Accidental trauma in children ED of Childrens Hospital Shanghai Fudan university 2005
Accidental Trauma in Children ED of Children’s Hospital, Shanghai Fudan university 2005
Overview 1. Definition of Accidental Trauma Accident, Unexpected, Injuries Physically and/or Psychologically Causes: physical, chemical, and biological factors 2. Main cause of mutilation and death in children globally
Overview 1. Definition of Accidental Trauma： Accident, Unexpected, Injuries Physically and/or Psychologically 1. Causes: physical, chemical, and biological factors 2. Main cause of mutilation and death in children globally
Overview Epidemic features 1. high incidence in younger children, especially in 1-5 year-old Accidental Trauma becomes one of the main problems that affect the health, life and quality of life in childhood population One of the important topics of the pediatrics Most accidental trauma could be avoided if good care and management are followed
Overview Epidemic features： 1. high incidence in younger children，especially in 1~5 year-old • Accidental Trauma becomes one of the main problems that affect the health, life and quality of life in childhood population • One of the important topics of the pediatrics • Most accidental trauma could be avoided if good care and management are followed
Cause of accident 1. Common Causes Traffic accident, Near-drowning, Falling Fire disaster, Intoxication, Asphyxia 1. Other Causes Ruise, Crash, Falling, Cutting, Stab Scratch or bite, Overactivity, Electric burn Suicide/homicide, Abuse( family violence)
Cause of Accident 1. Common Causes : Traffic accident, Near-drowning, Falling, Fire disaster, Intoxication, Asphyxia 1. Other Causes ： Ruise, Crash, Falling, Cutting, Stab, Scratch or bite、Overactivity, Electric burn Suicide/homicide、Abuse(family violence)
1990s report of fatality rate ofaT F atality Rate 30 口<1year-old year-old 20 10 0 City Countryside J. Chinese Pediatr 1995, 33(7)
1990s report of fatality rate of AT Fatality Rate ％ 0 10 20 30 40 City Countryside ％ <1 year-old 1~3 year-old J. Chinese Pediatr 1995, 33(7)
Risk factors 1. Social. economic. cultural 2. Age, Gender, race 3. Special physical and psychological problems
Risk factors 1. Social, economic, cultural 2. Age, Gender, Race 3. Special physical and psychological problems
Risk factors 、 General factors: 1. Ages Crash: younger children Near-drowning: 15 year-old Traffic accident: 5-15 year-old 2. Gender 3. Race 4. Mental profile
Risk factors 一 、General factors ： 1. Ages： Crash ：younger children Near-drowning ：15 year-old Traffic accident ：5－15 year-old 2. Gender: 3. Race 4. Mental profile
Risk factors 二、 Family factors 1. Family care: Parental problems Single parent Education of parents and kids Security activities for kids
Risk factors 二、Family factors： 1. Family care: • Parental problems • Single parent • Education of parents and kids • Security activities for kids
Risk factors 三: Social factors: 1. Public traffic laws Public promotions and information: More in treatment and less in prevention Public secure facilities Development state of the local area Customs and habits of the people
Risk factors 三：Social factors： 1. Public traffic laws • Public promotions and information: More in treatment and less in prevention • Public secure facilities • Development state of the local area • Customs and habits of the people
epidemiology 1. International: 1989-9 first academic conference 2. Developing country: first cause of mortality in children in last century 3. WHO(1990): main cause of handicap in children
Epidemiology 1. International: 1989-9 first academic conference 2. Developing country: first cause of mortality in children in last century 3. WHO(1990): main cause of handicap in children