faiqa qureshi md - appna · unintentional childhood injury mortality ... clean dry dressing and...
TRANSCRIPT
![Page 1: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/1.jpg)
Faiqa Qureshi MD
![Page 2: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/2.jpg)
Unintentional Childhood Injuries - What’s the big deal?
![Page 3: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/3.jpg)
Unintentional Childhood Injury Mortality
Unintentional accidents are the leading killer of children <14 years age and are responsible for more deaths than all other childhood diseases combined.
Each year more than 4.5 million children are treated in hospital emergency departments
2/3 of these injuries occur in one environment
The Child’s own Home
![Page 4: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/4.jpg)
Choking/Strangulation Each year approximately 873 children ages 14 and
under die from airway obstruction.
More than 19,000 children get treated in hospital emergency rooms for choking-related episodes
Majority of choking injuries are associated with food items: hot dogs, candies, nuts, grapes, carrots, and popcorn.
![Page 5: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/5.jpg)
Choking/Strangulation Non-food items tend to be round in nature such as
coins, small balls, and/or objects that conform like balloons.
Half of all toy choking deaths involve balloons.
As a good rule of thumb: if it fits through a toilet paper tube - the toy is too small to be played with by a child less than 3.
![Page 6: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/6.jpg)
Choking-what to do First make sure child is actually choking
If object seen remove it
If child less than 2 - alternate 5 back blows with 5 chest thrusts until object comes out or help arrives.
If >2 - abdominal thrusts
If becomes unresponsive start CPR, call 911.
![Page 7: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/7.jpg)
Button Batteries Cause local corrosive injury resulting in perforations,
fistulas, strictures, VC paralysis
Larger lithium batters are more harmful
Severe burns can occur in 2-2.5 hours if lodged in esophagus or airway
![Page 8: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/8.jpg)
Magnets Sold as bucky ball, neocube, etc…packaged in 100+
numbers
Adolescents – fake tongue piercing
Ingested magnets can stick together and trap and compress portions of bowel wall between them leading to ischemia, perforations, sepsis, bowel obstruction
![Page 9: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/9.jpg)
Strangulation Window Blinds/Cords
No looped cords
Keep cribs away from windows
Bumper Pads
Strangulation by loose ties
Suffocation against soft pads
Entrapment between pads and crib
Older kids use them as ladders to
climb up and out of crib
Newer mesh products safer
![Page 10: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/10.jpg)
Burns Each year over 100,00 children are treated for burn
injuries
Scald burns, especially those caused by hot foods, liquids, and steam in the kitchen among the most common burns in young children.
Noodle soup reported to cause a significantly longer hospital stay than other types of soup
![Page 11: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/11.jpg)
Burns Turn down hot water heaters
Cover electrical cords
Supervise children in the kitchen
![Page 12: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/12.jpg)
Burns-What to Do
Remove child from heat source
Immediately cool skin with lots of cool water
Do not put Vaseline or butter or any other home remedy on the burn
If blister or charred skin is present, cover burn with a clean dry dressing and seek medical care.
![Page 13: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/13.jpg)
Fire Smoke and Carbon Monoxide Detectors
Ladders for 2nd floor
Fire extinguishers
Escape Plan
![Page 14: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/14.jpg)
Drowning Drowning is the second leading cause of injury related
death among children age 1-4. Home swimming pools are the most common site for a
drowning between the ages 1-5. Children can drown in as little as one inch of water---
REALLY!!!! A caregiver claimed to be supervising the child in nearly 9
of 10 drowning related deaths
![Page 15: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/15.jpg)
Drowning Prevention Secure pools with 4-5 foot unclimbable locking
fencing with latch. 4 sided isolation fencing around home pools could prevent 50-90 %
of childhood drownings and near-drownings.
Secure all bathrooms with toilets/ tubs
Never ever leave child’s side in tub
Move pet water bowl’s out of reach
![Page 16: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/16.jpg)
Drowning-what to do Remove child from the water
Perform CPR
Call 911
Call your child’s doctor even if your child seems to recover completely.
![Page 17: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/17.jpg)
Falls Falls are the leading cause of
accidental injury in children
Gates at the top of stairs must be hardware mounted
![Page 18: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/18.jpg)
Falls - Windows Screens are designed to keep bugs out, not kids in.
Only open windows on upper floors if they have window guards or window stops that prevent opening greater than 3.5 inches
![Page 19: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/19.jpg)
Falls-Balconies and Decks Space between bannister posts should be no more than
3 ½ inches apart (about same width of average size adult’s clenched fist.)
![Page 20: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/20.jpg)
Falls-Kitchen Kids love to help in the kitchen.
![Page 21: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/21.jpg)
Falls –What to Do Call 911 and try not to move your child if they are
unconscious but breathing.
If child acting unusual call your child’s doctor and seek medical attention.
Apply direct pressure to bleeding areas and seek medical attention.
![Page 22: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/22.jpg)
Tip Overs
Toddler Killed When Dresser Falls On Him
“You can always fix a hole in the wall, but you can't fix a hole in your
heart”
-Brett Horn, father of 2 year old Charlie Horn
![Page 23: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/23.jpg)
Tip Overs/ Televisions
![Page 24: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/24.jpg)
Tip Overs/ Stoves
![Page 25: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/25.jpg)
Poisoning More than one million children are unintentionally
poisoned each year by household and personal care products such as medicines, pesticides, vitamins, lead, plants, and carbon monoxide.
For every 10 poison exposures in children, approximately 9 occur in the home.
![Page 26: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/26.jpg)
Many Things Look Alike Candy and medications
Juice and cleaners
![Page 27: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/27.jpg)
Poison Tend to think of poisons as things that would look and
taste bad BUT…..
Many are pretty
Many taste good Some mouse poisons taste/smell like peanut butter.
![Page 28: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/28.jpg)
Poisonings/ Medicines Approximately half of poisoning to children under 5
years old involve medicines.
![Page 29: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/29.jpg)
Poisoning/Medication Very Dangerous (few doses fatal to 22 lb toddler)
Most Dangerous (One dose fatal to 22 lb toddler)
Blood Pressure medications
Clonidine (ADHD medicine)
Oral Diabetic Medicines
Lomotil (anti-diarrheal
Nose sprays/eye drops (Visine/Afrin)
Camphor
Tricyclic antidepressants (Imipramine/Desipramine)
Phenothiazines (Thorazine, Chlorpromazine)
Quinine
Chloroquine
Methyl salicylate
Theophylline
![Page 30: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/30.jpg)
Poisoning/ Prevention Never ever transfer potentially harmful substances into
familiar containers!!!!
Keep cleaning supplies up high
Lock cabinets
Medications in childproof containers
![Page 31: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/31.jpg)
Poisoning-What to Do Remove toxin/ medicine from child.
If exposure to eyes or skin immediately flush with copious amounts of water.
Call poison control.
Do not induce vomiting or give anything to drink unless advised by a professional.
If seeking medical attention, bring the poison’s container, even if empty.
![Page 32: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/32.jpg)
Child Items to Please Take Back Baby Walkers
Each year there are over 21,000 ER treated injuries associated with baby walkers for children under 15 months of age.
Baby Bath Seats Gives you a sense that your baby is secure in the tub
Suction cups may pop up causing tip over
Plug in Outlet Covers Choking hazards
Sleep positioners
![Page 33: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/33.jpg)
Child Items to Please Take Back Seat Belt Positioners
Interfere with proper fit
If too short for a regular
seatbelt then need to be
in booster seat with built in
belt positioner
No safety standards for
these add on items
![Page 34: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/34.jpg)
Trampolines/ Hover boards
![Page 35: Faiqa Qureshi MD - APPNA · Unintentional Childhood Injury Mortality ... clean dry dressing and seek medical care. Fire Smoke and Carbon Monoxide Detectors Ladders for 2nd floor Fire](https://reader034.vdocument.in/reader034/viewer/2022042102/5e7eba46a16ed76917041ad5/html5/thumbnails/35.jpg)
Conclusions Unintentional childhood injuries are the leading cause
of childhood morbidity and mortality
Child proofing the home and playground will prevent a vast majority of these injuries
Every parent/grandparent should know simple first aid maneuvers to treat any injuries until help arrives