Purpose: To evaluate severity and built a pilot of a national databank about pediatric trauma and to determine its severity. Methods: Prospective study of unintentional pediatric trauma in five hospitals in the city of São Paulo, Brazil. Results: 916 patients in 4 months. 61.5% of traumatized children were male, average 6.5 years. 48. 4% were falls. Most families had an average monthly income less than three minimum wages. 42% of accidents occurred at home. 18.9% of children were alone. 59,8% of parents thought it could be prevented. 26.5% of children had previous accidents. GCS was severe: 5 patients, moderate: 8 patients. 21 patients were intubated (2.4%), RTS <7 in 10.2%, PTS<8 in 3.6%. 8.5% patients were considered severe, which was related to falls (p=0.001); sports (p=0.045); pedestrian (p=0.006); child education (p=0.015) and cared by male (p=0.007). Conclusions: Severity occurred in 8.5% and was associated to falls, sports, traffic, child education, and cared by male. Simple preventive measures could have prevented most of the accidents. The tested tool for details was successful and can be used throughout the country.

Introduction: Children safety car devices decrease injuries and death in children. A survey conducted in Brazil in 2009 revealed that only 36.1% of children safely transported. In 2010, a Brazilian law was implemented, obligating the use of safety devices. The aim of this study is to evaluate the use of such devices after the law and the eventual reasons for non-use. Methods: A significant sample of Brazilian population aged 18 years or more, which normally carry children until 10 years old answered a survey between August 16 and 25, 2012. The study was conducted in two phases. The first one aimed to raise the proportion and profile of the target population, while the second investigated the children car safety device use (or not). Results: 622 interviews. Children's transporters are young males (57%), living in a metropolitan area in the South region, concerned about safety and law supervision, with greater education level and income than non-transporters (31%) who are male with lack of information, living in a non-metropolitan area of the Northeast region that would be motivated to use the device by effective law fiscalization or threat of an accident. Conclusion: Two years after the law it is observed that education, income, age, gender and region of origin influence the use/non-use of the safety seats in Brazil. The accident threat and fiscalization are the main reasons for using the device, showing that the lack of information impairs the democratization of its use and the prevention culture has to be enhanced in the country.

BackgroundWhen a child swallows or inserts a button battery into the nose or ears, it can get stuck in the throat or in the nose or ear canal. Saliva triggers an electrical current causing severe burns and tissue damage within 2 hours. This results in serious injury that may require surgery, or even the death of a child.Between 2011 and 2013, the National Poisons Centre of New Zealand received 175 calls regarding children under 6 years swallowing or inserting batteries into their nose or ears. 63 children have also been treated at the Starship Children’s Health Emergency Department from March 2009 to February 2012.Children under 6 years old represent the greatest risk. Small children often have easy access to coin-sized batteries and devices that use them, and many parents do not know there is a risk.ObjectiveDevelop an effective collaboration with government and non-government agencies, industry, design experts and medical first responders to proactively address an emerging child injury issue—the ingestion and insertion of powerful coin sized lithium batteries by children.ResultsIn April 2014, Safekids Aotearoa announced The Battery Controlled – a partnership to raise awareness about this issue and share information with the medical first responders, medical community, regulators, parents, caregivers, manufacturers and retailers.This effort is committed to helping prevent children from swallowing coin-sized button batteries, and for parents and medical first responders to know what to do if they suspect a child has swallowed a button battery.This presentation will describe the key components of the campaign, including identifying key partners and how each contributed to addressing the injury issue from all angles – regulation, product design, packaging, education and awareness.15,000 pamphlets were distributed throughout education and health providers, home visitors and care givers to families around the country. 240 kits to demonstrate the risks of the product and how the injury can be prevented were provided to organisations and government services. 90% of the resource users evaluated the material as effective and very effective and that they learnt a lot about the issue.The presentation also describes the different mediums and technology used to reach the right audience.ConclusionsOutcomes to date include support from the then Ministers of Health and Consumer Affairs, International recognition for New Zealand as a world-leader in button battery child injury prevention, strong media support and heightened public awareness of the injury issue.

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Background In Brazil, 4700 children under 15 years old die and 125 000 are hospitalised each year due to non-intentional injuries, such as traffic, drowning, fall, burn, poisoning, chocking, among others. According to Ministry of Health, non-intentional injuries are the leading cause of death between the ages of 1 and 14. Objectives Safe Kids has created a distance course for multipliers to educate the community to promote injury prevention related to children. Methods The course is online and includes eight lessons within 60 h. To conclude the course and receive a certification, participants have to create an ‘Action Plan’ of activities to be developed in their communities. Results In 2011, Safe Kids was performed four classes of the course for 1520 professionals of education, social, health, and other areas attended the courses. These professionals are in 25 States of Brazil, 80% are women, aged between 31 and 40 and 80% have completed higher education. The great result is their ability to multiply the message and transformation of reality. They have reached 13 905 children and 10 011 adults with lectures, community events, student classes and advocacy. When measure knowledge about injury prevention, they had 6 in the pretest and 8.4 in the post-test. Significance The results reveal that the information was relevant to participants and really changed theirs perception about prevention of accidents involving children. A total of 90% changed their behaviour to prevent injury related to children.

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BackgroundNew Zealand’s rate of child motor vehicle occupant injury is high by international comparisons. A plethora of research and science has repeatedly stated the safety benefits of keeping children in booster seats until they reach 148cm in height. In New Zealand ( prior to 2013) there was no legislation that mandated the use of child restraints beyond the fifth birthday; consequently children were prematurely graduated to adult safety belts and exposed to unnecessary injury risk.Description of ProblemIn July 2009, Safekids launched a multi-pronged, two year campaign to promote regulation change, education and public awareness of the safety benefits of booster seats up to 148cm tall. Key activities included:The creation of a solid base of evidenceThe instigation of a national advocacy project to influence government strategyThe delivery of a series of capacity building workshopsThe development of creatives to support a nation-wide public awareness campaign.ResultsKey findings included:Utility and value of the Safekids Campaign: 95 percent of e-survey respondents utilised the Campaign to support local action, 83 percent found the key message effective to very effective and 96 percent of respondents found the resources effective to very effective.Reaching communities: of 100 e-survey respondents, 64 percent primarily worked with indigenous peoples. 360,000 child vehicle passenger safety resources were distributed to areas identified as ‘communities at risk’.Shifting attitudes: 77 percent of e-survey respondents felt that the Campaign had supported the adoption of safer practices. One third of parents interviewed reported that they would prolong their child’s use of a booster seat.Organisational engagement included health services, educators, government and local government, Police and social support services.Media responsiveness: 34 percent of all recorded media referred to Safekids’ NZ child passenger safety information and messaging.ConclusionsThe New Zealand Government has now increased the age that children must use a child restraint to age 7years. Acceptance of the benefits of booster seats has grown; The Safekids Campaign was also awarded the Traffic Institute of New Zealand (TRAFINZ) leadership award in 2011, which recognises innovation and excellence in contributing to the safety of people on our roads.

BackgroundScooter-related injuries have doubled every year since 2008—from just 697 claims in 2008 to 6,474 in 2012. Cycling related injuries are one of the top 10 causes of unintentional injury related deaths for children.Wearing a correctly fitted helmet is proven to reduce the number of head injuries. For cyclists 74% reduction in the likelihood of severe brain injury. Helmet wearing also reduced the probability of head injury by 69% in cyclists involved in crashes involving cars.Despite this, there are significant barriers to helmet wearing among older children. Reasons for this include personal image and peer acceptance; children said they looked ‘uncool’ and would be teased.Safekids designed a program that included: Effective engagement with children, schools, families, communities and the media incorporating increased awareness and behaviour change.ObjectiveIn 2012 the Creative Quest competition asked schools to create radio ads, videos and illustrated stories that promoted the importance of wearing helmets.This presentation will describe the key components and context of this competition, evaluation findings and outcomes. Outcomes to date include broad engagement with 473 entries from 129 teachers at 108 schools.ResultsSurvey results showed that among those who participated: 83% learnt how to fit and wear a helmet correctly; 89% developed a positive attitude towards the use of helmets; 89% were more likely to wear a helmet; 86% increased knowledge about the safety benefits of wearing a helmet; and 83% said they’d do the competition again.In addition, Safekids acquired a creatives made for children, by children.ConclusionEffective engagement with children increased awareness and acceptance of wearing a helmet.Key concepts supported effective intersectoral collaboration between Safekids, schools, families, communities and the media to reduce the risk of injury to children.