2. Childhood Injury Rates
• According to the Centers for Disease
Control and Prevention (CDC),
unintentional injuries - such as those
caused by burns, drowning, falls,
poisoning, and road traffic - are the
leading cause of death in children
(defined as 0 to 19 years of age) in the
United States.
• Each year more than 12,000 children
die from unintentional injuries, while
more than 9.2 million are treated in
emergency departments for non-fatal
injuries.
3. Fatal Childhood
Injuries
• An average of 12,175 children died of
unintentional injuries each year
between 2000 and 2006.
• The death rate for male children was
nearly twice that of females.
• Injuries due to transportation were
the leading cause of death overall,
with the highest death rates among
occupants of motor vehicles in traffic.
• There were also a significant number
of pedestrian and cyclist deaths
reported.
4. Non-Fatal Childhood Injuries
• Between 2000 and 2006,
approximately 9.2 million children
visited an emergency department
each year to be treated for non-fatal
injuries.
• Non-fatal injury rates were higher
among male children than female
children above the age of 1 year.
• Injury rates for children aged less
than 1 year were nearly the same
for male and females.
5. Non-Fatal Childhood Injuries
The majority of non-fatal injuries
were from five different causes:
• Falls, which were the leading
cause of non-fatal injury for all
children under the age of 15;
• Being struck by or against an
object;
• Animal bites or insect stings;
• Overexertion; and
• Motor vehicle occupant injuries.
6. June 2019
• Franklin County, MO on June 8, 2019
• An 11-year-old girl was killed when
she was accidentally backed over by a
bulldozer - which her father was
operating.
• He was using the bulldozer to knock
down trees. When a tree fell across
the bulldozer he backed it up without
looking - just as his daughter was
riding behind him in an ATV.
• EMS workers pronounced her dead at
the scene.
7. December 2018
• December 12, 2018 in Huron
County, OH
• EMS responding to a call on
an Ohio farm discovered a
10-year-old boy who “had
been struck by and possibly
run over by a farming tractor.”
• The boy and his older brother had been feeding cattle when he
got “pinched” by the farm machinery.
• He became lodged between farm machinery and a gate and
was severely injured, suffering from a “crushing-type injury to
his pelvic area.”
8. December 2018
• The older brother called his parents,
who told them to head home. The
boys were met along the way by their
mother, who “recognized the
severity of his injuries” and called 9-
1-1.
• EMS reached the boy at 10:29am,
and he was alert when they arrived.
• By the time he reached the hospital
at 12:02pm, the boy had died.
• The incident is being treated as a
farming accident, although an
investigation is ongoing.
9. • Children and adolescents account for
about 20 percent of all farm fatalities.
• An estimated 27,000 children under
the age of 20 who live on farms and
ranches are seriously injured each
year.
• When children who visit or work on
non-family farms are included, the
total annual injury toll increases to
100,000.
• Injuries often occur when children are
doing tasks which are beyond their
developmental capabilities.
Heavy Equipment Hazards
10. Heavy Equipment Safety
• Parents should only assign tasks
that children are ready for at their
stage of development - not only
physically but also mentally (i.e.
the cognitive ability to perceive
and then react appropriately to a
crisis).
• If one child is not be ready to
handle the whole job, a parent can
separate it into parts and assign
each part to a family member who
is able to handle it.
11. Heavy Equipment Safety
• Parents should teach children how to
safely operate equipment, and how
to recognize dangerous situations.
• Equipment should undergo routine
maintenance and have working
safeguards in place at all times.
• Parents also need to "practice what
they preach" - set a good example by
using equipment safely and not
taking any shortcuts.
• Adult supervision is ultimately the
best preventative safety measure.
12. June 2018
• Fort Morgan, AL on June 10, 2018
• 3-year-old Levi Hughes had been
wearing his life jacket all day at the
family’s vacation home, and only took
it off to eat dinner.
• His mom went into the kitchen to
clean up for a few minutes and when
she stepped back out, she saw him
face down in the pool and screamed.
• There were 6 families staying together,
and the dads were all doctors who had
done residencies together.
13. June 2018
• The men jumped to pull Levi out of the
pool but he was unresponsive.
• They had a full intubation kit to get him
breathing again, and they shocked his
heart, restoring a heartbeat before the
ambulance arrived.
• But even with immediate medical
attention, Levi did not survive.
• "Levi got out of a heavy door and the pool
had a fence. Both of his parents — and
several other adults — were in the room
when he slipped away for a moment."
14. Drowning Hazards
• 1 in 5 drowning victims is under the age of 14.
• 350 children under the age of 5 drown in pools each year in the U.S.
• 69 percent of kids who drown were in the water unexpectedly.
• A child can drown in less than one minute.
• Drowning isn’t noisy with a lot of splashing - it is silent.
• The best safeguard against drowning is to have adult supervision at
all times - even “non-swimming” times.
15. Pool Injuries
Children can also suffer from non-fatal pool
injuries, such as:
• Muscle and joint sprains from dives: Kids are
taught not to dive headfirst into shallow
water, but even jumping in feet first can result
in twisted ankles, knees, wrists and elbows.
• Slips and falls on wet surfaces: It is important
to stress no running around the pool, where
there are wet, slippery surfaces.
• Skin and lung irritation from too much
cleaner: Chlorine and other disinfectants used
in pools can cause eye and throat irritation
and skin rashes.
16. May 2019
• May 2, 2019 in Minneapolis,
MN
• 2 toddlers, who were brothers,
fell from an upper floor of an
apartment building.
• Nearby construction workers
saw the children fall, called 911,
and administered first aid until
first responders arrived.
• One child died, while the other
suffered from broken ribs and a
fractured skull - but was
expected to survive.
17. May 2019
• The mother was in the bathroom
getting ready to take the kids to
daycare when they apparently
went out to play on the porch.
• The toddler brothers were able to
scale a rooftop barrier before
falling 55 feet onto a concrete
patio below.
• “We have 300-some kids in the
building, and they're all like my
kids," the 77-unit building owner
Basim Sabri said. "It's a tragic
day.”
18. Fall Hazards
• In the United States, approximately 140
deaths from falls occur annually in
children younger than 15 years.
• Three million children require emergency
department care for fall-related injuries.
• Although falls are the most common
cause of childhood injury, these injuries
are rarely fatal.
• Fatalities occur primarily when children
fall from great heights (greater than 2
stories or 22ft), or when the head of a
child hits a hard surface, such as concrete.
19. Fall Prevention
Modification of the Physical Environment:
• Railings should be installed on all rooftops
and balconies with gaps not more than 4
inches apart.
• Outdoor fire escapes should be eliminated
when possible, in favor of internal fire stairs.
• Central air conditioning can reduce the
need for open windows.
• Providing safe ground-level play areas with
climbing equipment offers children an
alternative to climbing in more dangerous
areas.
20. Fall Prevention
• Window guards have proven extremely
effective in preventing fall injuries in
children, but different cities have different
codes and enforcement is uneven.
• However, fixed window guards can
prevent egress or firefighter access in case
of a fire.
• Operable window guards are available,
which can be released or removed
without the use of a separate key or
excessive force.
• Most of all, children should be under adult
supervision at all times.