Archive for the ‘Accidental Injuries’ Category

What You Don’t Know About the Impact of Vision in Your Child’s Life, review

July 27, 2016

Vacation Bible School; free; July 24-30, 2016; Milwaukee, WI




(NewsUSA) – Sponsored News – Just when you are getting used to having your children home for the summer, you realize — it’s already almost time to send them back to school. So you schedule appointments and check-ups, but one thing that often goes unchecked is a child’s vision.
Did you know 80 percent of a child’s learning is done through their eyes? And yet, according to the Centers for Disease Control and Prevention, 35 percent of children have never seen an eye care professional, making vision impairment one of the most prevalent disabling conditions among children in the U.S. This is one reason why experts agree it is imperative to get a child’s eyes checked yearly and equip them with glasses as needed.
For those who already wear glasses, seeing your eyecare professional is a necessity. Children’s lenses encounter everything from fingerprints to scratches, and even harsh glare. These issues can make it harder for kids to see the world and more challenging for them to keep their glasses clean. Looking through obstructed lenses can cause tired, strained eyes.
To help children see better — knowing that better vision leads to a better life, Essilor is doing its part to help kids focus and concentrate in school with the Crizal for Kids portfolio. Crizal Kids UV lenses include smudge-resistant technology that makes them easy to clean, and the no-glare technology reduces glare from fluorescent lights, whiteboards and computer screens to prevent tired eyes and headaches. The lenses are also long-lasting, made with safe, durable, and scratch- and impact-resistant Airwear polycarbonate material to help them withstand even the most intense recess sessions. Crizal also offers an unlimited lens replacement warranty for the life of the lens prescription.
Studies show children spend significantly more time outdoors than adults, which increases their exposure to the most powerful source of ultraviolet (UV) rays and blue light: the sun. Couple this with LED screens (tablets, smartphones, and computers) both at school and home, and children’s eyes are exposed far more frequently and at an earlier age to harmful rays that could damage their eyes permanently.
To help reduce children’s eye exposure to UV rays, Crizal Kids UV lenses have both front and backside UV protection. Wearing Crizal Kids UV lenses can provide 25 times more protection from UV light than if they wore no lenses at all. For all the benefits of Crizal Kids UV, plus additional protection from harmful Blue Light emitted by digital devices, ask about Crizal Prevencia Kids.
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VBS; free; July 24-30, 2016; Milwaukee, WI

What is Mechanism of Injury in regards to the Trauma patient?

May 20, 2013

This refers to the mechanisms whereby the energy is transferred from the environment to the person. Mechanism of injury assists the health care provider in triaging casualties and determining the probability of various types of injury.

Obtaining information related to Mechanism of injury is crucial in understanding what the patient’s body went through during the traumatic event. It may also be a very good predictor for associated injuries in which the patient may have sustained. Such things that may be of great importance: What did the vehicle look like: Mild/Moderate/Severe damage? Was there a Death in the same vehicle? Was the passenger restraint device used? Was there intrusion into the frame of the vehicle? Was the steering wheel bent? Did EMS notice any starring of the windshield? This information can be of great help when trying to prevent secondary injury in the trauma patient.

Did the car accident occur in Miami, FL (the location of our office)? Was chiropractic, massage, physical therapy, or another type of mechanical therapy instituted? Was there a surgical or mechanical procedure performed at the hospital? This information can be of help in identifying the progress in the accident patient.
References: American College of Surgeons (2008). ATLS

Boating Accident at the Beach

April 22, 2013

A Fort Lauderdale Personal Injury Lawyer handled one of the saddest cases I have seen as a forensic nurse. On one hot Memorial Day weekend, a family went to the beach. There were hundreds of families at the beach. There were also boaters in the water. One particular boater was swaying port and starboard as it traveled at a high rate of speed. Then the boat unexpectedly veered into the swimmers area. Families were screaming and yelling as this boat headed toward them. A few yards before hitting a group of families, the boat miraculously veered back into the open waters of the boating area. The wake created by the boat tossed the human bodies like rag dolls.

After the violent tossing and screaming had ended, everyone appeared to be safe. However, there was a ten-year-old girl who was not breathing. Lifeguards were giving her CPR. She spent ten days in the Pediatric Intensive Care Unit. Her brain suffered some damage due to a lack of blood flow and oxygen.

It was discovered that during the violent tossing by the boat’s wake that the life jacket was snapped off the girl. Despite the father holding tight to his daughter, the power of the wake snatched the girl from his arms.

Musculoskeletal System

March 21, 2013

I have found that the most consistent complaint, and yet the most difficult to evaluate, is chronic low back pain. Although most complaints are valid, I have had experiences where they were not. In one situation, a 56-year-old man presented for evaluation for long term disability- I was seeing him as a follow up. All appropriate scans had been ordered and were negative. He had several office exams that were inconsistent. When I examined him, he complained loudly with LE range of motion, but had no complaints when I did a leg raise. After speaking with the physician, we went with our instincts and refused to fill out his disability paperwork. He was very angry and sought a second opinion. He never returned to our office. Imagine my surprise when I was playing in a local golf tournament for charity and there was our patient who had absolutely no difficulty swinging his golf clubs! He saw me at the dinner following and refused to make eye contact. I told the physician I was working with and we both felt good about following our instincts.

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Poor Care Delivery

November 2, 2011

Medicare is certainly sending healthcare providers a message. They will not pay for poor care delivery. An example of this is that they will no longer pay if a patient falls or develops a bed sore. I applaud this. We should not add to our patient’s demise by adding additional disease processes to the one the came in with. While it may be true that someone with low immunity could develop a nosocomial infection, it can not be tolerated that we leave them unsafe with the ability to fall and break a hip. My hospital has developed techs that sit “one on one” with demented or confused patients. This has drastically reduced the falls.

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Falling Accidents and Seniors from a Forensic Nursing Perspective, comment

April 19, 2010

As a nurse in the ER we see most of our falls from seniors being over medicated. They are being treated with medications that slow them and alter their thought process such as for depression, insomnia, and a many other disorders. When we do our fall risk assessment it is amazing at how many medications they are on and put them at high risk. Many are on Xanax just because they have trouble sleeping instead of trying to figure out the problem. I feel this is way too much for most.

Original Post
February 13, 2006
Title: Falling Accidents and Seniors from a Forensic Nursing Perspective

I took great interest in an article in our local newspaper last weekend. It alluded to the fact that falls were causing an inordinate number of deaths in Minnesota and Wisconsin among senior citizens. At first glance, we might conclude that our winter weather with ice and snow was a
causative factor, but this has not proven to be the case.

There seem to be other factors in play here. Of 1564 Minnesota elderly who died from falls, only 21 died of snow and ice related falls. Some of the theories being discussed are around the cold weather causing blood to become more viscous, thus contributing to the formation of clots
which then dislodge and deposit in vital organs.

Others speculate that the low light conditions of winter contribute to accidental falls, especially for seniors whose vision is declining or who may be wearing multiple focus lenses in their glasses. There is also speculation about the reactions to some medications, decreasing alertness in some and maybe causing dizziness and unsteadiness.

Those studying this issue stress that seniors should get help in their environment so that throw rugs and multiple barriers to safe walking are not contributing to falls. They also stress that slowing down and not hurrying are very important. And exercise so keep balance and joint
range of motion optimal is very important.

As to why this is all happening in Minnesota and Wisconsin, I offer the theory that we are an
independent breed of people, trying to do for ourselves without asking for help and maybe taking risks that aren’t necessary.

I can recall coming upon my 92 year old mother balancing on the arm of the couch to reach a tall cupboard. She was independent and hardy and also in very good health, but with the risks I saw her take, she was also a lucky lady not to have an incident that could have caused a decline in her health sooner.

All the normal factors of aging play into the broken bone theory, such as osteoporosis and unsteadiness. But thus far they are only theories and maybe further studies will yield answers in the future.

Any other ideas about what may be causing so many falls among seniors?

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