Pediatrics in Review
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(Pediatrics in Review. 2003;24:111-118. doi:10.1542/10.1542/pir.24-4-111)
© 2003 American Academy of Pediatrics
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 Vol. 24 No. 4, April 2003
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Injury Control

New Challenges


Brian D. Johnston, MD, MPH*
Frederick P. Rivara, MD, MPH{dagger}
 * Division of General Pediatrics, Department of Pediatrics, Harborview Injury Prevention and Research Center
{dagger} Division of General Pediatrics, Department of Pediatrics and Department of Epidemiology, Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA
The first 300 words of the full text of this article appear below.


   Objectives
 
After completing this article, readers should be able to:

  1. Describe the activities that encompass injury control.
  2. Describe restraint systems that should be used for children younger than age 9 years riding in a motor vehicle.
  3. List the risk factors that substantially increase the likelihood of teen motor vehicle crashes.
  4. Describe the factors that have been shown to reduce the risks associated with teen driving.
  5. Compare standard ionization smoke detectors and photoelectric detectors.
  6. List the preferred pool safety design features.


   Introduction
 
Although there have been major reductions in the number of children and adolescents dying from injuries in the United States over the last 2 decades, trauma remains the most important cause of serious morbidity and mortality in the pediatric age group beyond infancy. Pediatricians play a central role in reducing the toll from injuries, a role that stretches beyond their office and into the community. In this article, we review the current magnitude of the problem and discuss prevention for some of the most important injuries to children and adolescents.


   Definitions
 
The injury control model is based on the concept that the overall burden of trauma can be reduced through the primary prevention of injuries, optimal acute care of the injured patient, and rehabilitation to regain as much preinjury functioning as possible. The focus of this review is primary prevention, but the other components of injury control are within the purview of pediatricians and should not be ignored (Fig. 1).


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  		Figure 1. The expanded spectrum of injury control.

The injury control community has shifted away from use of the term "accident" to use of the term "injury." More than just a semantic difference, this represents a shift in thinking from the idea that "accidents" are, for the most part, random, unpredictable, and nonpreventable events to the approach that "injuries" are preventable and to . . . [Full Text of this Article]


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