The Role of Emergency Medical Services in Primary Injury Prevention

Garrison, Herbert G.; Foltin, George L.; Becker, Les; Chew, John L.; Johnson, Mark S.; Madsen, G; Miller, David; Ozmar, Barbara

doi:10.1016/s0196-0644(97)70116-1

Cited by 34 publications

(9 citation statements)

References 5 publications

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“…EMS‐based public health promotion programs that use EMTs to screen, educate, and refer older adults with preventable injuries and illnesses are a recent development. They represent a shift from the traditional concept of EMTs focusing only on acute disease processes to a more global public health view 18–20 . To the authors' knowledge, this is the first study that formally implements and evaluates an EMS‐based screening, education, and referral program for an EMS agency that serves a rural community.…”

Section: Discussionmentioning

confidence: 89%

An Emergency Medical Services Program to Promote the Health of Older Adults

Shah

Clarkson

Lerner

et al. 2006

J American Geriatrics Society

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Section: Discussionmentioning

confidence: 89%

An Emergency Medical Services Program to Promote the Health of Older Adults

Shah

Clarkson

Lerner

et al. 2006

J American Geriatrics Society

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“…The need for EMS involvement in such activities has been recognised [41], [42], [43], [44], [45] and the success of EMS-based programs has been documented, for example, in increasing helmet use among children and adolescents [46], [47], [48]. Bicycle safety was one of the most important injury prevention activities in US emergency departments and trauma centres [49], [50].…”

Section: Discussionmentioning

confidence: 99%

What Influences the Association between Previous and Future Crashes among Cyclists? A Propensity Score Analysis

2014

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BackgroundIt is known that experience of a previous crash is related to incidence of future crashes in a cohort of New Zealand cyclists. This paper investigated if the strength of such association differed by crash involvement propensity and by the need for medical care in the previous crash.MethodsThe Taupo Bicycle Study involved 2590 adult cyclists recruited in 2006 and followed over a median period of 4.6 years through linkage to four national databases. The crash involvement propensity was estimated using propensity scores based on the participants' demographic, cycling and residential characteristics. Cox regression modelling for repeated events was performed with multivariate and propensity score adjustments. Analyses were then stratified by quintiles of the propensity score.ResultsA total of 801 (31.0%) participants reported having experienced at least one bicycle crash in the twelve months prior to the baseline survey. They had a higher risk of experiencing crash events during follow-up (hazard ratio (HR): 1.43; 95% CI: 1.28, 1.60) but in the stratified analysis, this association was significant only in the highest two quintiles of the propensity score where the likelihood of having experienced a crash was more than 33%. The association was stronger for previous crashes that had received medical care (HR 1.63; 95% CI: 1.41, 1.88) compared to those that had not (HR 1.30; 95% CI: 1.14, 1.49).ConclusionsPrevious crash experience increased the risk of future crash involvement in high-risk cyclists and the association was stronger for previous crashes attended medically. What distinguishes the high risk group warrants closer investigation, and the findings indicate also that health service providers could play an important role in prevention of bicycle crash injuries.

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“…30,[42][43][44] It is unknown whether these approaches are appropriate for firearm injury prevention interventions in the ED. A few studies (discussed below) describe efficacious interventions for specific injury types, such as suicide or peer violence.…”

Section: Cross-cutting Themesmentioning

confidence: 99%

A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research

Ranney

Fletcher

Alter

et al. 2017

Annals of Emergency Medicine

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Objective-To identify critical Emergency Medicine (EM)-focused firearm injury research questions and to develop an evidence-based research agenda. Results-Fifty-nine final EM-relevant research questions were identified, including questions that cut across all firearm injury topics and questions specific to self-directed violence (suicide and attempted suicide); intimate partner violence; peer (non-partner) violence; mass violence; and unintentional ("accidental") injury. Some questions could be addressed through research conducted in emergency departments (EDs); others would require work in other settings. HHS Public AccessConclusions-The technical advisory group identified key EM-relevant firearm injury research questions. EM-specific data is limited for most of these questions. Funders and researchers should consider increasing their attention to firearm injury prevention and control, particularly to the questions identified here and in other recently developed research agendas.

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The Role of Emergency Medical Services in Primary Injury Prevention

Cited by 34 publications

References 5 publications

An Emergency Medical Services Program to Promote the Health of Older Adults

An Emergency Medical Services Program to Promote the Health of Older Adults

What Influences the Association between Previous and Future Crashes among Cyclists? A Propensity Score Analysis

A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research

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