There are also two types of injury Unintentional: resulting from an accident Intentional: resulting from assault, abuse, or suicide Injuries are caused by two different mechanisms. Exposure to energy: either through a direct energy source, like heat or electricity, or through the energy created by a crash or a fall Absence of essentials for life: such as heat or oxygen, as in the case of drowning In the US, unintentional injury is the number one cause of death among children ages 14 and under. More children die from unintentional injury than from cancer, heart disease, and birth defects. 1 out of every 5 US children will need medical attention for an unintentional injury this year. Their bodies are smaller and more fragile Their state of cognitive development Their motor coordination and reflexes Their limited life experience Males, who are injured more often than females Native American, who generally have the highest death rates from unintentional injury (Asian-Americans have the lowest) Children from economically disadvantaged families Falls, Bumps, and Bruises Airway obstruction injury (suffocation, strangulation and choking) Fires and burns Drowning, including near-drowning Poisoning Unintentional firearm injuries Sports and recreation-related injury Cause: Unstable posture of the toddler, presence of objects on floor, lack of supervision, curiosity of the children, etc. Prevention: Keep floors free of toys and obstructions. Exercise close supervision when toddler learns to walk. Never leave babies unattended on raised surfaces. Check constantly floor surface for wear and tear. Keep floor dry. Always ensure bed-rail of the baby cot is raised when the baby is in the cot. Always use a securely fitted safety harness in a pram, pushchair or highchair. Windows and doors must be locked to avoid misadventure by children. Avoid placing “step-stones” such as a chair next to a window. Take extra care to avoid side-turning of a baby chair. Cause: Accidental swallowing of foreign body, strangulation, covering of head by blankets, accidental suffocation by pillow while baby sleeps in a prone position, near-drowning etc. Prevention: Choose toys appropriate to the age of children. Avoid toys with detachable small parts. Ensure small objects are kept out of reach of children. Pull cords on curtains and blinds should be kept short and out of reach of children. Strings and plastic bags should be kept out of reach of children. Foldable furniture should be properly placed and locked. Instruct children not to play with them. Instruct children not to play while eating. Never let children use milk bottle by themselves without adult’s supervision. Never use pillow for baby under one year of age. Do not use large and heavy blanket. Never let the blanket cover the face of children during sleep. Avoid sleeping with baby on the same bed. Lay your baby on his or her back for every sleep. SIZE of toy and pieces Larger than the child’s two fists No SHARP edges or points Broken toys should be fixed or thrown away NON-TOXIC materials Avoid all painted toys for babies & toddlers DURABLE, WASHABLE and CLEAN Toy’s that won’t break easily Toys that can be cleaned easily Newborn to l-year-old baby Choose brightly-colored, lightweight toys that appeal to your baby's sight, hearing and touch. 1- to 2-year-old toddler Toys for this age group should be safe and be able to withstand a toddler's curious nature. 2- to 5-year-old preschooler Toys for this age group can be creative or imitate the activity of parents and older children. Cause: Scald by hot water, burn by fire, touch on hot objects such as cooking utensils, etc. Prevention: For adults, never hold a hot drink/food and a child at the same time. Ensure milk, congee or other foodstuff is at a reasonable temperature before feeding. Ensure proper fence or door is installed at the entrance of kitchen. Instruct children not to go into kitchen. While cooking, pay extra attention to the stove fire and the cooking utensil. Turn the pan handle away from the front, and close to the wall. When running a bath for a child, always test water temperature beforehand. All hot objects including an iron or containers with hot matter must not be placed near the margin of a table. Avoid using tablecloth. Matches and lighters should be placed out of reach of children. Instruct children not to wander around when adults are preparing for a meal. Install proper cover to sockets. Warn children never play with fire. Cause: water: in the bathroom, kitchen, swimming pools, or hot tubs Prevention: supervise young children near water, including pools, spas, toilets, bathtubs and buckets. wear personal floatation devices when out on boats, near open bodies of water. Never leave children alone near water Tell children never to run, push, or jump on others around water Inflatable inner tubes and “water wings” are not safety devices Children in baby bath seats and rings must be within arm’s reach every second Make sure children swim within designated swimming areas of rivers, lakes, and oceans Cause: Food poisoning, accidental swallowing of drugs, detergents, insecticides, etc. Prevention: Keep medicines and chemicals out of sight and reach of children, preferably in an isolated, locked cabinet. Always store chemicals in their original containers with appropriate labels. Never tell children drugs are “sweets” as this may give a wrong idea to children. Ensure toys and dining utensils bought meet the international standard, e.g. coloring materials being non-toxic. Injuries are NOT random. They occur in predictable patterns, many of which are based on the child’s age, sex, the time of day, and season of year. Summer is the most dangerous time of year for kids. Children will be rushed to emergency rooms nearly 3 million times this summer. Don’t let your child be one of them! “Trauma Season” = May to Aug The Solution A Comprehensive Approach to Injury Prevention • Education—We increase knowledge and change behavior with consumer communications, media campaigns, retail promotions and community-based activities. • Empowerment—We empower parents and communities to take responsibility for their children’s safety by fueling a national grassroots network. • Environment—We increase the quality of children’s lives by enhancing design, development and distribution of safety products, and by improving the environment where children live and play. • Enactment—We work to pass, strengthen and enforce laws, and encourage the development of voluntary safety standards and guidelines to protect children. • Evaluation—We determine the most effective behavior-changing strategies and programs through research, data collection and surveillance. How can I keep my kids safe at home?
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