!
 Bike helmets reduce the
risk of brain injury by as
much as 85%
 Ski/snowboard/skating
helmets reduce risk of
brain injury by as much
as 50%

Brain Safety Counseling
 Start the helmet habit as young
as 12 months
 Parents: set a good example by
wearing a helmet too!
 Helmets EVERY time you bike,
skate, ski and sled
Bike Helmet

Child Passenger Safety Counseling
 Car crashes are a leading cause of death to
children of all ages
 Parents sight doctors and nurses as one of their
most important sources of information about
child passenger safety!
Car Seat

Child Passenger Safety Counseling
Child Passenger Safety: As Easy as 1-2-3!
1. Backwards is Best
2. 2-4-8
3. Boost Until Big Enough

Child Passenger Safety Counseling
1. Backwards is Best!
 Infants and toddlers riding rear-facing are 5 times
less likely to be severely injured in a crash
 Most convertible
car seats can be
used rear-facing
up to 40 lbs

Child Passenger Safety Counseling
 Rear-facing until age 2 or longer
 Then forward-facing in a 5-point car seat harness
until at least age 4 AND 40 lbs. Longer is better
 Booster seat until AT LEAST age 8.
If not 4’9”, continue in a booster
2 4 8

Child Passenger Safety Counseling
Boost Until Big Enough
 Age doesn’t matter
 Seat belt must fit correctly
before transitioning out of
 Many kids should ride in
boosters until age 10, some
even longer

Child Passenger Safety Counseling
Correct Seat Belt Fit
5-Step Test:
1. Sitting with back against seat back
2. Knees bend over front of seat
3. Shoulder belt crosses shoulder center
4. lap belt crosses hips
5. Child can sit this way for entire trip

Patients Needing Car Seat Assistance
 Inspections/Installation help: safekids@uwhealth.org
 Check for proper fit, installation, expirations and recalls. Appointments required
 WIC-eligible families in need of a car seat:
safekids@uwhealth.org or 608-890-8999
 Car seats usually available for $20 donation. Appointments required
 To purchase a car seat: safety@uwhealth.org or 608-890-8041
 Kohl’s Safety Center. No appointment required. Help choosing the best car seat
and installation of purchased car seats. Call or e-mail for directions/hours
 Transportation safety evaluations for children with special
healthcare needs: safety@uwhealth.org or 608-890-8041
 Kohl’s Safety Center. Appointments are REQUIRED

Kohl’s Safety Center at AFCH
 Provides hands-on injury prevention education
and low-cost safety products to patients, families,
staff and the community
 Bike helmets, car seats, booster seats, safety gates,
locks and latches, smoke and carbon monoxide
alarms, life jackets, ski helmets, infant safe
 Safety line: 608-890-8041 or safety@uwhealth.org
Kohl's Safety
Center Tour

Thank You!
 Questions?
 Our Injury Prevention Team can help you by:
 Answering staff and patient safety questions
 Providing staff injury prevention training
 Providing educational materials