Nebraska Injury Prevention and Control News
   Issue #80                                                                      March 2018
In the News
U.S. Governors' Focus on Traffic Safety Praised
On February 6th, the National Governors Association (NGA) releases its  State Strategies to Reduce Highway and Traffic Fatalities and Injuries: A Road Map for States . The Governors Highway Safety Association (GHSA) is proud to have been part of the development of this important report and pleased to participate in today's launch. This project elevates the profile of traffic safety and provides concrete recommendations that have tremendous potential to improve safety outcomes.
 
In 2016, 37,461 people were killed on America's roads, a 5.6% increase over the prior year. With driver behavior as the critical factor in 94% of crashes, we need additional focus on and investment in highway safety more than ever. This timely report will help states identify and deploy proven countermeasures to reduce crashes and injuries. NGA's guide is complemented by the CDC's newly redesigned   online calculator , which gives state decision-makers a tool to quantify the injuries prevented, lives saved, and cost savings associated with these countermeasures.
2017 Falls Free® Video and Story Contest winners announced
1st Place winner featured
en español
New materials in Spanish!    CDC   recently developed graphics with explanations in Spanish that show how to buckle children the right way in the right seat. Share these resources with parents, caregivers and health care professionals to help keep children safe on the road.
Upcoming Events
Child Passenger Safety Technician Trainings

Omaha, April 24-26

Nebraska City, May 2-4

Lincoln, June 6-8

Lincoln, August 1-4

Scottsbluff, October

Get help at the links below.


Child Passenger Safety Update- April 11, Kearney
For currently certified child passenger safety technicians.
Safe Kids Nebraska
The Prevalence of Adverse Childhood Experiences, Nationally, by State, and by Race/Ethnicity
A growing body of research has made it increasingly apparent that adverse childhood experiences (ACEs) are a critical public health issue. ACEs are potentially traumatic experiences and events, ranging from abuse and neglect to living with an adult with a mental illness. They can have negative, lasting effects on health and well-being in childhood or later in life.1 However, more important than exposure to any specific event of this type is the accumulation of multiple adversities during childhood, which is associated with especially deleterious effects on development.2 There is growing interest in understanding the prevalence of these experiences across different communities in the United States, and how to prevent and respond to them. One mechanism responsible for these effects—toxic levels of stress— can be substantially buffered by a stable and supportive relationship with a caregiver.

This brief uses data from the 2016 National Survey of Children’s Health (NSCH) to describe the prevalence of one or more ACEs among children from birth through age 17, as reported by a parent or guardian. The data are representative at national and state levels. The study team estimated the national prevalence of eight specific ACEs and compared the prevalence of these ACEs across states. To examine prevalence differences by race/ethnicity and geography, we used the nine geographic divisions used by the U.S. Census Bureau.3
6 Spots You May Have Missed While Childproofing
Check out Safe Kids Worldwide's 360 image that points out the most commonly missed areas when child proofing.
Motor Vehicle Safety
What Is MV PICCS 3.0 and Why Is It Important?
In the United States, motor vehicle crashes are a leading cause of death. With proven prevention strategies, CDC’s newly updated web tool can help strengthen state’s motor vehicle injury prevention efforts, and save both lives and money.

MV PICCS 3.0 is a free interactive calculator that helps state decision‑makers prioritize and select from a suite of 14 effective motor vehicle injury prevention interventions. MV PICCS 3.0 calculates the expected number and monetized value of injuries prevented and lives saved at the state level. It also calculates the costs of implementation, while taking into account available resources.

The updated tool includes easy access to CDC’s intervention fact sheets and a completely new user-friendly interface. Another new feature is the ability to save or print sharable reports with MV PICCS results.
Where Can I Find the Tool and Additional Resources?
The tool and additional resources, such as the project report and how to use MV PICCS, are available .
 Older Adult Falls 
Balance and Functional Outcomes for Older Community-Dwelling Adults Who Practice Tai Chi and Those Who Do Not 
November 21, 2017 - A growing body of literature substantiates that Tai Chi is a form of exercise that may help older adults increase strength, improve balance, lower fall rates, and experience less fear of falling. Few studies, however, offer controlled experimental design and simultaneously investigate multiple factors known to contribute to fall risk.
Laddie Sacharko, a Tai Chi Master Instructor certified by ATCQA and chief instructor of Starfarm Tai Chi & Qigong Search Center , teamed up with University of Connecticut in a study to compare performance on measures relating to fall risk (strength, balance, functional mobility, and fear of falling) in older community-dwelling adults who participated in a community-based Tai Chi program with a control group of their peers who had no Tai Chi training over the same time period. The study is published in the November, 2017 issue of Journal of geriatric physical therapy .
Concussion
CDC’s Report to Congress on The Management of TBI in Children
A traumatic brain injury (TBI) disrupts the normal functioning of the brain. A bump, blow, or jolt to the head can cause a TBI. With the brain still developing, a child is especially at risk for long-term effects from a TBI. Mild TBI, referred to as mTBI or concussion, is most common.
The Centers for Disease Control and Prevention (CDC) recently released a  Report to Congress on The Management of TBI in Children , which details the impact a TBI can have on children and their families. The report:
  • Identifies gaps in care
  • Provides opportunities for action to reduce the gaps, and
  • Highlights key policy strategies to address the short and long-term consequences of a TBI.
Most of the TBI recovery process occurs after initial injury care, making coordination among parents, healthcare providers, and educational systems crucial. The CDC report also includes detailed opportunities for action to improve care coordination after a TBI to maximize children’s potential for recovery and achievement of optimal outcomes. To learn more, read the report  here .
Interactive Learning
CDC’s Division of Unintentional Injury Prevention developed a mobile game app on concussion safety for children ages 6 to 8. Initially released in the Apple store in spring, Rocket Blades is now available on Android and Amazon as well. The game aims to teach children the different ways the brain can get hurt during sports activities; how important it is to tell a coach, parent, or other adult when an injury occurs; and the importance of taking time to rest and recover if they have a concussion. Download the  Rocket Blades App  for free, and visit the  HEADS UP website  for more information and resources.
Prescription Drug Overdose
Teens Abusing Prescription Drugs to Cope with Stress
Teenagers, dealing with the demands and pressures of academics, are stressed out. And an alarming number of them are using the prescription drug Adderall to treat themselves in an effort to compete.

This is according to the Partnership for Drug-Free Kids .
Adderall is used to treat Attention Deficit Hyperactivity Disorder and should only be used when prescribed by a doctor. Research shows that using ADHD medication makes no difference in testing or academic performance.

Plus, it’s incredibly dangerous. The misuse of Adderall has led to an increase in emergency room visits. Its non-medical use rose 67 percent among young adults between 2006 and 2011. Side effects include anxiety, agitation and insomnia – it can also increase blood pressure and in rare cases cause heart attack and stroke. Learn  how to help your teen deal with stress safely.



Trauma
National Stop the Bleed Day is March 21, 2018”
Traumatic injury is the leading cause of death for people below age 46 (National Center for Injury Prevention & Control 2016). The top cause of preventable death in trauma is bleeding. Did you know that in patients with severe bleeding, death occurs before the patient reaches the hospital in about 50% of cases (D. Kauvar et al. 2006)?
Stop the Bleed
To address this public health problem, a “Stop the Bleed Initiative” was commissioned by the White House following the Sandy Hook disaster in Newtown, Connecticut. A joint committee of emergency responders, law enforcement, and physicians developed a national policy on increasing survivability following mass-casualty events called the Hartford Consensus. The committee found that victims of trauma are susceptible to critical blood loss before first responders can reach the scene, and that immediate bystander care is critical in preventing survivable death.

The “Stop the Bleed Initiative” recognizes that everyone has the power to stop life-threatening bleeding caused by injuries in the home, industrial and agricultural settings, or mass-casualty events.  As a result of this initiative, a National Stop the Day is now recognized on March 21, 2018.  The objective of “National Stop the Bleed Day” is to increase awareness of the initiative and courses available in your area.

Available courses in your area can be found @: https://cms.bleedingcontrol.org/Class/Search

For more information or to become an instructor for Stop the Bleed courses contact your regional lead trauma center coordinator or Clay Jordan, Trauma Nurse Specialist – clay.jordan@nebraska.gov or (402) 289-7431.
  Safety Observances

Quick Links
Contact Information

Peg Ogea-Ginsburg, MA         
Injury Prevention Program Coordinator  


Jason Kerkman, MPH 
Safe Kids Nebraska Coordinator 


Amy Reynoldson
Prescription Drug Overdose Prevention Coordinator

Jeanne Bietz, MA 
Motor Vehicle Safety Coordinator jeanne.bietz@nebraska.gov

Ashley Newmyer, MPH, CPH
Epidemiology Surveillance Coordinator

Felicia Quintana-Zinn, MS, MBA
Prescription Drug Overdose Prevention Epidemiologist

Celeste Illian, MPH                        
Crash Outcome Data Evaluation Data Analyst  
Injury Prevention and Control E-News is a monthly newsletter distributed to partners of the Nebraska Department of Health and Human Services Injury Prevention and Control Program.