PCEM3 2007 karkarBarrbYs nigGM eBIhw gSa INJURY & VIOLENCE PREVENTION PECM3
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 1/40
PCEM3
2007
karkarBarrbYs nigGMeBIhwgSa
INJURY & VIOLENCE PREVENTION
PECM3
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 2/40
eKaledA
• bnÞab;BIemeronenHsikçakamnwgGac³
– dwgBIniymn½y nig erobrab;BIRbePTrbYsEdlekIteLIgedayGectna nigectna
RBmTaMgyuT§saRsþ sMrab;karkarBar nigtamdan – GFib,ayBIktþaEdlnaMbgáeGaymanGMeBIhwgSa nigrbYssñamedayGectna
nigectna
– BiPakSaBIviFankarkarBarxøÜnÉgBIrbYsnigeRKaHfñak;cracrN_
– dwgBIyuT§saRsþmUldæansMrab;CYyseRgÁaHenAkñ úgeBlmaneRKaHGasnñ
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 3/40
ni ymn½y
• KWCakarxUcxatdl;ragkayrbs;mnusSmñak;EdlCalT§plénkarRbQmmuxeTA
nwg Pñak;garEdlbgáeRKaHfñak;ehIyEdlragkayminGacTb;Tl;)an• rbYs minEmnCaCMgWeT EtCYnkalvaGacbNþalmkBIktþaEtmYy dUcCa
viTüuskmµGacbNþal[rlak ¬rbYs¦ nigeBlkøayCamharIk ¬CMgW¦/
faBlclkGacbNþal[mankar)ak;q¥ wg ¬rbYs¦ nig[ rlakq¥wg ¬CMgW¦• eRKaHfñak;minEmnCa rbYsedayGectnaeT b:uEnþeRKaHfñ ak;GacbNþal [ man
rbYseday Gectna
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 4/40
TidæPaBTUeTA
• Caerogral;qñaM CnCatiGaemrik RbEhlCa150/000nak; )ansøab;edayrbYs ehIymYycMnYnFMFøak;xø ÜnBikar. mUlehtuénkarsøab;enHbNþalmkBIxøÜnÉgpg nigmkBI Gñkd¾éTpg dUcCamnusSXat GtþXat nig karrMelaP.
enAeBlEdlrbYsekItmaneLIgedaykarbgáeLIgedayKµaneKalbMNgGaRkk; ehAfarbYseday Gectna. enAeBlmaneRKaHfñak;edaydYlm:UtU edaykarFøak; edayePø IgeqH GacbNþal[man rbYsedayGectna.enAeBlbc© úb,nñrbYsrebobenHekIteLIgmineTogTat;edaysarehtukarN_ EdlekIteLIghYsBIkarRtYtBinitürbs;mnusS.
• enARbeTskm< úCakñúgmYyéf¶manGñkrbYsedaysareRKaHfñak;cracr Cag100nak; nigGñksøab;cMnYn 4nak; ¬ 2004¦.
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 5/40
• enA2011manGñkrgeRKaHedaysareRKaHfñak;cracrcMnn 16654 nak;.
• 1905 nak;sab. manGñksøabcnYn 5eTA7nak; nigrgeRKaHfak;16nak; e daysar
eRKaHfñak;cracrkñgmYyéf¶
•ebIeyIgeRbobeFobeTAqa 2010 karxatbg;edayeRKaHfak;cracrNekIn11°enAqa
2011 EdlKitCaTkR ak;esnwg 310 lan duløa srG
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 9/40
krNIsøab;tampøÚvCati
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 10/40
rbYsedayGectna
rbYsedayGectna)anRtUvEckecjCaRbePT
dUcCa³• rbYsedaysaryanynþ eRKaHfñak;cracr
• rbYsekIteLIgenAkñ úgpÞH
• rbYsedaykarkMsanþ
• rbYsedaysarkargar
RbePTrbs
rbYsedayeRKaHfñak;cracr KWCamUlehtuTI2cMbgénkarsøab;énGayuBI 15-
29qñaM enARbeTskm<úCa RkumGayu20-24TTYlrgeRKaH nigsøab;edayrbYseday saryanynþ
eRcIn CageK. enAqñaM 2011karsøab; eday eRKaH
fñak;cracrN_)anekIn5° nigGñkrbYsF¶n;fycuH15° eFobeTAnwgqñaM 2010.
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 11/40
brisßan³ pøv sBaØa
\riyabT TMlab
Pñak;garbgár
yanynþ
ynþkarrbYs
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 12/40
The Haddon Matrix
use for planning, resource allocation, strategy identification
Human
mnusS
Vehicle
yanynþ
Environment
brisßan
Pre-event
muneBlekItehtu
Event
eBlkMBugekItehtu
Post-event
eRkayeBlekItehtu
Driver ability
driver training
Inspection and
checking program
Physical: road way marking.
Social: Attitudes: drink
speed
Human tolerance
to crash : seatbelt
helmet-childrestraint
Crash worthiness
of the vehicle
Physical: Fixed object near road
way-unsecure object of the vehicle
Social: enforcement mandatory
seatbelt and helmet use
general health
status of the
victim
Petrol tank design to
minimize fire during
crash
Physical: Availability and effective
timely emergency response
Social: Public support for
trauma care and rehabilitation
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 13/40
yuT§saRsþ karBarku M[maneRKaHfñ ak; rbYsedayeRKaHfñ ak;cracr
ktþ a Gnþ raKmn_EdlGaceFVI )an
Gñ kCi H )aneronebI kbr-eRbImYksuvtß i PaB-eKarBc,ab;cracr
Büa)alGñ krbYs[)anTan;eBl
Pñ ak;gar-vui cTr½ ¬yanynþ ¦ ³karb:HTgÁ i cKñ a-ynþ karbuk-kMlaMgébkarbuk
c,ab;elI karRtYtBi ni tüel,On
hamXat;karpli tb¤naMcUlRbePTm: UtUEdlmankMlaMgxøaMg
eFV I [kan;Etl¥RbesI reRKÓgyanynþEdlGacRtYtBini tü)anbri sßan pSBVpSayGb;rMBI c,ab;cracr-EkERb\ri yabF-
begá I nkaryl;dw gBI vi FankarkarBar bnßyPaBrelagénfñ l;-
dak;søaksBaØacracrtampø Úv
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 14/40
ktþaEdlnaM[maneRKaHfñak;cracr
• el,On -ebIkbredaykMhwg-ht;enOy gguy edayebIkbr niyayTUrs½BV nigkarkMsanþepSg²
• eRbIR)as;ExSRkva:t;karBar nigmYksuvtßiPaBminRtwmRtUv RBmTaMg Kµan Child safety Seats
•
eRbIeRKÓgRsvwg nigfñaMejónenAeBlebIkbr• kñúgcMeNamGñkEdlmaneRKaHfñak;cracredaysarebIkbryanynþ 60°-70°Gac manCIvit
rs;)anebIeKeKarBtamkarENnaMkñ úgkarBak;]bkrN_karBar.
•
eTaHbICaeBagkarBarGackarBarkñúgeBlmaneRKaHfñak;k¾eday k¾karBar)anEtenA eBlEdlmankarTgÁicEpñkk,al ehIyvaGac[maneRKaHfñak;dl;kUnekµg nigmnusS Tab EdlGgÁúyCit
eTAnwg tabøÚLaneBk.
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 15/40
• edIm,I[eBagxül;karBaredaysuvtßiPaBRtUveFV Itamesckþ IENnaMCamUldæáan³ – dak;ekµg[GgÁúyxageRkay nigelIekAGIsMrab;ekµg¬ rhUtdl; 12qñaM¦
– RtUvTukcMgay 10GIug ¬ 25/4s/m ¦enAcenøaHeBagxül; nigq¥ wgedImRTUgrbs;GñkebIkbr
• etIRtUvkarBareRKaHfñak;edaykarebIkbredayrebobNa? – eKarBel,ÓnEdlc,ab;kMNt; – bMBak;ExSRkva:t;suvtß iPaBeBlebIkbrrfynþ
– ku MTTYlTaneRKOgRsvwgeBlebIkbr
–
EqkemIlyanynþEdleRbI[)aneTogTat; nigRtwmRtUv – eKarBc,ab;cracr
– eBlebIkbrmU:tURtUvBak;mYksuvtß iPaB[)anRtwmRtUv
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 16/40
kartamdanrbYsskmµ
• karRbmUlTinñn½yCaeTogTat;
• cat;taMgbuKÁliksuxaPi)aledIm,IRbmUlB½t’manelIkrNIfµI
• tamdanCaRbcaMnUvkrNIrbYsedayeRKaHfñak; b¤ GMeBIhwgSakñ úg
RKYsar enA EpñkRbeBaFnkmµ.
kartamdanrbYs
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 18/40
kartamdanrbYsmi nskmµ
• karRbmUlTinñn½ymincaM)ac;RsavRCavrkGñkrbYs
•
tamdantambBa¢ Ikt;RtaCMgW r)aykarN_ BIEpñkepSg²edaymin)ac;eRbImnusScuHeTARsavRCavrkCMgW.
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 19/40
rbYs
b:UlIs
mnÞIreBTü
Büa)aledayxøÜnÉg
Robertson, 1992
evC¢bNÐit
esvaevCsaRsþbnÞan
mCÆmNÐlsþarBlkmµnigsm,TamCÆmNÐlEfTaMrbYsRKaMRKa
saldak;exµac
EpñkseRgÁaHbnÞan;
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 20/40
karcuHbBakar
bBa¢ ITinñn½yTak;TgnwgkrNICMgWBiess
Cak;lak;kñ úgcMeNamRbCaCnEdl)ankMNt;
dUcCakarykmUldæanRbCaCn b¤ mUldæan suxaPi)al .
Last, Dictionary of Epidemiology
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 21/40
kartamdantamsg;TENl
• tamehtukarN_
• tamRkumRbCaCnEdlmanlkçN³vinicä ½ytamEdl)ankMNt;.
John Last
Dictionary of Epidemiology
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 22/40
Management TA NPH 22
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 23/40
)ak;RtKak
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 25/40
eRKaHfñak; nigrbYskñúgpÞH
•
Føak;• ePø IgeqH
• Bul
• søak; nig sÞHxül;• pÞúHGavuFedayGectna
• lg;Twk
• stVxaM-cwk
• ExSePøIgqk;
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 26/40
etIRtUvkarBardUcemþcedIm,IkarBarkarFøak;
karFøak;GacekIteLIgedaysarmUlehtuCaeRcInEdleyIgGackarBar)aneday³• kMralpÞH CeNþIr nigkEnøgepSg²eTotRtUvkuM[manrbs;EdlGaceFV I[rGil b¤Tat;b:HnaM
[pøat; RKic
• RtUvmanePø IgbMPø WenAkEnøgEdlggitCaBiessenAmat;TVar CeNþIr
• eBleLIgCeNþ IrRtUveRbIédTaMgBIrkan;bgáan;éd
• dac;xatkuMQrx<s;CagkaMTI3 rab;BIelI
• eBleRbICeNþ Irbt;edIm,IeLIgeFV IGV ImYy RtUvemIlfaetI)andak;KnøwH[Cab;ehIyb¤enA
• ku MbnÞ úbekAGIeLIgedIm,IykGVImYyenATIx<s;
• eFV Ir)aMgenAmat;TVarpÞH nig bg¥ Üc ebImanekµgtUc ehIyku M[TukekµgelgenA TIx<s;dUcCa tuERKedayKµanGñkemIlva.
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 27/40
etIRtUvkarBardUcemþcedIm,IkarBarePøIgeqH
• kuMCk;)arIenAelIERK
• RtUvkarBarCYsCuleRKÓgePøIgEdlcas;² nigTukdak;va[RtwmRtUv
• kuMdak;GV IEdlGaceqHenAEk,ERKedk
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 28/40
• RtUvmanRckeKcecjcMnYn2sMrab;ecjBIbnÞb;-GaKar
• RtUvdak;sBaØaRbkasGasnñeBlmanePøIgeqH
• ebImanePø IgeqH – RtUvecjeRkAebI)ankan;Etqab;kan;Etl¥ ehIyeBlecjmkeRkARtUvrab;smaCikrbs;xøÜn
ebIman)at;nrNamñak;RtUvraykarR)ab;eTAPñak;garBnøt;GKÁIP½y minRtUvcUleTAkñ úgvij
edayxøÜnÉgeT. enAeBlmanePø IgeqH minRtUvrt;eTABYnenAeKon²eT. – ebICab;enAkñ úgeBlePøIgkMBugeqH minRtUvebIkTVarEdleqHeT RtUvrkRckepSgecj dUcCabg¥ Üc
edayERsk[eKCYy.
–
karQøk;nwgEpSgGac[søab;dUecñHRtUvlUnecoskEnøgEpSgedayRKbRcmuH nigmat;edaylYcdkdegð Immþg²
– ebIsMelokbMBak;rbs;GñkeqH sUmkuMrt; RtUvQb;pþÜlxøÜneTAelIkMralehIy Rbemolxø ÜncuHeLIgedIm,I[)at;GNþatePø Ig
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 29/40
• enAshrdæGaemrikRbCaCnCag 2lannak;)anrgeRKaHnwgkarBulkñ úgmYyqñaM²
• enAqñaM 2003 enAmnÞIrBTükal;Em:tEtmYy mankrNIBuldl;eTA 608nak; esµ I 4°
énCMgwTUeTA EdlRsþIman57/9° nigburs42/1°. RkumGayuEdlrgeRKaHman BI
15-29=56/1° BI30-44qñaMman26/2°.• karBuleRcInmkBI cMNIGarhar ¬257 krNI¦ eRbIfñaMelIsdUs¬249krNI ¦
Buleday fñaMsMlab; stVl¥ it ¬53krNI¦ BuledaypwkRsamanCatiemtaNuleRcIn
¬28 krNI ¦ nigedaymUlehtuepSgeTot ¬21krNI¦ .
karBul
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 30/40
• enAshrGaemrikkarBuleRcInmkBI elbfñaMelIsdUs Buleday sab‘U sMGatpÞH eRbgkateqA
fñaMsMlab;stVl¥ it sMlab;esµ A eRKOgsMGag.
• enARbeTskm< úCakarBuleRcInmkBI fñaMsMlab;stVl¥it fñaMsMlab;esµA elb»sfhYsdUs.
dUecñHedIm,IkarBarRtUv³
–
rbs;EdlGac[BulRtUvTukdak;[q¶ayBIédekµg nigmansresrsMKal;elIdb b¤kMBugEdldak;va.
– edIm,IkarBarnigCYysRgÁaH[)anTan;eBl RtUvsÁal;elxTUrs½BÞénmCÄmNÐl énkarBul (
Poisoning Center) EdlenACitbMput b¤eBTü EdlenACitbMput.
– eBlykGñkBuleTAeBTüRtUvykrbs;EdlnaM[BuleTACamYypgedm,IgayRsYlrkfñaM bnSab.
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 31/40
søak; nigsÞH
• ekµgGacsÞH b¤søak;enAeBlEdlvaelbrbs;tUc rwgenAkñúgmat;rbs;va.dUecñHedIm,IkarBar eKRtUvTukrbs;tUc²[q¶ayBIédekµgeRkamGayu 3qñaM.
minRtUv[ekµgjauMkar:uteqA RKab;sár htdr½ eBatlIg. l.RtUvBinitüRbdab;ekµgelg[)anRtwmRtUvERkgmanrbs; pSMdUcCaex©A b¤bMENktUc²EdlekµgGacelbcUl)an. kuM[ekµgebomfg;)øas;sþIk b¤ eb:ge)a:g
kµ úgmat;.• eyIgGacCYyekµgEdlsøak;)anedayeRbIviFI HEIMLICH or Abdominal
thrust
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 32/40
• ku MykkaMePøIgeTACnøelg b¤P¢g;elg nwgGñkd¾éTeRBaHxøacralék
• kaMePIøgRtUvcak;esar nigTukenAepSg BIRKab;.
• RtUvBinitükaMePøIg[)anRtwmRtUvmunnwgykeTAeRbI• Rbkan;P¢ab;nUv\riyabTmansuvtßiPaB
•
Rby½tñkuMdak;kaMePIøg[ekµgyk)an• eBleRbIR)as;kaMePøIgkuMeRbIeRKOgejon fñaM nig suraeRBaHvanaM[man karsMerc
citþxus.
karpÞ úHGavuF
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 33/40
eRKaHfñak;kñúgeBlelgkILa b¤kMsanþ
KWCaeRKaHfañk;EdlbgáeGaymanrbYsenAeBlkMBugelgkILab¤kñúgeBlkMsanþmYy
• c,ab;b¤bTbj¢aEpÞkñúgenAkEnøgkILanigkMsanþdUcCa³
• kuMEhlTwkelgEtÉg• eBlCiHTUkRtUvBak;GavsuvtßiPaB
•
RtUvBinitükEnøgelgkILafaetImansuvtß iPaBb¤eT/• RtUUvBak;mYk b¤]bkrN_suvtßiPaBeBlelgkILa b¤El,gkMsanþNaEdl haniP½y
bNþaleGayman eRKaHfñak;.
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 34/40
eRKaHfñak;kargar
eRKaHfñak;kargarekIteLIgenAkEnøgdEdlbKlikeFVkar
dUcCa karRbQmnwgsarFatUKmI sarFatupH nig eRKOg
cRk .
mUlehtudMbUgEneRKaHfñak;kargar
KCalT§plEnkarRbQm b:HBal;eTAnwgPak;gar
E dlmanCatiBul pHeBlkMBugeFVkar.
taragEnktahaniPyEneRKaHfak;kargarBIRbPBepSg :
karCIkEr:
sMNg;
kardwkCjn
Ksikm
kEnþgjaMuTwk )aymnIreBTü
kEnßg lk;eRKOgeTs
eragcRkkEnßgplitnavaeragcRkeQI
eragcRksµ itelahFatu
eragcRktm,aj- eragcRkplitnigevcx©b;sac;
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 35/40
hanP½ykargar
ktþahanP½yrbsrbskargarCaktþaEdlmindUcCamUlehtuEdl
bgárbs rWCgWedayp§al;eT bEnþvamanTnak;TMngCamYy.
manktþahanP½ynrbYskargarGaceGayman
Having a risk factor for Occupational
Injuries makes the chances of getting a
condition higher but does not always leadto Occupational Injuries. Also, the absence
of any risk factors or having a protective
factor does not necessarily guard you
against getting Occupational Injuries. For
general information and a list of risk
factors, see the risk center .
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 36/40
• GMeBIhwgSaKWCaeRbIkMlaMg b¤GMNacCaBaküsMedA CarUbrag pøÚvcitþ
EdleFVI[manrbYs edayxø ÜnÉg nigdl;Gñkd¾éT.
• mUlehtuPaKeRcInénGMeBIhwgSaeRcInmkBI sgÁm ePT eRKOgRsvwg nig eRKOgejon karrMelaP vaytb;edayeRbIkMlaMgbMBan karrukKYn karlbcab; .
GMeBI hw gSa -rbYsedayectna
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 38/40
kareFV I Abdominal thrust
edayxøÜnÉg eBlsøak;
kareFV I
Abdominalthrust
edIm,ICYyGñkrgeRKaH
edaysøak;
7/18/2019 Unintentional Injury 2015
http://slidepdf.com/reader/full/unintentional-injury-2015 40/40
BaküKnø wH
• niymn½yénrbYs
•
RbePTénrbYs• karkarBareRKaHfñak;cracr
• viFICYyekµgEdlsøak;edayrbs;rwgtUc
• etIeKeRbItaragrbs;GñkNaedIm,IerobcMyuTæsaRsþkarBareRKaHfñak;cracr• GMeBIhwgSasß itkñ úgRbePTrbYsNa?