A Computerized Child Passenger Safety Screening Program in the Emergency Department

Kiley, Kathleen; Damian, Frances J.; MacClaren, Whitney; Dupuis, Jason Matthew; Salvatore, Darlene; Nolan, M. J.; Lee, Lois K.

doi:10.1097/pec.0000000000000210

Cited by 6 publications

(5 citation statements)

References 23 publications

(14 reference statements)

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“…One safety class research study showed that interventions can increase knowledge regarding proper car seat use and improve attitudes regarding their importance but involve an hour-long class, which limits its practicality in resource poor environments as an intervention. 9 Computerized screening for car seat safety and distribution of car seats from the pediatric ED setting have been implemented. 11 A recent study demonstrated the possible utility of including information regarding CSDs in patient discharge instructions, although this is more challenging in the absence of an electronic medical record.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have shown the capacity to improve patient knowledge and attitudes towards CSDs. One safety class research study showed that interventions can increase knowledge regarding proper car seat use and improve attitudes regarding their importance but involve an hour-long class, which limits its practicality in resource poor environments as an intervention 9 . Computerized screening for car seat safety and distribution of car seats from the pediatric ED setting have been implemented 11 .…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Previous educational interventions have shown increased knowledge but require time and equipment-intensive resources. [7][8][9][10][11][12][13][14] Availability of car seat safety resources, including educational materials at appropriate reading levels and available technology, varies widely by ED. This may indicate the need for a simple generalizable tool to be developed.…”

mentioning

confidence: 99%

“…Despite the clear benefit of properly using these devices, 3,4 a majority of families are not using them or are misusing them 5,6 . Previous educational interventions have shown increased knowledge but require time and equipment-intensive resources 7–14 . Availability of car seat safety resources, including educational materials at appropriate reading levels and available technology, varies widely by ED.…”

mentioning

confidence: 99%

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A Paper-Based Car Seat Safety Educational Intervention in the Pediatric Emergency Department

Cooper-Sood¹,

Chan²,

Cho

2019

Pediatr Emer Care

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Objective: Motor vehicle crashes are a leading source of pediatric morbidity and mortality in children younger than 13 years. Proper car seat safety device (CSD) markedly reduces mortality, but the majority of families misuse them. Emergency department (ED)-based educational interventions can improve knowledge patient regarding proper CSD use but historically have been resource intensive. Our study evaluated the utility of a novel educational intervention in improving patient knowledge of proper CSD use and in evaluating for proper CSD installation.Methods: Parents of children younger than 14 years presenting to the ED were given a paper-based quiz followed by a CSD-educational handout. Improvement in patient knowledge and evaluation for proper CSD installation were evaluated by repeat quiz and a phone-based survey 2 to 4 weeks later.Results: Parents exhibited an 18% improvement in quiz answers evaluating knowledge of proper CSD use (P value < 0.0001). Eighty-two percent and 72% of families felt that the intervention improved their understanding of proper CSD use and increased their awareness of their importance, respectively, but only 18% had their CSD checked by a professional. Conclusions:A paper-based educational intervention in the pediatric ED is well received by parents, may improve patient knowledge surrounding proper CSD use, and encourages some families to get their CSDs checked for proper installation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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A Paper-Based Car Seat Safety Educational Intervention in the Pediatric Emergency Department

Cooper-Sood¹,

Chan²,

Cho

2019

Pediatr Emer Care

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“…Similarly, this was recently reported in the USA where only about half of the children with motor vehicle crash fatalities wore any child restraints. 19 Child safety programmes initiated at the ED 20 have been reported and should be explored. Pedestrians, on the other hand, are known to be at high risk of severe injuries compared to other motorway users—this is especially applicable to older children who may not be supervised when crossing the roads.…”

Section: Discussionmentioning

confidence: 99%

A prospective surveillance of paediatric head injuries in Singapore: a dual-centre study

et al. 2016

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ObjectiveTo study the causes of head injuries among the paediatric population in Singapore, and the association between causes and mortality, as well as the need for airway or neurosurgical intervention.DesignThis is a prospective observational study utilising data from the trauma surveillance system from January 2011 to March 2015.SettingPaediatric emergency departments (EDs) of KK Women's and Children's Hospital and the National University Health System.ParticipantsWe included children aged <16 years presenting to the paediatric EDs with head injuries who required a CT scan, admission for monitoring of persistent symptoms, or who died from the head injury. We excluded children who presented with minor mechanisms and those whose symptoms had spontaneously resolved.Primary and secondary outcome measuresPrimary composite outcome was defined as death or the need for intubation or neurosurgical intervention. Secondary outcomes included length of hospital stay and type of neurosurgical intervention.ResultsWe analysed 1049 children who met the inclusion criteria. The mean age was 6.7 (SD 5.2) years. 260 (24.8%) had a positive finding on CT. 17 (1.6%) children died, 52 (5.0%) required emergency intubation in the ED and 58 (5.5%) underwent neurosurgery. The main causes associated with severe outcomes were motor vehicle crashes (OR 7.2, 95% CI 4.3 to 12.0) and non-accidental trauma (OR 5.8, 95% CI 1.8 to 18.6). This remained statistically significant when we stratified to children aged <2 years and performed a multivariable analysis adjusting for age and location of injury. For motor vehicle crashes, less than half of the children were using restraints.ConclusionsMotor vehicle crashes and non-accidental trauma causes are particularly associated with poor outcomes among children with paediatric head injury. Continued vigilance and compliance with injury prevention initiatives and legislature are vital.

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Road traffic injuries among children and adolescents in Singapore – Who is at greatest risk?

Chong

Tyebally

Chew

et al. 2017

Accident Analysis & Prevention

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A Computerized Child Passenger Safety Screening Program in the Emergency Department

Abstract: A child passenger safety program can be successfully implemented in the ED. A computerized nursing screening tool increases compliance with screening and providing needed car seats.

Cited by 6 publications

References 23 publications

A Paper-Based Car Seat Safety Educational Intervention in the Pediatric Emergency Department

A Paper-Based Car Seat Safety Educational Intervention in the Pediatric Emergency Department

A prospective surveillance of paediatric head injuries in Singapore: a dual-centre study

Road traffic injuries among children and adolescents in Singapore – Who is at greatest risk?

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