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Accidents and Injuries. Dr.Rajkumar Patil Asstt. Prof., Community Medicine AVMCH, Pondicherry. Accident Unpremeditated events resulting in recognizable damage Feeling of misfortune,unavoidable nature Injury A bodily lesion due to acute exposure to energy

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slide1

Accidents and Injuries

Dr.Rajkumar Patil

Asstt. Prof., Community Medicine

AVMCH, Pondicherry

slide2

Accident

  • Unpremeditated events resulting in recognizable damage
  • Feeling of misfortune,unavoidable nature

Injury

  • A bodily lesion due to acute exposure to energy

beyond the physiological tolerance.

  • In some cases injury is due to insufficiency of a

vital element

  • Feeling of preventable nature
leading contributor in global diseases
Leading contributor in global diseases

1990

1.Lower Rasp. Infec.

2.Diarrhoea

3.Prenatal condition

4.Unipolar major depression

5.IHD

6.Stroke

7.TB /HIV

8.Measles

9.Road traffic Injury

10.Congenital

2020

1.IHD

2.Major Depression

3.Road Traffic Injury

4.Stroke

5.COPD

6.Lower Resp. Inf.

7.TB

8.Perinatal condition

9.Diarrhea Diseases

10.HIV

slide6

Injuries in SEA

More than 25% deaths due to injuries occur in SEAR

Prioritization of injury problem in India

RTA>Work related>Burns>Violence>Poisoning>Drowning

Injury related mortality rate in India

97 deaths/100,000 population

slide7

Epidemiology of Injuries

Injury as a disease

slide8

Host factors

Age:15-44 yrs(50% mortality)

Sex: More in males

Education: Low educational status

Diseases: Defective vision,sudden illness,fatigue

Psychological factors:

Inexperience,aggresiveness,defective judgement,

Alcoholism,drugs,stress

slide9

Road Traffic Accidents(RTA)

  • 90% of all RTA deaths occurs in low,middle income countries
  • Causes of RTA
  • 1.Pedestrians and animals sharing common road
  • 2.Fast and slow moving vehicles
  • 3.Old,poorly maintained vehicles
  • 4.Low driving standards
  • 5.Overloaded vehicles
  • 6.Disobey of traffic rules
  • 7.Defective roads,speed breakers,poor street lighting
  • 8.Unusual behaviour of men and animals
slide10

Prevention and control of RTA/RTI

  • 1.Education regarding safety
  • “If accident is a disease,education is its vaccine”
  • 2.Promotion of safety measures
  • Seat belts
  • Safety helmets
  • Children on back seats
  • Parking at a suitable place
  • Low beam headlights
  • Avoidance of mobile phones
  • Door locks
  • Proper vehicle design
  • Avoidance of alcohol and drugs
slide11

3.Elimination of causative factors

  • Marking of danger points
  • Improvement of road conditions
  • Imposition of speed limit
  • 4.Enforcement of laws
  • Medical fitness of driver
  • Alcohol conc. In blood (80 mg/100 ml limit in India)
  • Driving test
  • Seat belt wearing
  • Speed limit
  • Helmets
  • Vehicle inspection
  • Periodic examination of drivers
  • 5.Emergency care services
  • Planning,organization and management of trauma treatment
  • and emergency care services
  • Emergency care at the point of accident
slide13

Domestic Accidents

  • 1.Drowning
  • Most common cause of accidental deaths in Bangladesh and Maldives
  • 98000 lives lost (SEAR,2002)
  • Prevention and control of drowning
  • Availability of life jackets and flotation devices around pools & boats
  • Supervision of children by adults
  • Fencing of lakes and ponds
  • Creation of safety standards for public and private swimming pools
  • Ensuring availability of weather reports to fishermen and

to those working on rivers and seas

slide14

2.Fire/Burn

  • 184,000 deaths (SEAR,2002)
  • SEAR accounts for >50% of all fire related mortality
  • Risk factors
  • Cooking on open fire
  • Explosion of pressure stoves
  • Instability of small stoves
  • Use of open fires in winter
  • Use of inflammable materials in house
  • Use of fire crackers
  • Prevention and control of burns
  • Stable stoves/lamps
  • Replacement of pressure stoves with wick and gas stoves
  • Installation of fire and smoke alrama
  • Promotion of cold water for first aid and burns
slide15

3.Poisoning

  • 95,000 death(SEAR,2002)
  • Agents: pesticides,kerosene,prescription drugs,

household chemicals

  • Prevention and control of poisoning
  • Restricting availability of hazardous pesticides
  • Promotion of alternative non-chemical methods of pest control
  • Safe packaging of pesticides,insecticides and other chemicals
  • Dying kerosene blue and treating it with bittering agents
  • Selling therapeutic drugs in child resistant containers
  • Educating medical practitioners,health workers and community
  • on effective antidotes to poisons common in community
slide17

4.Falls

Responsible for largest number of hospital visits for non-fatal injuries

Prevention and control of falls

1.Safer playground(Use of mud & sand surfaces instead of paved ones)

2.Safer furniture & house designs

3.Use of grills on windows

4.Safer design of stairs,balconies and rooftops with railings and bars

5.Safer working techniques for construction workers

5.Injuries from sharp objects

6.Animal bites

slide18

Industrial accidents

  • 200,000 deaths per year in SEAR
  • Risk factors
  • Physical(Heat)
  • Chemical(Pesticides)
  • Biological(Animal bites)
  • 4 “M”s
  • Mechanical Injuries(Thressure)
  • Manual labour
  • Man machine interaction
  • Mental condition
  • Prevention and control of industrial accidents
  • Ensuring the cost effective protection measures
  • Enforcing safety regulations and standards
  • Creating awareness among workers
slide19

Intentional Injuries

  • 1.6 million deaths(Globally-2002)
  • 390,000 deaths in SEAR
  • 66% suicides in 15-34 years age group
  • Intentional injuries require:
    • Motivated person who injures
    • Suitable target
    • Suitable environment
  • Risk factors
    • Violence as a means to solve the problem
    • Lethal weapons availability
    • Alcohol and drug consumption
    • Political uninterest
    • Gender unequality
    • Depression
  • Prevention and control of violence
  • Avoidance of risk factors
slide20

Prevention of Accidents and Injuries

  • 1.Inter-sectoral coordination
  • 2.Reporting of all accidents
  • 3.Safety education
  • 4.Promotion of safety measures
  • 5.Alcohol and other drugs
  • 6.Primary care
  • 7.Enforcement of laws
  • 8.Rehabilitation services
  • 9.Accident research
    • extent
    • types
    • environment
    • human behaviour
    • evaluation of control measures