TY - JOUR
T1 - 1107: A RETROSPECTIVE ANALYSIS OF SUBMERSION INJURY DATA FOR SAN BERNARDINO COUNTY: AUG 2007 TO SEP 2014
AU - Wyatt, Jesse
AU - Baum, Marti
AU - Iacob, Alexandra
AU - Tan, Gordon
AU - Martinez, James
AU - Abd-Allah, Shamel
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Learning Objectives: Submersion injuries often end in death or severe irreversible neurologic morbidity. Pre-hospital care by Emergency Medical Systems (EMS) records data of drowning/near-drowning injuries on Submersion Incident Report Forms (SIRF). This information captures the “scene data” prior to transportation to local hospitals, is useful in prevention, and advocacy/policy planning for San Bernardino County (SBC). The hypothesis is that there are certain preventable risk factors associated with these cases. Methods: A retrospective SIRF data analysis from 8/07 to 9/14 in SBC was done. All data was compiled through OK KIDS, Pediatrics, and Safe Kids, Inland Empire. Data was stratified by age groups and compared against risk factors. Results: The SIRF data from SBC shows 266 EMS responses; mean age of 11.7 yr, SD+/- 11 yr (80.3% < 18 yr: 19.7%>18 yr) during 2007 to 2014. 168 submersions (63%) in the 1 to 4 year old age group. Female: male ratios showed adults 1F:1.6M, children (< 20 yr) 1F:2.3M. All submersions with scene cardiopulmonary resuscitation (CPR) showed 83.9% adults receiving attendant(s) CPR compared to children (< 5 yr) where only 66.7% received attendant(s) CPR [x2(1,8.32, 205)=0.004, p < 0.05]. Perimeter or pool fence present in 72.2% of children's injuries (11.6% had both). Place of submersion for children occurred; 3.7% public pool, 71.8% house, and 17.1% multiunit housing. Adult's submersion injuries occurred; 22% in open water. For children, there were 16 injuries in hot tubs, 12 injuries in bathtubs. In youth, 37.2% were supervised by multiple people, 62.3% by a single supervisor (1:1.67). Conclusions: Males are at an increased risk. CPR is delayed in young children. Most injuries occurred when fencing was present. Multiple person supervision safer for children. Hot tub and bathtub submersions occurred in younger children. Majority of submersions occurred in the 1 to 4 year old age group. No direct correlation between poverty and submersion injury. Early CPR initiation by attendants, multiple attendant supervision, and additional safety mechanisms are advocacy issues for submersion reduction.
AB - Learning Objectives: Submersion injuries often end in death or severe irreversible neurologic morbidity. Pre-hospital care by Emergency Medical Systems (EMS) records data of drowning/near-drowning injuries on Submersion Incident Report Forms (SIRF). This information captures the “scene data” prior to transportation to local hospitals, is useful in prevention, and advocacy/policy planning for San Bernardino County (SBC). The hypothesis is that there are certain preventable risk factors associated with these cases. Methods: A retrospective SIRF data analysis from 8/07 to 9/14 in SBC was done. All data was compiled through OK KIDS, Pediatrics, and Safe Kids, Inland Empire. Data was stratified by age groups and compared against risk factors. Results: The SIRF data from SBC shows 266 EMS responses; mean age of 11.7 yr, SD+/- 11 yr (80.3% < 18 yr: 19.7%>18 yr) during 2007 to 2014. 168 submersions (63%) in the 1 to 4 year old age group. Female: male ratios showed adults 1F:1.6M, children (< 20 yr) 1F:2.3M. All submersions with scene cardiopulmonary resuscitation (CPR) showed 83.9% adults receiving attendant(s) CPR compared to children (< 5 yr) where only 66.7% received attendant(s) CPR [x2(1,8.32, 205)=0.004, p < 0.05]. Perimeter or pool fence present in 72.2% of children's injuries (11.6% had both). Place of submersion for children occurred; 3.7% public pool, 71.8% house, and 17.1% multiunit housing. Adult's submersion injuries occurred; 22% in open water. For children, there were 16 injuries in hot tubs, 12 injuries in bathtubs. In youth, 37.2% were supervised by multiple people, 62.3% by a single supervisor (1:1.67). Conclusions: Males are at an increased risk. CPR is delayed in young children. Most injuries occurred when fencing was present. Multiple person supervision safer for children. Hot tub and bathtub submersions occurred in younger children. Majority of submersions occurred in the 1 to 4 year old age group. No direct correlation between poverty and submersion injury. Early CPR initiation by attendants, multiple attendant supervision, and additional safety mechanisms are advocacy issues for submersion reduction.
UR - http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpagean=00003246-201612001-01067
U2 - 10.1097/01.ccm.0000509782.18683.e9
DO - 10.1097/01.ccm.0000509782.18683.e9
M3 - Meeting abstract
VL - 44
SP - 352
EP - 352
JO - Critical Care Medicine
JF - Critical Care Medicine
IS - 12
ER -