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402 W. Washington Street

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Registration is open now!! Visit: https://www.eventbrite.com/e/injury-prevention-conference-tickets-14963874351 (agenda below)

For more information, please contact:

Jessica Skiba, M.P.H.

Injury Prevention Epidemiologist

Indiana State Department of Health

jskiba@isdh.in.gov

317-233-7716

5

Child FatSubmitteCoordinaChildren impact, nmembersfor childrebeen prevwho diedper year.Understamake senReview (Cwhy child

tality Review: Wd by Gretchen M

ator at the Indianare not suppose

not only on that cs of the communen ages 1-17 yevented. From 2d from injuries. .

anding the circumnse of the tragedCFR) is a collab

d deaths occur w

Working TogethMartin, MSW, Cha State Departm

ed to die. The dechild’s family, butity. In Indiana, iars, and tragical

2006-2013 in Ind This is an ave

mstances involvedy and help prevorative process t

within our commu

her to Safe Indiaild Fatality Revie

ment of Health eath of a child hat also friends, nenjury is the leadily, most of these

diana, there werrage of 245 pre

ed in a child’s devent future deaththat can help us

unity, and help us

ana's Kids ew Program

as a profound eighbors and ing cause of deae deaths could hre 1,961 childreventable death

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can keepprofessiochild’s deunderstanpreventedIn July 20in every cimplemenmembersseveral otheir revie

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ublic forum to prodevastating impaity.

kson County teamass, which providesulted in anothem. Additionally, urt judge to integ

althy and safe. Ch will conduct a cstances and risk y the child died s

IC 16-49) took ehat time, 97 perce process of impvolunteer their t

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ity Review Teamractices for infane Tippecanoe Coand information environments ha

presentation for ah infant safe slee

mplementing the tble to obtain an ainto the curriculu

multidisciplinaryin-depth review , and then seek

ury and death ca

ed local CFR teacounties have l CFR teams. Tkids safe, and tion gathered frorevention activitie

ms took steps to ts - a leading ca

ounty team recenon infant safe slave had on their

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classes th

The Crawyouth. Aftapproachcollaboraand solicvouchersto sign a parents tohave themgiven aw

A child’s should besurrounddedicatiovolunteerinvaluabl“It is our hthat even

Counties contact G1240 or e

Infrared Contact Tissue InBy Todd Indiana, I

hat all divorcing

wford County teater the team revi

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s to children at thwater safety pleo take their childm fitted with the ay that day.

death should urge made to undering that child’s dn and commitmer their time to sere,” says State Hhope that their h

ntually save the l

that want to creGretchen Martin ae-mail GMartin1@

Technology forLow-Frequencynjury Zortman, RN anIndianapolis)

parents are requ

am addressed thiewed a drowninntion of drowningcal Department oand individuals f

he Little League Pdge, and then w

dren to a local buproper size life j

ge our communitrstand the risk fadeath to prevent fent exemplified brve on Indiana’s ealth Commissio

hard work and peives of countless

ate or enhance tat the Indiana St@isdh.in.gov.

r Early Identificy Ultrasound (N

nd James Malec,

uired to take in J

e problem of wang fatality, they dg was needed. Tof Natural Resoufor funding to proPark. The partici

were given vouchusiness to redeemacket. Nearly 10

ties into action. Ectors and circumfuture injuries anby those professchild fatality rev

oner Jerome Adaerseverance will s Hoosier childre

their child fatalitytate Department

ation and Treat

NLFU) to Rapidly

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Jackson County.

ter safety for couecided a proacti

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hers which allowem the voucher a00 vouchers were

Every attempt mstances nd deaths. “The ionals who

view teams is ams, M.D., M.P.lead to changes

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y review teams mof Health, 317-2

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8

Early Identification and Treatment is Key

Pressure ulcers are a chronic healthcare burden frequently associated with disabling trauma, e.g, spinal cord injury. More than 2.5 million U.S. patients are affected annually by pressure ulcers with nearly 60,000 of those cases directly resulting in death and annual costs of $9.1 to $11.6 billion.

The most serious (Stage III and IV) pressure ulcers are caused by damage of the underlying soft tissue, that is, deep tissue injury (DTI). However, early identification of DTIs is challenging. This case study demonstrates how two new technologies (infrared scanning with the Wound Vision Scout™ and noncontact low-frequency ultrasound provided by MIST Therapy®) can be used to identify and treat DTI’s to provide rapid resolution.

A High-level Tetraplegic

A 57 year-old male, a recent history of cervical spinal cord injury/vertebral artery dissection with resulting tetraplegia, neurogenic bowel and bladder, frequent urinary tract infections and orthostatic hypotension presented for admission to the Rehabilitation Hospital of Indiana (RHI) in Indianapolis about eight months after his injury. He required several acute care re-hospitalizations in this period. During his last hospitalization, he developed a large Stage IV sacral pressure ulcer.

Rehabilitation Admission Skin and Ulcer Assessment

At the time of transfer to the rehabilitation hospital, the pressure ulcer had responded to standard treatment with negative pressure and was 90 percent healed.

Courtesy of WoundVision (www.woundvision.com),a digital and infrared imaging device (Scout™) is available to RHI wound care staff. The Scout™ is a non-invasive, non-radiating device that provides digital imaging for the measurement of wound size (length, width, surface area and perimeter) as well as long-wave infrared scanning for measuring the thermal intensity (temperature) of an area on the body. Digital and infrared images are captured simultaneously to provide congruent anatomical and physiological views. Using the Scout™, the infrared image of the wound or suspected area of damage is compared to adjacent healthy tissue. Since the temperature of injured or infected tissue differs from healthy tissue, this

9

comparis

The patietuberositiarea of thtissue) onnoted to tconfirm thwhich wa3X3 cm, by the Sc

Treatmen

MIST TheDTI that c(NLFU) adiscovereBalsam Pperi arealimited. all signs o

son provides an i

ent was scannedies, sacrum and he ulcer. Infraredn the right upperthe naked eye ohe results identif

as palpable. Theand the location

cout™.

nt

erapy® (www.micombines stimul

and the simultaneed, daily noncontPeru (Vasolex) os and wheel chaAfter three daysof the DTI were

index of the heal

d using The Scouhips) to provide

d imaging revealer buttock. There n the surface. A fying a new suspe area of indurati

exactly matched

istherapy.com) isation with noncoeous applicationtact treatments wintment was app

air and rehabilitat, assessment useliminated sugge

ling status of the

ut™ on high risk a baseline for coed a cold spot (rwere absolutelyrepeat scan was

pected deep tissuion on the upperd the infrared im

s an evidence-baontact low-freque of a saline mistwith MIST Theraplied twice daily ttion therapy timesing the Scout™ esting complete

e wound.

areas (heels, iscomparison with trelative to adjacey no visible changs performed to ue injury (sDTI) r right buttock waaged sDTI provi

ased treatment fency ultrasound . When the DTI

apy® were initiateto the buttocks aes were was repeated aresolution.

chial the ent ges

as ded

for

was ed. and

nd

10

Implicati

In this caadvancedquick respreventindevelopinpatients w

National

By DeirdrIndiana P

Nationa

ions for Future

se, the combinad infrared technoolution of a DTI

ng an open pressng a protocol for with mobility imp

Poison Preven

re M. George DaPoison Center

al Poison Preve

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tion of early idenology and early tprior to tissue im

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11

Prevention Awareness Campaign March 15-21

Why is it necessary to devote one whole week every March to promoting poison prevention? A look at the numbers provides an explanation. In 2014, the Indiana Poison Center received 57,396 requests for assistance (averaging 157 calls per day). In addition, the staff of the Poison Center placed 80,995 calls to patients and health care professionals for follow-up (averaging 222 calls per day). The goal of National Poison Prevention Week is to raise awareness about what kinds of things can potentially be poison and to teach ways to keep children and others safe from poisons.

As a young child’s mobility increases, so does his or her ability to reach for a dangerous product. “Young children constantly explore the world around them, touching and tasting everything they see,” says Dr. James Mowry, Director of the Indiana Poison Center. “The goal of National Poison Prevention Week is to raise awareness about what kinds of things can potentially be poison and to teach ways to keep children and others safe from poisons.”

During National Poison Prevention Week, March 15-21, the Indiana Poison Center encourages you to take some simple steps to help keep your family safe:

Choose products and medicines with child resistant packaging whenever it is available

Replace child-resistant caps tightly every time you give or take medicine or use a product

Lock medicines and household products away from children – products placed up high may not be secure since children climb

Return medicine and household products to a locked storage place immediately after use

Always read the label before giving or taking a medicine or using household products – never guess about how to use a product

Take medicines where children can’t watch – they learn by imitating Put the number for the Indiana Poison Center, 1-800-222-1222 on or

near every telephone. Program the number into your cell phones. Make sure babysitters and family members caring for your children

also have the emergency number posted in their homes and

12

programmed into their phones.

Poison can be found everywhere. Items commonly found in and around the home can easily become a danger to young children if they are left in the open within easy reach. Such items include:

Medicines (prescription and over the counter) Cleaning products (drain openers, toilet bowl cleaners, oven

cleaners, rust removers) Automotive products (windshield washer fluid, antifreeze) Hydrocarbons (gasoline, kerosene, lighter fluid, furniture polish, hair

and body oils) Pesticides, herbicides, insect repellents

According to Dr. Mowry, “There is no substitute for careful supervision, wherever children live or spend time.” At the same time, it’s important to realize that children are fast and curious so that poisoning can happen in the home of even the most careful parent. It can take only seconds for a child to reach for cleaners, pesticides or medications, possibly resulting in serious injury or even death. A young child should never be left alone with a dangerous product. And when not being used, dangerous products should be stored up and out of the reach of children, preferably in a locked cabinet. Call 1-800-222-1222 even if you just think that someone has been poisoned. Don’t wait to see if the person gets sick, call the experts at the Poison Center immediately.

To request a free magnet, phone sticker or wallet card and to learn more about poison safety, call the Indiana Poison Center at 1-800-222-1222, or visit the Center’s website at www.indianapoison.org. For a poisoning emergency, call the Poison Center experts immediately at 1-800-222-1222.

The Indiana Poison Center is an independent, non-profit, agency providing coverage and services for the entire state of Indiana. It serves as both an emergency telephone service and an information resource center, with services accessible to the general public and health care professionals 24 hours a day, 365 days per year. The IPC is the designated Regional Poison Information Center for Indiana and is certified by the America Association of Poison Control Centers. It is a collaborative effort of the Indiana State

13

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17

LODGING:

Little America Hotel, 2800 West Lincolnway, Cheyenne, Wyoming 82009

For reservations, call: 800.445.6945

Group rates from $99 - $129, depending upon your needs and room availability.

Room block name: Rural EMS Conference

HOST: Joint Committee on Rural Emergency Care National Association of State EMS Officials National Organization of State Offices of Rural Health National Rural Health Resource Center National Rural Health Association

Conference Website: http://nosorh.org/calendar-events/national-rural-ems-conference/

TRAVEL TO CHEYENNE: There are a number of options for getting to Cheyenne.

1. Air: Great Lakes Airlines - offers connections to United Airlines and Frontier Airlines.

2. Rental Car: Cheyenne is 100 miles or 90 minutes from Denver.

3. Shuttle: GreenRide – 888.472.6656 or http://greenrideco.com/.

VENDOR OPPORTUNITIES: Click here.

QUESTIONS: Contact Stephanie Hansen at 208.375.0407

18

Ar

Jerome AJennifer Wa

rt Logsdon, J.D.

Jessica SCamry H

MurRamzi Nimry —

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Adams, M.D., M.althall, M.D., M.P. — Assistant C

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P.H. — State HeP.H. — Deputy

Commissioner, H

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