Table of Contents
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Abstract
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Case Presentations
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Critical Appraisal Of The Literature
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Epidemiology, Etiology, And Injury Prevention Theory
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Prehospital Care
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Attitudes And Practices
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Risk Assessment
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Data Collection
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Safety Device Provision
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Child Passenger Safety During Transport
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Emergency Department Evaluation And Intervention
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Patient And Provider Attitudes - Who Asked For This?
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Injury Surveillance - The Central Role Of The Emergency Provider
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Risk Factor Identification And Modification - Part Of Everyday Practice
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Alcohol-Related Injury
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Intimate Partner Violence (IPV)
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High-Risk Behaviors
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Education - Exam Room As Classroom
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Providing Safety Devices - Do Giveaways Work?
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Bicycle Helmets
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Booster Seats
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Home Safety Devices
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Free Or Not?
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Summary
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Key Points
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Case Conclusion
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Tables
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Evidence Based Best Practices In Childhood Injury Prevention
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Leading Causes Of Injury Death For Children
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Haddon Matrix With Contributing Factors To Child Passenger Injury
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Haddon Matrix With Some Contributing Factors To Child Injury
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The Four Es Of Injury Prevention
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References
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Special Circumstances-Occupational Injury Prevention
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Abstract
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Epidemiology
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Violence
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Needlestick Injuries
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Ambulance Crashes
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Other Causes
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References
Abstract
Is injury prevention the responsibility of the emergency physician? To the emergency medicine establishment, the answer is clear. In policy statements, editorials, and reviews, emergency health care providers have repeatedly been called to join the injury prevention effort.1-11 But medicine abounds with recommended practices that individual physicians do not follow because of disagreement, uncertainty, or perceived impracticality. For the practicing emergency physician, taking time to acquire new knowledge, to form new habits, and to use them in the busy acute care setting requires much more than a call to action. It requires confidence that the effort is worth it as well as the tools to do the job.
In 1998, the American College of Emergency Physicians (ACEP) wrote in a policy statement that "emergency physicians are ideally situated and have the responsibility to affect the health of the public by educating them on injury prevention issues," and that "emergency physicians should incorporate injury control into their practices" in both clinical and educational settings.12 The Emergency Medical Services for Children (EMSC) program, a broad federal effort aimed at improving the emergency care of children nationwide, has also emphasized injury prevention as vital to every step in the EMSC continuum.13 The latest Institute of Medicine (IOM) report on emergency care in the United States has further underscored the importance of this approach.14 These high-level statements, among others, voice a sentiment that has been growing in emergency medicine for years: emergency physicians are uniquely positioned and qualified to play a prominent role in injury prevention. This sentiment arose from the recognition that expert trauma care alone cannot slow the injury epidemic that kills more children and young adults in the United States than any other cause. Emergency physicians, "standing at the interface between prevention and treatment" with a specialist's knowledge of injury, are poised to make a contribution to injury prevention no one else can make.
In recent years, the sentiment has grown far beyond policy statements and recommendations. At an institutional level, the effort to incorporate injury prevention into emergency medicine has affected residency curricula, departmental policies, and research initiatives around the country. Numerous emergency departments have become active in interventions and data collection for surveillance and program evaluation. But despite these developments, at an individual level, the call to join the injury prevention movement still causes ambivalence, or even surprise, in many emergency physicians.
The conclusion that emergency physicians are ideally situated to practice injury prevention is not intuitive to everyone. Even when shown the logic, skeptical providers still doubt that preventive activities belong in the acute care setting. Their sense of purpose or mission might not extend beyond the treatment of acute health problems. Others agree with the injury prevention effort in emergency medicine and want to participate but see no practical way to do it. Hectic, overcrowded emergency departments can seem an unlikely place to effectively educate patients and families, and busy work schedules make provider involvement in efforts outside the clinical setting difficult. And even when these hurdles are overcome, an essential question remains: which injury prevention strategies work? Both skeptics and believers need to know what evidence supports the assertion that injury prevention is the responsibility of the emergency physician - the skeptics so they might better understand the call to participate and the believers so their work might be more effective.
Case Presentations
A five-year-old boy arrives in the ED by ambulance from the scene of a motor vehicle crash. He was a back-seat passenger wearing a lap belt in a car that struck another car head-on. Both cars were traveling approximately 50 miles per hour. His seven-year-old brother, also wearing a lap belt, was pronounced dead at the scene. His parents, who were belted in the front seat, suffered minor injuries and are being treated at another ED nearby.
The boy arrives tachycardic and in mild respiratory distress, with diminished breath sounds on the left, a linear ecchymotic area across the upper abdomen, and midline tenderness over the lumbar spine. Laboratory evaluation reveals a hemoglobin of 6.8 g/dL and hematuria on urinalysis. His chest x-ray is consistent with traumatic diaphragmatic hernia with the stomach bubble visible in the left chest, mediastinal shift to the right, and a pneumothorax on the left. Lumbar and thoracic spine radiographs show compression fractures of the first and second lumbar vertebrae.
"All the hallmarks of â seat belt syndrome," the trauma surgeon points out to you. "We've got to teach parents that it's not enough just to buckle their kids up," he says, frustrated, as he heads to the operating room to explore and repair the boy's internal injuries. You wonder what to say to the boy's parents. Did they know that a booster seat might have prevented these injuries and might have saved their other son's life? Maybe they think this was just an unlucky accident - awful, but unavoidable. Is this the right time to counsel them? Whose job is it to teach or ask families about safety? When is there time for injury revention when the waiting room is full? And even if there was time, what works? Discouraged, you pick up another chart and read about your next patient: a two-year-old girl with a facial scald from coffee left on the edge of a kitchen counter…
Critical Appraisal Of The Literature
Taken as a whole, the literature on injury prevention practices from multiple settings is robust, with a number of well-studied safety devices and strategies included in evidence-based best practices (Table 1).15 The subset of the literature addressing injury prevention in the emergency department has grown rapidly in recent years, but remains limited in important aspects. Descriptive epidemiology and risk factor identification have been studied longest and best, with numerous observational and crosssectional studies focused on defining the injury problem and those at risk. These studies provide a foundation of injury data from populations in a variety of settings and describe the role of injury surveillance based in the emergency department.16 Fewer studies have evaluated interventions; of those, the quality is variable. Due to the difficulty in measuring the ultimate outcome of interest - change in injury rate or severity - investigators have relied on more proximate outcomes to judge an intervention's value. Many have used pre- and post-tests around education or follow-up surveys after distribution of safety devices. They have explored the acceptability of an intervention to families and providers or have measured the attitudes, knowledge, and self-reported changes in behavior believed to influence injury risk. Some have measured self-reported injury occurrence. Self-reporting is vulnerable to social acceptability and acquiescence biases, and its validity for injury prevention behaviors is variable.17-20 As with all studies, the accuracy of conclusions depends on the study design and the causal claims of the investigators, which need to be examined carefully. The association of the measured outcome with the ultimate outcome in question (injury rate, injury severity, mortality from injury, costs of injury) should be well-established.
Tables
References
Evidence-based medicine requires a critical appraisal of the literature based upon study methodology and number of subjects. Not all references are equally robust. The findings of a large, prospective, randomized, and blinded trial should carry more weight than a case report.
To help the reader judge the strength of each reference, pertinent information about the study, such as the type of study and the number of patients in the study, will be included in bold type following the reference, where available.
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Bernstein E, Roth PB, Yeh C, et al. The emergency physician's role in injury prevention. Pediatr Emerg Care 1988;4(3):207-211. (Review)
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Anderson RJ, Taliaferro EH. Injury prevention and control. J Emerg Med 1998;16(3):489-498. (Review)
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Baraff LJ. Injury prevention: can we meet the challenge? Ann Emerg Med 1991;20(9):1045-1046. (Editorial)
-
Garrison HG, Runyan CW, Dunn KA. Injury prevention and control. An evolving role for emergency physicians and other specialists. N C Med J 1997;58(4):279-283. (Review)
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Hargarten SW, Karlson T. Injury control. A crucial aspect of emergency medicine. Emerg Med Clin North Am 1993;11(1):255-262. (Review)
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Hedges JR. Emergency medicine & injury control. Ann Emerg Med 1992;21(2):167-168. (Editorial)
-
Kellermann AL. Injury control: an idea whose time has come. Ann Emerg Med 1994;24(5):963-964. (Editorial)
-
Martinez R. Injury management and the emergency physician. Ann Emerg Med 1990;19(1):97. (Editorial)
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Waxweiler RJ. Public health, injury control, and emergency medicine. Acad Emerg Med 1994;1(3):204. (Comment)
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Gittelman MA, Durbin DR. Injury prevention: is the pediatric emergency department the appropriate place? Pediatr Emerg Care 2005;21(7):460-467. (Review)
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Mace SE, Gerardi MJ, Dietrich AM, et al. Injury prevention and control in children. Ann Emerg Med 2001;38(4):405-414. (Review)
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American College of Emergency Physicians: Role of emergency physicians in the prevention of pediatric injury. Ann Emerg Med 1997;30(1):125. (Policy statement)
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Durch JS, Lohr KN, eds. Emergency Medical Services for Children. Washington, D.C.: National Academy Press; 1993. (Report)
-
Institute of Medicine. IOM report: the future of emergency care in the United States health system. Acad Emerg Med 2006;13(10):1081- 1085. (Report)
-
Harborview Injury Prevention and Research Center. Best Practices Web site. Available at: http://depts.washington.edu/hiprc/practices. Accessed May 16, 2007.
-
Stone DH, Morrison A, Ohn TT. Developing injury surveillance in accident and emergency departments. Arch Dis Child 1998;78(2):108- 110. (Review)
-
Chen LH, Gielen AC, McDonald EM. Validity of self reported home safety practices. Inj Prev 2003;9(1):73-75. (Prospective, Randomized, Controlled; 136 families)
-
Hatfield PM, Staresinic AG, Sorkness CA, et al. Validating self reported home safety practices in a culturally diverse non-inner city population. Inj Prev 2006;12(1):52-57. (Prospective, Randomized; 259 families)
-
Robertson AS, Rivara FP, Ebel BE, et al. Validation of parent self reported home safety practices. Inj Prev 2005;11(4):209-212. (Crosssectional within Prospective, Randomized, Controlled; 64 households)
-
Watson M, Kendrick D, Coupland C. Validation of a home safety questionnaire used in a randomised controlled trial. Inj Prev 2003;9(2):180-183. (Cross-sectional within Prosepctive, Randomized, Controlled; 64 households)
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Thompson DC, Rivara FP, Thompson RS. Effectiveness of bicycle safety helmets in preventing head injuries. A case-control study. Jama 1996;276(24):1968-1973. (Prospective, Case-control; 3390 bicyclists)
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DiGuiseppi CG, Rivara FP, Koepsell TD, et al. Bicycle helmet use by children. Evaluation of a community-wide helmet campaign. Jama 1989;262(16):2256-2261. (Prospective, Ecological mixed; 9827 child bicyclists)
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Rivara FP, Thompson DC, Thompson RS, et al. The Seattle children's bicycle helmet campaign: changes in helmet use and head injury admissions. Pediatrics 1994;93(4):567-569. (Ecological time; unreported population size)
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Monti PM, Colby SM, Barnett NP, et al. Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department. J Consult Clin Psychol 1999;67(6):989-994. (Prospective, Randomized, Controlled; 94 adolescents)
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Johnston BD, Rivara FP, Droesch RM, et al. Behavior change counseling in the emergency department to reduce injury risk: a randomized, controlled trial. Pediatrics 2002;110(2 Pt 1):267-274. (Prospective, Randomized, Controlled; 631 adolescents)
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Wutzke SE, Conigrave KM, Saunders JB, et al. The long-term effectiveness of brief interventions for unsafe alcohol consumption: a 10- year follow-up. Addiction 2002;97(6):665-675. (Prospective, Randomized, Controlled; 554 adult drinkers)
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Spirito A, Monti PM, Barnett NP, et al. A randomized clinical trial of a brief motivational intervention for alcohol-positive adolescents treated in an emergency department. J Pediatr 2004;145(3):396-402. (Prospective, Randomized, Controlled; 152 adolescents)
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Mello MJ, Nirenberg TD, Longabaugh R, et al. Emergency department brief motivational interventions for alcohol with motor vehicle crash patients. Ann Emerg Med 2005;45(6):620-625. (Prospective, Randomized, Controlled; 539 adult drinkers)
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Sommers MS, Dyehouse JM, Howe SR, et al. Effectiveness of brief interventions after alcohol-related vehicular injury: A randomized controlled trial. J Trauma 2006;61(3):523-531; discussion 532-523. (Prospective, Randomized, Controlled; 187 adult drinkers)
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Cushman R, Down J, MacMillan N, et al. Helmet promotion in the emergency room following a bicycle injury: a randomized trial. Pediatrics 1991;88(1):43-47. (Prospective, Randomized, Controlled; 334 children)
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Bishai D, Qureshi A, Cantu N, et al. Contracting with children and helmet distribution in the emergency department to improve bicycle helmet use. Acad Emerg Med 2003;10(12):1371-1377. (Prospective, Randomized, Controlled; 222 children)
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Wu BC, Oakes JM. A randomized controlled trial of sport helmet interventions in a pediatric emergency department. Pediatr Emerg Care 2005;21(11):730-735. (Prospective, Randomized, Controlled; 200 children)
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Bair-Merritt MH, Feudtner C, Mollen CJ, et al. Screening for intimate partner violence using an audiotape questionnaire: a randomized clinical trial in a pediatric emergency department. Arch Pediatr Adolesc Med 2006;160(3):311-316. (Prospective, Randomized, Controlled; 497 female caregivers)
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MacMillan HL, Wathen CN, Jamieson E, et al. Approaches to screening for intimate partner violence in health care settings: a randomized trial. Jama 2006;296(5):530-536. (Prospective, Randomized, Controlled; 2461 women)
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Rhodes KV, Drum M, Anliker E, et al. Lowering the threshold for discussions of domestic violence: a randomized controlled trial of computer screening. Arch Intern Med 2006;166(10):1107-1114. (Prospective, Randomized, Controlled; 1281 women)
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Woolf A, Lewander W, Filippone G, et al. Prevention of childhood poisoning: efficacy of an educational program carried out in an emergency clinic. Pediatrics 1987;80(3):359-363. (Prospective, Randomized, Controlled; 262 families)
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Woolf AD, Saperstein A, Forjuoh S. Poisoning prevention knowledge and practices of parents after a childhood poisoning incident. Pediatrics 1992;90(6):867-870. (Prospective, Randomized, Controlled; 301 families)
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Posner JC, Hawkins LA, Garcia-Espana F, et al. A randomized, clinical trial of a home safety intervention based in an emergency department setting. Pediatrics 2004;113(6):1603-1608. (Prospective, Randomized, Controlled; 96 caregivers)
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Kendrick D, Pritchard A, Cloke J, et al. Randomised controlled trial assessing the impact of increasing information to health visitors about children's injuries. Arch Dis Child 2001;85(5):366-370. (Prospective, Randomized, Controlled; 881 health visitors)
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King WJ, Klassen TP, LeBlanc J, et al. The effectiveness of a home visit to prevent childhood injury. Pediatrics 2001;108(2):382-388. (Prospective, Randomized, Controlled; 1172 families)
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King WJ, LeBlanc JC, Barrowman NJ, et al. Long term effects of a home visit to prevent childhood injury: three year follow up of a randomized trial. Inj Prev 2005;11(2):106-109. (Cross-sectional within Prospective, Randomized, Controlled; 774 families)
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Vaiva G, Vaiva G, Ducrocq F, et al. Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: randomised controlled study. Bmj 2006;332(7552):1241- 1245. (Prospective, Randomized, Controlled; 605 patients)
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Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) Web site. Available at: http://www.cdc.gov/ncipc/wisqars. Accessed May 1, 2007.
-
Hing E, Cherry DK, Woodwell DA. National Ambulatory Medical Care Survey: 2004 summary. Adv Data 2006(374):1-33. (Observational, Probability Sample; national population)
-
McCaig LF, Nawar EW. National Hospital Ambulatory Medical Care Survey: 2004 emergency department summary. Adv Data 2006(372):1-29. (Observational, Probability sample; national population)
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Doll LS, Bonzo SE, J.A. M, et al, eds. Handbook of Injury Prevention. New York, NY: Springer; 2007. (Textbook)
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Barkley RA, Cox D. A review of driving risks and impairments associated with attention-deficit/hyperactivity disorder and the effects of stimulant medication on driving performance. J Safety Res 2007;38(1):113-128. (Review)
-
Apter A, King RA. Management of the depressed, suicidal child or adolescent. Child Adolesc Psychiatr Clin N Am 2006;15(4):999-1013, x. (Review)
-
Wills M. Orthopedic complications of childhood obesity. Pediatr Phys Ther 2004;16(4):230-235. (Review)
-
Delbridge TR, Bailey B, Chew JL, Jr., et al. EMS agenda for the future: where we are ... where we want to be. EMS Agenda for the Future Steering Committee. Ann Emerg Med 1998;31(2):251-263. (Report)
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Jaslow D, Ufberg J, Marsh R. Primary injury prevention in an urban EMS system. J Emerg Med 2003;25(2):167-170. (Review)
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Cassel CK, Nelson EA, Smith TW, et al. Internists' and surgeons' attitudes toward guns and firearm injury prevention. Ann Intern Med 1998;128(3):224-230. (Cross-sectional; 915 physicians)
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Anglin D, Hutson HR, Kyriacou DN. Emergency medicine residents' perspectives on injury prevention. Ann Emerg Med 1996;28(1):31-33. (Cross-sectional; 390 emergency medicine residents)
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Olson LM, Christoffel KK, O'Connor K G. Pediatricians' involvement in gun injury prevention. Inj Prev 2007;13(2):99-104. (Observational; 922 & 982 pediatricians)
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Markenson D, Tunik M, Cooper A, et al. A national assessment of knowledge, attitudes, and confidence of prehospital providers in the assessment and management of child maltreatment. Pediatrics 2007;119(1):e103-108. (Cross-sectional; 1237 EMS personnel)
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Weiss S, Garza A, Casaletto J, et al. The out-of-hospital use of a domestic violence screen for assessing patient risk. Prehosp Emerg Care 2000;4(1):24-27. (Observational; 43 transports)
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Brice JH, Overby BA, Hawkins ER, et al. Determination of infant-safe homes in a community injury prevention program. Prehosp Emerg Care 2006;10(3):397-402. (Cross-sectional, Descriptive; 110 homes)
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Pirrallo RG, Cady CE. Lessons learned from an emergency medical services fire safety intervention. Prehosp Emerg Care 2004;8(2):171-174. (Retrospective, Case series; 1335 homes)
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Watts D, O'Shea N, Flynn E, et al. Effect of a bicycle safety program and free bicycle helmet distribution on the use of bicycle helmets by elementary school children. J Emerg Nurs 1997;23(5):417-419. (Prospective, Controlled; 1610 children)
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Haddix AC, Mallonee S, Waxweiler R, et al. Cost effectiveness analysis of a smoke alarm giveaway program in Oklahoma City, Oklahoma. Inj Prev 2001;7(4):276-281. (Retrospective, Cost effectiveness analysis)
-
Bull MJ, Weber K, Talty J, et al. Crash protection for children in ambulances. Annu Proc Assoc Adv Automot Med 2001;45:353-367. (Technical report)
-
Levick N, Yannaccone J. Development of a Dynamic Testing Procedure to Assess Crashworthiness of the Rear Patient Compartment of an Ambulance. Paper presented at: National Traffic Highway Safety Administration, 17th International Technical Conference on the Enhanced Safety of Vehicles, 2001; Amsterdam.
-
Levick N, Yannaccone J. Biomechanics of the Patient Compartment of Ambulance Vehicles Under Crash Conditions: Testing Countermeasures to Mitigate Injury. SAE Technical Paper Series 2001-01-1173. Society for Automotive Engineers 2001 World Congress; 2001.
-
Johnson TD, Lindholm D, Dowd MD. Child and provider restraints in ambulances: knowledge, opinions, and behaviors of emergency medical services providers. Acad Emerg Med 2006;13(8):886-892. (Cross-sectional, Descriptive; 302 EMS personnel)
-
Scheidt PC, Brenner RA, Rossi MW, et al. Parental attitudes regarding interviews about injuries to their children. Inj Prev 2000;6(1):51- 55. (Cross-sectional, Descriptive; 1349 families)
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Dowd MD, Kennedy C, Knapp JF, et al. Mothers' and health care providers' perspectives on screening for intimate partner violence in a pediatric emergency department. Arch Pediatr Adolesc Med 2002;156(8):794-799. (Cross-sectional, Descriptive; 97 mothers, nurses, physicians)
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Quan L, Bennett E, Cummings P, et al. Do parents value drowning prevention information at discharge from the emergency department? Ann Emerg Med 2001;37(4):382-385. (Cross-sectional, Descriptive; 619 parents)
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Zonfrillo MR, Mello MJ, Palmisciano LM. Usefulness of computerized pediatric motor vehicle safety discharge instructions. Acad Emerg Med 2003;10(10):1131-1133. (Prospective, Controlled; 110 guardians)
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Cummings GE, Voaklander D, Vincenten J, et al. Emergency staff survey on their role in pediatric injury prevention education-a pilot study. J Emerg Med 2000;18(3):299-303. (Prospective, Uncontrolled; 53 & 35 ED personnel)
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The STIPDA 2005 State of the States Survey: Highlights Report. Atlanta: State and Territorital Injury Prevention Directors Association; 2006. (Report)
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Consensus Recommendations for Injury Surveillance in State Health Departments. Atlanta, GA: State and Territorial Injury Prevention Directors Association; 1999. (Report)
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How States are Collecting and Using Cause of Injury Data: 2004 Upadte to the 1997 Report. A Survey on State-based Injury Surveillance, External Cause of Injury Coding Practices, and Coding Guidelines in the 50 States, the District of Columbia and Puerto Rico. Atlanta: The Council of State and Territorial Epidemiologists; 2006. (Report)
-
Moll EK, Donoghue AJ, Alpern ER, et al. Child bicyclist injuries: are we obtaining enough information in the emergency department chart? Inj Prev 2002;8(2):165-169. (Retrospective, Chart review; 278 cases)
-
D'Onofrio G, Degutis LC. Preventive care in the emergency department: screening and brief intervention for alcohol problems in the emergency department: a systematic review. Acad Emerg Med 2002;9(6):627-638. (Review)
-
Irvin CB. Public health preventive services, surveillance, and screening: the emergency Department's potential. Acad Emerg Med 2000;7(12):1421-1423. (Commentary)
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Kaner E, Beyer F, Dickinson H, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev 2007(2):CD004148. (Review)
-
Spirito A, Barnett NP, Lewander W, et al. Risks associated with alcohol- positive status among adolescents in the emergency department: a matched case-control study. J Pediatr 2001;139(5):694-699. (Retrospective, Case-control; 300 adolescent drinkers)
-
Rhodes KV, Lauderdale DS, He T, et al. "Between me and the computer": increased detection of intimate partner violence using a computer questionnaire. Ann Emerg Med 2002;40(5):476-484. (Prospective, Controlled; 248 patients)
-
Trautman DE, McCarthy ML, Miller N, et al. Intimate Partner Violence and Emergency Department Screening: Computerized Screening Versus Usual Care. Ann Emerg Med 2007. (Prospective, Controlled; 411 women)
-
Olson L, Anctil C, Fullerton L, et al. Increasing emergency physician recognition of domestic violence. Ann Emerg Med 1996;27(6):741-746. (Prospective, Controlled; 4073 patients)
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Feldhaus KM, Koziol-McLain J, Amsbury HL, et al. Accuracy of 3 brief screening questions for detecting partner violence in the emergency department. Jama 1997;277(17):1357-1361. (Prospective, Descriptive; 322 women)
-
Irvin CB. Preventive care in the emergency department part II: clinical preventive services “ an emergency medicine evidence-based review. Prev Care 2000;7(9):1042-1054. (Review)
-
Anglin D, Sachs C. Preventive care in the emergency department: screening for domestic violence in the emergency department. Acad Emerg Med 2003;10(10):1118-1127. (Review)
-
Biroscak BJ, Smith PK, Roznowski H, et al. Intimate partner violence against women: findings from one state's ED surveillance system. J Emerg Nurs 2006;32(1):12-16. (Prospective, Surveillance; 23 emergency departments)
-
McKibben L, De Vos E, Newberger EH. Victimization of mothers of abused children: a controlled study. Pediatrics 1989;84(3):531-535. (Retrospective, Case-control; 32 children)
-
Duffy SJ, McGrath ME, Becker BM, et al. Mothers with histories of domestic violence in a pediatric emergency department. Pediatrics 1999;103(5 Pt 1):1007-1013. (Cross-sectional, Descriptive; 157 mothers)
-
Newman JD, Sheehan KM, Powell EC. Screening for intimate-partner violence in the pediatric emergency department. Pediatr Emerg Care 2005;21(2):79-83. (Cross-sectional, Descriptive; 451 women)
-
Bair-Merritt MH, Mollen CJ, Yau PL, et al. Health care providers' opinions on intimate partner violence resources and screening in a pediatric emergency department. Pediatr Emerg Care 2006;22(3):150- 153. (Cross-sectional, Descriptive; 151 health care providers)
-
Groves BM, Augustyn M, Lee D, et al. Identifying and responding to domestic violence: consensus recommendations for child and adolescent health.: Family Violence Prevention Fund; 2004. (Report)
-
Dowd MD. The emerging role of the pediatric emergency department in intimate partner violence. Clinical Pediatric Emergency Medicine 2004. (Review)
-
Wetmore M, Fairbairn CD. A regional California program to screen adolescent patients for intimate partner violence. J Emerg Nurs 2003;29(4):373-376. (Program description)
-
Zeitler MS, Paine AD, Breitbart V, et al. Attitudes about intimate partner violence screening among an ethnically diverse sample of young women. J Adolesc Health 2006;39(1):119 e111-118. (Cross-sectional, Descriptive; 645 women)
-
Britt E, Hudson SM, Blampied NM. Motivational interviewing in health settings: a review. Patient Educ Couns 2004;53(2):147-155. (Review)
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Knight KM, McGowan L, Dickens C, et al. A systematic review of motivational interviewing in physical health care settings. Br J Health Psychol 2006;11(Pt 2):319-332. (Systematic Review)
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Gittelman MA, Pomerantz WJ, Laurence S. An emergency department intervention to increase booster seat use for lower socioeconomic families. Acad Emerg Med 2006;13(4):396-400. (Prospective, Randomized, Controlled; 225 children)
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Claudius IA, Nager AL. The utility of safety counseling in a pediatric emergency department. Pediatrics 2005;115(4):e423-427. (Prospective, Uncontrolled; 117 families)
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Apsler R, Formica SW, Rosenthal AF, et al. Increases in booster seat use among children of low income families and variation with age. Inj Prev 2003;9(4):322-325. (Prospective, Uncontrolled; 185 & 146 children)
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Ebel BE, Koepsell TD, Bennett EE, et al. Use of child booster seats in motor vehicles following a community campaign: a controlled trial. Jama 2003;289(7):879-884. (Prospective, Controlled; 12 communities)
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Pierce SE, Mundt MP, Peterson NM, et al. Improving awareness and use of booster seats in Head Start families. Wmj 2005;104(1):46-51. (Prospective, Uncontrolled; 43 children)
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Kendrick D, Coupland C, Mulvaney C, et al. Home safety education and provision of safety equipment for injury prevention. Cochrane Database of Systematic Reviews 2007;1. (Review)
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Kim AN, Rivara FP, Koepsell TD. Does sharing the cost of a bicycle helmet help promote helmet use? Inj Prev 1997;3(1):38-42. (Prospective, Randomized, Controlled; 506 children)