ROJoson PEP Talk: New Year Eve's Health Dangers

Empowerment
objective - for
laypeople to have an
essential
understanding of
the New Year Eve’s
Health Dangers in
their health
management.
December 16, 2023
1400H - 1500H
Via Zoom
Beware of
New Year Eve’s
Health
Dangers

Empowerment
objective - for
essential
understanding of
Health Dangers in
their health
management.
December 16, 2023
1400H - 1500H
Via Zoom
Beware of
New Year Eve’s
Health
Dangers
Welcome all!
MUTE yourself but always
show your video picture.
Sign in your name, FB
account, or email address in
the Chat Box! Include names
of companions attending.
Use the Chat Box to ask
questions and make
comments while the PEP TALK
is on.
There will be group pictures
at start and end of PEP TALK –
show your face in video.

Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation

Empowerment
objective - for
essential
understanding of
Health Dangers in
their health
management.
Beware of
New Year Eve’s
Health
Dangers
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

Empowerment
objective - for
essential
understanding of
Health Dangers in
their health
management.
Beware of
New Year Eve’s
Health
Dangers
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START PEP TALK
PROPER IN 2
MINUTES!
Pls. turn on your
video!
Show your face!

Empowerment
objective - for
essential
understanding of
Health Dangers in
their health
management.
Beware of
New Year Eve’s
Health
Dangers
ROJoson PEP Talk
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
control in the
management of
their health.

I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.

From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.

Empowerment
objective - for
essential
understanding of
Health Dangers in
their health
management.
Beware of
New Year Eve’s
Health
Dangers
My PEP TALK today is
entitled:
Beware of New
Year Eve’s
Health Dangers

Contents of PEP Talk:
- Definition of New Year’s Eve
- Common health dangers during New Year Eve’s
celebration
- Prevention of common health dangers during New Year
Eve’s celebration
- Prevention of vehicular accidents (related to alcohol
intoxication)
- Prevention of physical injuries from quarrels and
disagreements (related to alcohol intoxication)
- Prevention of heart syndrome
• Prevention of firecracker injuries in the Philippines
• First-aid management of firecracker injuries
• Prevention of burn injuries
• First-aid management of burn injuries
Beware of
New Year Eve’s
Health
Dangers
Disclaimer:
ROJoson PEP Talk
contains ROJoson’s
Thoughts,
Perceptions,
Opinions and
Recommendations
(TPORs) culled from
experiences of other
professionals and
ROJoson.

Definition of New Year’s Eve
Is the night of December 31 and the morning of
January 01.
In New Year’s Eve, many people celebrate the
end of a previous year and the beginning of a
new year in various countless ways.
These celebrations, if not done with caution,
usually lead to various health dangers which are
usually preventable.
Beware of
New Year Eve’s
Health
Dangers

Common health dangers during New Year Eve’s
celebration
In the Philippines, common health dangers
during New Year Eve’s celebration include the
following:
- Vehicular accidents (related to alcohol
intoxication)
- Physical injuries from quarrels and
- Heart syndrome and heart attack
- Firecracker injuries
Beware of
New Year Eve’s
Health
Dangers

Prevention of common health dangers during
New Year Eve’s celebration
The best way to prevent the common health
dangers during New Year Eve’s celebration is to
know
• what they are
• their usual causes
• how to prevent
Beware of
New Year Eve’s
Health
Dangers

Prevention of vehicular accidents (related to
alcohol intoxication)
• Avoid alcoholic intoxication – drink alcohol in
moderation or, better still, abstain from
alcohol.
• Don’t drive after drinking alcohol.
BE WARY OF THIS DANGER – VEHICULAR
ACCIDENTS SECONDARY TO ALCOHOL INTAKE.
Beware of
New Year Eve’s
Health
Dangers

Prevention of physical injuries from quarrels and
• Avoid alcoholic intoxication – drink alcohol in
moderation or, better still, abstain from
alcohol.
• Don’t quarrel after drinking alcohol.
• Don’t inflict injuries during quarrel or
disagreement.
BE WARY OF THIS DANGER – PHYSICAL INJURIES
FROM QUARRELS AND DISAGREEMENTS
SECONDARY TO ALCOHOL INTAKE.
Beware of
New Year Eve’s
Health
Dangers

Prevention of HEART SYNDROME / ATTACK
A 2018 study shows the risk of heart attacks
increase significantly during the winter holiday
season. During a 15-year period, Swedish
researchers discovered the chance of a heart
attack were 15 percent higher than usual on
Christmas, 37 percent higher on Christmas Eve,
and 20 percent higher on New Year’s day.
Beware of
New Year Eve’s
Health
Dangers
https://hcahealthcareto
day.com/2018/12/28/av
oid-holiday-heart-new-
years-eve/
How to avoid holiday
heart this New Year’s Eve

What is holiday heart syndrome?
Holiday heart syndrome occurs when patients
develop an abnormal heart rhythm called atrial
fibrillation, or AFib, a rhythm disorder of the
upper chambers of the heart during which time
the upper chambers lose the mechanical function
and doesn’t contract.
Beware of
New Year Eve’s
Health
Dangers
day.com/2018/12/28/av
years-eve/
St. David’s
Healthcare

What causes holiday heart syndrome?
Doctors coined the term after noticing an
increase in instances of this condition related to
or caused by heavy holiday drinking. So, alcohol
can trigger episodes of AFib or an irregular
heartbeat. It’s important to note that holiday
heart syndrome is one specific condition linked to
heavy drinking, however, there are other factors
that can cause heart-related health concerns.
Beware of
New Year Eve’s
Health
Dangers
day.com/2018/12/28/av
years-eve/

What else might the increase in cardiac events during the
winter holiday season?
• Emotional Stress: Unfortunately, the holiday season can
be a source of stress due to family gatherings and/or
financial pressures (with gifts and travel expenses).
• Overindulgence: Poor eating habits and high salt intake
can exacerbate chronic heart conditions, such as heart
failure and chronic high blood pressure.
• Delayed treatment: Delays in seeking treatment during
the holidays may also play a part in the prevalence of
cardiac events.
Beware of
New Year Eve’s
Health
Dangers
https://hcahe
althcaretoday.
com/2018/12
/28/avoid-
holiday-heart-
new-years-
eve/
How to avoid
holiday heart
this New
Year’s Eve

What are some tips to reduce holiday heart syndrome?
It’s expected to enjoy the holidays with food, family and
fun – just don’t overdo it.
• Don’t binge drink
• Avoid too much caffeine
• Watch your salt intake
• Exercise
Everyone should be mindful of alcohol consumption and
general overindulgence during the holidays, whether or
not they have a pre-existing heart condition or a family
history of heart disease.
Beware of
New Year Eve’s
Health
Dangers
https://hcahe
althcaretoday.
com/2018/12
/28/avoid-
holiday-heart-
new-years-
eve/
How to avoid
holiday heart
this New
Year’s Eve

BEWARE of HEART SYNDROME / ATTACK
Beware of
New Year Eve’s
Health
Dangers

Prevention of firecracker injuries in the
Philippines
Beware of
New Year Eve’s
Health
Dangers

Philippines
Firecracker
and Burn
Injuries
In the Philippines, December has been declared
as Firecracker Injury Prevention Month since time
immemorial.
Every December, there is an anti-
firecracker campaign to reduce injuries
caused by the use of firecrackers and
other pyrotechnic devices during the
holiday celebration.

Philippines
Firecracker
and Burn
Injuries
ROJoson Advocacy Against Unnecessary
Firecracker Injuries
As a surgical resident in the Philippine
General Hospital from 1976 to 1981, I
had this gruesome experience of seeing
and treating patients with firecracker
injuries every year-end. I always ask
myself out of frustration: when will they
ever learn?

Philippines
Firecracker
and Burn
Injuries
In 2004, when I was the chairperson of
the Department of Surgery in Ospital ng
Maynila Medical Center, I launched a
campaign to prevent unnecessary
firecracker injuries in the City of Manila.

Philippines
Firecracker
and Burn
Injuries
I wrote a letter (dated October 22, 2004)
to then Mayor Joselito Atienza,
requesting for help to have an ordinance
promulgated by the City of Manila
Council banning the use of firecrackers
by the public in the territory of the City
of Manila during every new year
celebration starting 2004.

Philippines
Firecracker
and Burn
Injuries
I thought such kind of an ordinance was
the most effective way of reducing, if not
totally eliminating, the incidence of
firecracker-related injuries in the City of
Manila.
At this time, Davao City has an ordinance ban on
firecrackers and this was effective.
Unfortunately, there was no response from the
Manila City Hall.

Philippines
Firecracker
and Burn
Injuries
December 2010 to first week of January 2011, I
decided to put up a website, entitled: “Unwanted
Firecracker Injuries”
(https://sites.google.com/site/unwantedfirecrac
kersinjuries) to maintain my advocacy against
unnecessary firecrackers injuries.
The only thing I can do is to keep on reminding
people on the risk of firecracker injuries and
appeal to them to avoid.

Philippines
Firecracker
and Burn
Injuries
Fortunately, as years go by, more cities have
passed ordinances on firecracker ban – examples,
aside from Davao, Zamboanga, Baguio and
Muntinlupa as of 2013 (my last tracking).
Again, fortunately, in 2017, President Rodrigo
Duterte issued Executive Order No. 28 providing
for the regulation and control for the use of
firecrackers and other pyrotechnic devices.

Philippines
Firecracker
and Burn
Injuries
EO 28 limits use of firecrackers to
community displays.
“To minimize the risk of injuries and casualties,
the use of firecrackers shall henceforth be
confined to community fireworks displays.”
The EO has reduced significantly the number of
firecracker injuries in the Philippines. But there
are still casualties, NOT yet achieving ZERO
incidence.

Philippines
Firecracker
and Burn
Injuries
Firecrackers and fireworks, no doubt, will be
present in our midst because of tradition.
They will never be completely eliminated as they
will continue to be used for celebrating
milestones and occasions.

Philippines
Firecracker
and Burn
Injuries
To avoid unnecessary firecracker injuries, my
recommendation is that firecrackers be sold to
and used only by people trained and authorized
to do the fireworks during special occasions and
in safe places.
The rest of the citizenry should just watch and
enjoy the fireworks at a safe place and be
protected from firecracker injuries.

Philippines
Firecracker
and Burn
Injuries

First-aid management of firecracker injuries
Firecracker
and Burn
Injuries

First-aid management of firecracker injuries
Firecracker
and Burn
Injuries
• Wash copiously with soap and water right
away. (applicable to all parts of body injured)
• Control profuse bleeding if present by
applying pressure either by a clean hand or
bandages.
• If firecracker injuries are severe, seek
consultation with physicians right away.
• Take pain medications as needed such as
paracetamol or NSAIDs (sample: mefenamic
acid).
• Antibiotics may be prescribed by physicians as
indicated.

Prevention of burn injuries
Firecracker
and Burn
Injuries

Firecracker
and Burn
Injuries
Four common causes of burn injuries:
• Smoke inhalation
• Thermal contact
• Electrical equipment
• Chemicals
Focus of discussion:
Burns caused by
thermal contact:
• Fire
• Hot liquids
• Contact with hot
surfaces

Firecracker
and Burn
Injuries
Prevention is basically avoidance of
contact with
• Fire
• Hot liquids
• Hot surfaces
Be mindful and vigilant against these
risks.
Focus of discussion:
Burns caused by
thermal contact:
• Fire
• Hot liquids
• Contact with hot
surfaces

First-aid management of burn injuries
Firecracker
and Burn
Injuries

Firecracker
and Burn
Injuries
Burn Classification

Firecracker
and Burn
Injuries
Burn Percentage (Rule of Nine)
Total body surface areas
(2nd degree burns and deeper)
Any patient
with greater than 15
percent total body
surface area (TBSA)
nonsuperficial
burns should receive
formal fluid
resuscitation.

Firecracker
and Burn
Injuries
Burn Percentage (Palmar Method)
Total body surface areas
(2nd degree burns and deeper)
Any patient
with greater than 15
percent total body
surface area (TBSA)
nonsuperficial
burns should receive
formal fluid
resuscitation.

Firecracker
and Burn
Injuries
Use and non-use of antibiotics in burns
For 1st degree burns – antibiotics are not
indicated.
For 2nd degree burns (superficial) – no antibiotics.
Give antibiotics only when there are signs of
infection.
For 2nd degree burns (deep) and 3rd degree burns
- antibiotics are indicated.
Antibiotics -Topical
OTC
• Bacitracin
• Polysporin
• Neosporin
Prescription
• Mupirocin
• Silver
Sulfadiazine

Firecracker
and Burn
Injuries
Use and non-use of analgesics in burns
As needed.
Tolerable pain – no need.
Intolerable pain – take oral analgesics
Options (depending on degree of pain)
Mild to stronger analgesics
Paracetamol / NSAIDs / narcotics

Contents of PEP Talk:
- Definition of New Year’s Eve
- Common health dangers during New Year Eve’s
celebration
- Prevention of common health dangers during New Year
Eve’s celebration
- Prevention of vehicular accidents (related to alcohol
intoxication)
- Prevention of physical injuries from quarrels and
- Prevention of heart syndrome
• Prevention of firecracker injuries in the Philippines
• First-aid management of firecracker injuries
• Prevention of burn injuries
• First-aid management of burn injuries
Beware of
New Year Eve’s
Health
Dangers
Summary
Take Away

Beware of
New Year Eve’s
Health
Dangers
Take Away in
relation to
Patient
Empowerment
Be always in touch with reliable medical
information on New Year Eve’s Health Dangers!
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions /
make better decisions on New Year Eve’s
Health Dangers in your health
management.

Empowerment
objective - for
essential
understanding of
Health Dangers in
their health
management.
Beware of
New Year Eve’s
Health
Dangers

Empowerment
objective - for
essential
understanding of
Health Dangers in
their health
management.
Beware of
New Year Eve’s
Health
Dangers
Welcome all!
Mabuhay!
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START Q&A AND
INTERACTIONS!
Pls. turn on your
video!
Show your face!

ROJoson PEP Talk: New Year Eve's Health Dangers

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