Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.102
Eva M. Urrechaga, C. Thorson, Justin Stoler, A. Cioci, M. K. Allen, Alexa G. Turpin, E. Perez, J. Sola
Purpose: Motor vehicle collisions (MVC) are a leading cause of devastating injury and unintentional death in children and adolescents. The American Academy of Pediatrics (AAP) recommends (1) rear-facing car seat until age 2 yrs, (2) forward facing car seat with harness until ∼65 lbs, (3) booster until age [∼8-12 yrs] and height [4’9”] appropriate, (4) children < 13 yrs should be back-seat occupant, and (5) lap belt for all others. Improved outcomes from correct use of restraints is well-known, yet inappropriate adherence to pediatric restraint recommendations hinders their success. This …
{"title":"Geo-Demographic Profiling of Inappropriate Restraint Use in Pediatric Motor Vehicle Collisions","authors":"Eva M. Urrechaga, C. Thorson, Justin Stoler, A. Cioci, M. K. Allen, Alexa G. Turpin, E. Perez, J. Sola","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.102","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.102","url":null,"abstract":"Purpose: Motor vehicle collisions (MVC) are a leading cause of devastating injury and unintentional death in children and adolescents. The American Academy of Pediatrics (AAP) recommends (1) rear-facing car seat until age 2 yrs, (2) forward facing car seat with harness until ∼65 lbs, (3) booster until age [∼8-12 yrs] and height [4’9”] appropriate, (4) children < 13 yrs should be back-seat occupant, and (5) lap belt for all others. Improved outcomes from correct use of restraints is well-known, yet inappropriate adherence to pediatric restraint recommendations hinders their success. This …","PeriodicalId":146273,"journal":{"name":"Council on Injury, Violence, and Poison Prevention Program","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122671040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.98
C. Wymore, C. Jennissen, N. Stange, K. Wetjen, M. Hooyer, L. Mulford, P. Hoogerwerf
{"title":"Firearm Exposure and Safety Training of Rural Youth","authors":"C. Wymore, C. Jennissen, N. Stange, K. Wetjen, M. Hooyer, L. Mulford, P. Hoogerwerf","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.98","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.98","url":null,"abstract":"","PeriodicalId":146273,"journal":{"name":"Council on Injury, Violence, and Poison Prevention Program","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126183186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.105
Jessica E McDade, Hannah C. Deming, M. Paulsen, Samara Jinks-Chang, E. Bulger, M. Vavilala, A. Rowhani-Rahbar, F. Rivara
BACKGROUND: The leading cause of preventable death after injury is uncontrolled bleeding Stop the Bleed(STB) is a national rst-response training campaign shown to effectively train civilians in the basic skills ofexternal bleeding control To improve trauma mortality and reduce bystander response disparities,widespread training of high school students has been proposed, and many states have passed legislation toinclude basic life support training in schools Prior to implementation of STB training, it is important tounderstand parental attitudes regarding training of high school students Here we report an evaluation ofparent attitudes towards implementing STB training from three high schools in Seattle, Washington METHODS: We distributed an electronic survey to a random sample of 759 parents of students from threeurban high schools (one private, two public) in the Seattle area We asked participants about their awarenessof STB, the acceptability of training high school students in STB, and reasons why parents would or would notwant their children involved Fisher's exact test was used to assess for differences in responses between parents who did or did not report experiencing trauma RESULTS: We received 120 total responses (responserate 16%) Most parents were between the ages of 40-59 years (88%) and 44% of parents were parents ofchildren from a public school The majority of parents (86%) were not aware of STB prior to the survey and47% reported they themselves were interested in becoming trained in STB after completing our survey Most(93%) parents reported they would want their child trained in STB, and 88% of parents felt their child wouldlikely need to use this training one day Of parents who responded to the statement “A trauma or seriousinjury has impacted my family,” 42% agreed, and there were no signicant differences between parents'trauma experience and preferences regarding training (Table 1) Nearly all parents (93%) disagreed with thestatement, “I don't think high school students should have to try to save someone's life ” CONCLUSION: Amongthis sample of Seattle area high school parents, awareness of STB training was low but the majority afterlearning about it indicated wanting their child trained in STB Few parents were worried about potentialadverse effects of the training and most believed that their child would need to use it sometime in their lives Past experience of trauma or injury was not associated with differences in responses Little is known abouthigh school parent attitudes towards STB, and these ndings suggest parents are generally supportive ofimplementing STB training programs for high school students These results were limited by low response,partly due to data collection coinciding with the COVID-19 pandemic, which impacts the generalizability of our results
{"title":"Parent Attitudes Towards Stop the Bleed Training for High School Students","authors":"Jessica E McDade, Hannah C. Deming, M. Paulsen, Samara Jinks-Chang, E. Bulger, M. Vavilala, A. Rowhani-Rahbar, F. Rivara","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.105","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.105","url":null,"abstract":"BACKGROUND: The leading cause of preventable death after injury is uncontrolled bleeding Stop the Bleed(STB) is a national rst-response training campaign shown to effectively train civilians in the basic skills ofexternal bleeding control To improve trauma mortality and reduce bystander response disparities,widespread training of high school students has been proposed, and many states have passed legislation toinclude basic life support training in schools Prior to implementation of STB training, it is important tounderstand parental attitudes regarding training of high school students Here we report an evaluation ofparent attitudes towards implementing STB training from three high schools in Seattle, Washington METHODS: We distributed an electronic survey to a random sample of 759 parents of students from threeurban high schools (one private, two public) in the Seattle area We asked participants about their awarenessof STB, the acceptability of training high school students in STB, and reasons why parents would or would notwant their children involved Fisher's exact test was used to assess for differences in responses between parents who did or did not report experiencing trauma RESULTS: We received 120 total responses (responserate 16%) Most parents were between the ages of 40-59 years (88%) and 44% of parents were parents ofchildren from a public school The majority of parents (86%) were not aware of STB prior to the survey and47% reported they themselves were interested in becoming trained in STB after completing our survey Most(93%) parents reported they would want their child trained in STB, and 88% of parents felt their child wouldlikely need to use this training one day Of parents who responded to the statement “A trauma or seriousinjury has impacted my family,” 42% agreed, and there were no signicant differences between parents'trauma experience and preferences regarding training (Table 1) Nearly all parents (93%) disagreed with thestatement, “I don't think high school students should have to try to save someone's life ” CONCLUSION: Amongthis sample of Seattle area high school parents, awareness of STB training was low but the majority afterlearning about it indicated wanting their child trained in STB Few parents were worried about potentialadverse effects of the training and most believed that their child would need to use it sometime in their lives Past experience of trauma or injury was not associated with differences in responses Little is known abouthigh school parent attitudes towards STB, and these ndings suggest parents are generally supportive ofimplementing STB training programs for high school students These results were limited by low response,partly due to data collection coinciding with the COVID-19 pandemic, which impacts the generalizability of our results","PeriodicalId":146273,"journal":{"name":"Council on Injury, Violence, and Poison Prevention Program","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123096425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.111
Hannah C. Deming, F. Rivara, Jessica E McDade, Samara Jinks-Chang, M. Paulsen, David Hollingsworth, Yonghua Huang, Cam Che, E. Bulger
{"title":"Stop the Bleed Training Increases High School Students’ Willingness, Comfort, and Knowledge to Address A Bleeding Injury.","authors":"Hannah C. Deming, F. Rivara, Jessica E McDade, Samara Jinks-Chang, M. Paulsen, David Hollingsworth, Yonghua Huang, Cam Che, E. Bulger","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.111","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.111","url":null,"abstract":"","PeriodicalId":146273,"journal":{"name":"Council on Injury, Violence, and Poison Prevention Program","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134287640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.103
H. Liou, Max Kapustin, Monica Bhatt M.P.P., C. Boyd, Christine Cahaney, Jasmine Thomas
Introduction: Firearms are the second leading cause of death for those under age 19 in the United States Themajority of unintentional gun-related deaths occur in the home while parents/guardians are absent, and over1 in 3 children in America live in a household with a gun Previous research has demonstrated that rearm-related injuries and fatalities are more prevalent for children who live in homes with guns, as well as in stateswith higher rates of gun ownership The COVID-19 pandemic has caused unprecedented change in Americansociety, including closures of over 124,000 schools, affecting over 55 million students across all 50 states Wesought to analyze the impact of pandemic-related public health measures implemented since March 2020 -including school shutdowns and “Stay at Home” orders - on pediatric rearm-related injuries and fatalities We also investigated if ndings were modulated by state-level differences in legislation around Safe Storage(SS) of rearms Methods: Firearm-related injury and fatality data for victims aged 0-17 years from January 1,2019 to April 26, 2020 was obtained from the Gun Violence Archive Information about state adoption of SS laws was obtained from the Giffords Law Center Difference-in-differences estimates were calculated in Statausing ordinary least squares with heteroskedasticity robust standard errors Results: Preliminary resultsdemonstrate several changes in pediatric rearm-related injuries and fatalities in the United States sinceMarch 2020 Daily pediatric rearm-related injuries and fatalities appear largely unchanged on weekdays(Monday through Friday) in 2020 relative to 2019 However, daily pediatric rearm-related injuries andfatalities appear to have decreased by 9 27 (p = 0 005) on weekends (Saturday and Sunday) in 2020 comparedto 2019 This decrease in weekend pediatric rearm-related injuries and fatalities appears to be larger instates without Safe Storage laws Conclusions: These preliminary results suggest that public health measuresadopted in response to COVID-19 are associated with a decrease in pediatric rearm-related injuries andfatalities on weekends This pattern may be consistent with the likely increased presence of parents/guardiansin the home on weekends when compared with the pre-pandemic era, potentially limiting minors' access torearms Firearm-related violence may be stable during the pandemic on weekdays because youth are undersimilar levels of supervision whether in school prior to the pandemic or at home with a parent/guardianduring the pandemic Further investigation is needed to expand upon these results, delineate potential sub-group differences between various types of rearm-related injuries and fatalities (unintentional injuries,homicides, mass/school shootings, or suicides), and follow these trends while pandemic-related policiesremain in place Our ndings may help inform physician counseling strategies for injury prevention andsuggest future directions for advocacy and research
{"title":"Impact of the COVID-19 Pandemic on Pediatric Firearm-Related Injuries in the USA","authors":"H. Liou, Max Kapustin, Monica Bhatt M.P.P., C. Boyd, Christine Cahaney, Jasmine Thomas","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.103","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.103","url":null,"abstract":"Introduction: Firearms are the second leading cause of death for those under age 19 in the United States Themajority of unintentional gun-related deaths occur in the home while parents/guardians are absent, and over1 in 3 children in America live in a household with a gun Previous research has demonstrated that rearm-related injuries and fatalities are more prevalent for children who live in homes with guns, as well as in stateswith higher rates of gun ownership The COVID-19 pandemic has caused unprecedented change in Americansociety, including closures of over 124,000 schools, affecting over 55 million students across all 50 states Wesought to analyze the impact of pandemic-related public health measures implemented since March 2020 -including school shutdowns and “Stay at Home” orders - on pediatric rearm-related injuries and fatalities We also investigated if ndings were modulated by state-level differences in legislation around Safe Storage(SS) of rearms Methods: Firearm-related injury and fatality data for victims aged 0-17 years from January 1,2019 to April 26, 2020 was obtained from the Gun Violence Archive Information about state adoption of SS laws was obtained from the Giffords Law Center Difference-in-differences estimates were calculated in Statausing ordinary least squares with heteroskedasticity robust standard errors Results: Preliminary resultsdemonstrate several changes in pediatric rearm-related injuries and fatalities in the United States sinceMarch 2020 Daily pediatric rearm-related injuries and fatalities appear largely unchanged on weekdays(Monday through Friday) in 2020 relative to 2019 However, daily pediatric rearm-related injuries andfatalities appear to have decreased by 9 27 (p = 0 005) on weekends (Saturday and Sunday) in 2020 comparedto 2019 This decrease in weekend pediatric rearm-related injuries and fatalities appears to be larger instates without Safe Storage laws Conclusions: These preliminary results suggest that public health measuresadopted in response to COVID-19 are associated with a decrease in pediatric rearm-related injuries andfatalities on weekends This pattern may be consistent with the likely increased presence of parents/guardiansin the home on weekends when compared with the pre-pandemic era, potentially limiting minors' access torearms Firearm-related violence may be stable during the pandemic on weekdays because youth are undersimilar levels of supervision whether in school prior to the pandemic or at home with a parent/guardianduring the pandemic Further investigation is needed to expand upon these results, delineate potential sub-group differences between various types of rearm-related injuries and fatalities (unintentional injuries,homicides, mass/school shootings, or suicides), and follow these trends while pandemic-related policiesremain in place Our ndings may help inform physician counseling strategies for injury prevention andsuggest future directions for advocacy and research","PeriodicalId":146273,"journal":{"name":"Council on Injury, Violence, and Poison Prevention Program","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122115383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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