Injury Prevention

Question 1

What is the leading cause of child and youth death?

Answer 1

Injury – MVA, Drowning, Threats to breathing

Question 2

What are the E’s of injury prevention

Answer 2

Education – increase public awareness
Enforcement – safety regulations
Engineering – designing safer products and environments (cars, roads)

Question 3

What is the age limit for ATVs

Answer 3

16yo

Question 4

How to reduce playground in juries

Answer 4

Reduce maximal fall height
Reduce risk of falling from equipment
Protective barriers/guardrails
Vertical rather than horizontal bars (discourage climbing)
Use peaked or curved surfaces for guardrails (discourage use as play surface)
Improve protective surfaces under and around play equipment
Active supervision
Avoid clothing with drawstrings or cords during play
Remove helmets before playing

Question 5

What is most common injury in skiers

Answer 5

Lower extremities

Question 6

What is most common injury in snowboarders

Answer 6

Wrists

Question 7

What has more head injuries, skiing or snowboarding

Answer 7

Snowboarding

Question 8

Most Common Car Seat Errors

Answer 8

Incorrect seat for height and weight of child (premature graduation to booster seat)
Seat not tightly secured to vehicle (>2.5cm)
Harness not snug (>1 finger width)
Chest clip not at armpit level

Question 9

Stages of car seating

Answer 9

1 Rear Facing: <10kg AND >1yo
2 Forward Facing: 10 – 22kg AND up to 122cm
3 Booster Seat: 18-36kg

Question 10

Criteria for using seatbelts

Answer 10

Seat belt: > 36kg (80lb), > 8 years

Question 11

How old must they be to ride in the front seat

Answer 11

13 yo

Question 12

What does CPS recommend about trampolines

Answer 12

should not be used to recreational home use

Question 13

what distinguishes omphalocele from gastroschisis:

Answer 13

Location of the umbilical cord relative to the abdominal wall defect

Question 14

The MOST COMMON cardiac malformation associated with omphalocele is

Answer 14

TOF

Question 15

Gastroschisis

- where is defect

Answer 15

Right of umbilicus

no sac

Question 16

Gastroschisis

- associations?

Answer 16

Atresia

Volvulus

Question 17

Omphalocele

- where is defect

Answer 17

Defect through umbilicus

+ peritoneal sac

Question 18

Omphalocele

- associations

Answer 18

50% associated with other anomalies, especially cardiac

Question 19

Inguinal hernia

- when to repair

Answer 19

soon after dx

Question 20

Inguinal hernia

- when do you do contralateral exploration

Answer 20

prematurity

Question 21

cryptorchidism

- when to refer

Answer 21

6-9mo

Question 22

How old should you be to drive a snowmobile

Answer 22

16yo

Question 23

Do swimming lessons prevent drowning

Answer 23

No evidence that these prevent drowning in ages 2-4 years, even though they may improve swimming ability