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EDWARD

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					NOT ALL CHILDREN BOUNCE!!
    HOW SAFE IS HOME?

          Dr Kathryn Edward
   Paediatric Rehabilitation Fellow
 The Children’s Hospital at Westmead
      PAEDIATRIC TRAUMA

• Leading cause of death and disability in
  children aged 1 - 14 years of age.

• Falls are a leading mechanism of injury.

• Cost to the health care system
  – $130 million annually
  – $28 million is related to hospital inpatient care.
THIS IS NOT A NEW PROBLEM
• New York Study - 1972
   – ‘Children Can’t Fly’
   – Mandatory window guards led to a marked decrease in the
     incidence of children falling from windows.

• Boston
   – ‘Kids Can’t Fly’
   – Voluntary installation of window guards again led to a decrease in
     falls (not as much as with the New York campaign)

• Chicago - 2005
   – Most falls were from modest heights
       • 2nd/3rd floor windows
 SYDNEY CHILDREN’S HOSPITAL

• Identified children who had been
  admitted as a result of a fall from a
  window.
• Identify risk factors in order to look at
  prevention strategies.
  RISK FACTORS IDENTIFIED
• Young age – particularly under the age of 5 years

• Warmer months – windows are open in summer

• Open windows

• Flyscreens – majority fell through a flyscreen

• Inappropriate furniture placement
   FURNITURE PLACEMENT

• Children love to engage in exploratory
  play and often fail to identify potential
  hazards.
• Provides a platform for a child to climb
  onto or launch from.
• History of children bouncing on the bed
  or a sofa by the window.
          CONCLUSIONS

• FALLS FROM WINDOWS ARE
  PREVENTABLE!!!!!!!!!!!
• Flyscreens are not physical barriers.
• Parents need to think about window
  safety, where furniture is placed and
  consider the use of a window lock.
• Building codes need to be reviewed.

				
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posted:8/5/2012
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