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Best Practices for Unintentional Injury Prevention Richard Raymond, M.D., Director Regulation and Licensure Jacquelyn D.
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Best Practices For Unintentional Injury Prevention
Nebraska Injury Prevention Program
Best Practices for Unintentional Injury Prevention
Richard Raymond, M.D., Director Regulation and Licensure Jacquelyn D. Miller, D.D.S., Deputy Director Health Services Dan Cillessen, Administrator Office of Disease Prevention and Health Promotion Peg Prusa-Ogea, Project Coordinator Injury Prevention Program
June 2005
Table of Contents Acknowledgements……………………………………………………………… Introduction………………………………………………………………………
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Falls The Problem …………………………………………………………………….. Children………………………………………………………………………. Ways to Prevent Falls In Children……………………………………………….. Best Practices in Fall Prevention for Children ………………………………….. The Problem Older Adults ………………………………………………...……………….. Ways to Prevent Falls In Older Adults…………………………………………... Best Practices in Fall Prevention for Older Adults……………………………… References……………………………………………………………………….. Resources………………………………………………………………………...
4 4 4 5 6 6 7 7 10
Fire and Burns The Problem……………………………………………………………………... Ways to Prevent Fires and Burns………………………………………………... Best Practices in Fire and Burn Prevention……………………………………... References……………………………………………………………………….. Resources………………………………………………………………………...
11 11 12 12 13
Motor Vehicle Related Injuries The Problem General Population………………………………………………………….... Younger Drivers…………………………………………………………….... Older Drivers…………………………………………………………………. Alcohol Related Crashes……………………………………………………... Occupant Restraint Use………………………………………………………. Ways to Prevent Motor Vehicle Related Injuries……………………..…………. Best Practices in Motor Vehicle Related Injury Prevention………..………….… References………………………………………………………………………... Resources…………………………………………………………………………
14 14 14 15 15 16 16 17 18
Poisoning The Problem……………………………………………………………………... Ways to Prevent Poisoning………………………………………………………. Best Practices in Poison Prevention……………………………………………... References………………………………………………………………………... Resources…………………………………………………………………………
20 20 21 22 23
Traumatic Brain Injuries The Problem……………………………………………………………………... Ways to Prevent Traumatic Brain Injuries………………………………………. Best Practices in Traumatic Brain Injury Prevention…………………………... References………………………………………………………………………... Resources…………………………………………………………………………
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25 25 26 27 27
Acknowledgements Sincere appreciation is extended to the primary writer/researcher for this project --Vicki Wurdeman, Graduate Student in Health Education, University of Nebraska-Omaha. Supervision was provided by David Corbin, Ph.D., Professor, Health Education and Public Health, University of Nebraska-Omaha. Appreciation is also extended to the following reviewers: Jeanne Bietz, Safe Kids Nebraska; Ming Qu, Office of Epidemiology, Nebraska Health and Human Services; Nancy Hall, Joyce Glaesemann, PT, Heather Mehlhoff, PT, and Pinky Mohapatra, OT, Madonna Rehabilitation Hospital; Joan McVoy, RN, CSPI, and Kathy Jacobitz, RN, CSPI, Nebraska Regional Poison Center; and Cathy Chochon, Nebraska Office of Highway Safety.
For More Information: For more information about this guide, or for questions or comments, please contact: Injury Prevention Program Nebraska Health and Human Services 301 Centennial Mall South P.O. Box 95044 Lincoln, NE 68509 Phone: (402) 471-2101 This publication was supported by Grant #U17/CCU719359 from the National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.
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Introduction Injury is a serious public health problem because of its impact on the health of people in Nebraska, including premature death, disability, and the burden on our health care system. Injuries are one of the leading causes of death for Nebraskans of all ages, regardless of gender, race or economic status (Table 1). Table 1. 10 Leading Causes of Death, Nebraska 2002, All Races, Both Sexes
Age Groups Rank
1