Unintentional Injury 2015

7/18/2019 Unintentional Injury 2015

http://slidepdf.com/reader/full/unintentional-injury-2015 1/40

PCEM3

2007

karkarBarrbYs nigGMeBIhwgSa

INJURY & VIOLENCE PREVENTION

PECM3



eKaledA

• bnÞab;BIemeronenHsikçakamnwgGac³

– dwgBIniymn½y nig erobrab;BIRbePTrbYsEdlekIteLIgedayGectna nigectna

RBmTaMgyuT§saRsþ sMrab;karkarBar nigtamdan – GFib,ayBIktþaEdlnaMbgáeGaymanGMeBIhwgSa nigrbYssñamedayGectna

nigectna

– BiPakSaBIviFankarkarBarxøÜnÉgBIrbYsnigeRKaHfñak;cracrN_

– dwgBIyuT§saRsþmUldæansMrab;CYyseRgÁaHenAkñ úgeBlmaneRKaHGasnñ



ni ymn½y

• KWCakarxUcxatdl;ragkayrbs;mnusSmñak;EdlCalT§plénkarRbQmmuxeTA

nwg Pñak;garEdlbgáeRKaHfñak;ehIyEdlragkayminGacTb;Tl;)an• rbYs minEmnCaCMgWeT EtCYnkalvaGacbNþalmkBIktþaEtmYy dUcCa

viTüuskmµGacbNþal[rlak ¬rbYs¦ nigeBlkøayCamharIk ¬CMgW¦/

faBlclkGacbNþal[mankar)ak;q¥ wg ¬rbYs¦ nig[ rlakq¥wg ¬CMgW¦• eRKaHfñak;minEmnCa rbYsedayGectnaeT b:uEnþeRKaHfñ ak;GacbNþal [ man

rbYseday Gectna



TidæPaBTUeTA

• Caerogral;qñaM CnCatiGaemrik RbEhlCa150/000nak; )ansøab;edayrbYs ehIymYycMnYnFMFøak;xø ÜnBikar. mUlehtuénkarsøab;enHbNþalmkBIxøÜnÉgpg nigmkBI Gñkd¾éTpg dUcCamnusSXat GtþXat nig karrMelaP.

enAeBlEdlrbYsekItmaneLIgedaykarbgáeLIgedayKµaneKalbMNgGaRkk; ehAfarbYseday Gectna. enAeBlmaneRKaHfñak;edaydYlm:UtU edaykarFøak; edayePø IgeqH GacbNþal[man rbYsedayGectna.enAeBlbc© úb,nñrbYsrebobenHekIteLIgmineTogTat;edaysarehtukarN_ EdlekIteLIghYsBIkarRtYtBinitürbs;mnusS.

• enARbeTskm< úCakñúgmYyéf¶manGñkrbYsedaysareRKaHfñak;cracr Cag100nak; nigGñksøab;cMnYn 4nak; ¬ 2004¦.



• enA2011manGñkrgeRKaHedaysareRKaHfñak;cracrcMnn 16654 nak;.

• 1905 nak;sab. manGñksøabcnYn 5eTA7nak; nigrgeRKaHfak;16nak; e daysar

eRKaHfñak;cracrkñgmYyéf¶

•ebIeyIgeRbobeFobeTAqa 2010 karxatbg;edayeRKaHfak;cracrNekIn11°enAqa

2011 EdlKitCaTkR ak;esnwg 310 lan duløa srG



krNIsøab;tampøÚvCati



rbYsedayGectna

rbYsedayGectna)anRtUvEckecjCaRbePT

dUcCa³• rbYsedaysaryanynþ eRKaHfñak;cracr

• rbYsekIteLIgenAkñ úgpÞH

• rbYsedaykarkMsanþ

• rbYsedaysarkargar

RbePTrbs

rbYsedayeRKaHfñak;cracr KWCamUlehtuTI2cMbgénkarsøab;énGayuBI 15-

29qñaM enARbeTskm<úCa RkumGayu20-24TTYlrgeRKaH nigsøab;edayrbYseday saryanynþ

eRcIn CageK. enAqñaM 2011karsøab; eday eRKaH

fñak;cracrN_)anekIn5° nigGñkrbYsF¶n;fycuH15° eFobeTAnwgqñaM 2010.



brisßan³ pøv sBaØa

\riyabT TMlab

Pñak;garbgár

yanynþ

ynþkarrbYs



The Haddon Matrix

use for planning, resource allocation, strategy identification

Human

mnusS

Vehicle

yanynþ

Environment

brisßan

Pre-event

muneBlekItehtu

Event

eBlkMBugekItehtu

Post-event

eRkayeBlekItehtu

Driver ability

driver training

Inspection and

checking program

Physical: road way marking.

Social: Attitudes: drink

speed

Human tolerance

to crash : seatbelt

helmet-childrestraint

Crash worthiness

of the vehicle

Physical: Fixed object near road

way-unsecure object of the vehicle

Social: enforcement mandatory

seatbelt and helmet use

general health

status of the

victim

Petrol tank design to

minimize fire during

crash

Physical: Availability and effective

timely emergency response

Social: Public support for

trauma care and rehabilitation



yuT§saRsþ karBarku M[maneRKaHfñ ak; rbYsedayeRKaHfñ ak;cracr

ktþ a Gnþ raKmn_EdlGaceFVI )an

Gñ kCi H )aneronebI kbr-eRbImYksuvtß i PaB-eKarBc,ab;cracr

Büa)alGñ krbYs[)anTan;eBl

Pñ ak;gar-vui cTr½ ¬yanynþ ¦ ³karb:HTgÁ i cKñ a-ynþ karbuk-kMlaMgébkarbuk

c,ab;elI karRtYtBi ni tüel,On

hamXat;karpli tb¤naMcUlRbePTm: UtUEdlmankMlaMgxøaMg

eFV I [kan;Etl¥RbesI reRKÓgyanynþEdlGacRtYtBini tü)anbri sßan pSBVpSayGb;rMBI c,ab;cracr-EkERb\ri yabF-

begá I nkaryl;dw gBI vi FankarkarBar bnßyPaBrelagénfñ l;-

dak;søaksBaØacracrtampø Úv



ktþaEdlnaM[maneRKaHfñak;cracr

• el,On -ebIkbredaykMhwg-ht;enOy gguy edayebIkbr niyayTUrs½BV nigkarkMsanþepSg²

• eRbIR)as;ExSRkva:t;karBar nigmYksuvtßiPaBminRtwmRtUv RBmTaMg Kµan Child safety Seats

•

eRbIeRKÓgRsvwg nigfñaMejónenAeBlebIkbr• kñúgcMeNamGñkEdlmaneRKaHfñak;cracredaysarebIkbryanynþ 60°-70°Gac manCIvit

rs;)anebIeKeKarBtamkarENnaMkñ úgkarBak;]bkrN_karBar.

•

eTaHbICaeBagkarBarGackarBarkñúgeBlmaneRKaHfñak;k¾eday k¾karBar)anEtenA eBlEdlmankarTgÁicEpñkk,al ehIyvaGac[maneRKaHfñak;dl;kUnekµg nigmnusS Tab EdlGgÁúyCit

eTAnwg tabøÚLaneBk.



• edIm,I[eBagxül;karBaredaysuvtßiPaBRtUveFV Itamesckþ IENnaMCamUldæáan³ – dak;ekµg[GgÁúyxageRkay nigelIekAGIsMrab;ekµg¬ rhUtdl; 12qñaM¦

– RtUvTukcMgay 10GIug ¬ 25/4s/m ¦enAcenøaHeBagxül; nigq¥ wgedImRTUgrbs;GñkebIkbr

• etIRtUvkarBareRKaHfñak;edaykarebIkbredayrebobNa? – eKarBel,ÓnEdlc,ab;kMNt; – bMBak;ExSRkva:t;suvtß iPaBeBlebIkbrrfynþ

– ku MTTYlTaneRKOgRsvwgeBlebIkbr

–

EqkemIlyanynþEdleRbI[)aneTogTat; nigRtwmRtUv – eKarBc,ab;cracr

– eBlebIkbrmU:tURtUvBak;mYksuvtß iPaB[)anRtwmRtUv



kartamdanrbYsskmµ

• karRbmUlTinñn½yCaeTogTat;

• cat;taMgbuKÁliksuxaPi)aledIm,IRbmUlB½t’manelIkrNIfµI

• tamdanCaRbcaMnUvkrNIrbYsedayeRKaHfñak; b¤ GMeBIhwgSakñ úg

RKYsar enA EpñkRbeBaFnkmµ.

kartamdanrbYs



kartamdanrbYsmi nskmµ

• karRbmUlTinñn½ymincaM)ac;RsavRCavrkGñkrbYs

•

tamdantambBa¢ Ikt;RtaCMgW r)aykarN_ BIEpñkepSg²edaymin)ac;eRbImnusScuHeTARsavRCavrkCMgW.



rbYs

b:UlIs

mnÞIreBTü

Büa)aledayxøÜnÉg

Robertson, 1992

evC¢bNÐit

esvaevCsaRsþbnÞan

mCÆmNÐlsþarBlkmµnigsm,TamCÆmNÐlEfTaMrbYsRKaMRKa

saldak;exµac

EpñkseRgÁaHbnÞan;



karcuHbBakar

bBa¢ ITinñn½yTak;TgnwgkrNICMgWBiess

Cak;lak;kñ úgcMeNamRbCaCnEdl)ankMNt;

dUcCakarykmUldæanRbCaCn b¤ mUldæan suxaPi)al .

Last, Dictionary of Epidemiology



kartamdantamsg;TENl

• tamehtukarN_

• tamRkumRbCaCnEdlmanlkçN³vinicä ½ytamEdl)ankMNt;.

John Last

Dictionary of Epidemiology



Management TA NPH 22



)ak;RtKak



eRKaHfñak; nigrbYskñúgpÞH

•

Føak;• ePø IgeqH

• Bul

• søak; nig sÞHxül;• pÞúHGavuFedayGectna

• lg;Twk

• stVxaM-cwk

• ExSePøIgqk;



etIRtUvkarBardUcemþcedIm,IkarBarkarFøak;

karFøak;GacekIteLIgedaysarmUlehtuCaeRcInEdleyIgGackarBar)aneday³• kMralpÞH CeNþIr nigkEnøgepSg²eTotRtUvkuM[manrbs;EdlGaceFV I[rGil b¤Tat;b:HnaM

[pøat; RKic

• RtUvmanePø IgbMPø WenAkEnøgEdlggitCaBiessenAmat;TVar CeNþIr

• eBleLIgCeNþ IrRtUveRbIédTaMgBIrkan;bgáan;éd

• dac;xatkuMQrx<s;CagkaMTI3 rab;BIelI

• eBleRbICeNþ Irbt;edIm,IeLIgeFV IGV ImYy RtUvemIlfaetI)andak;KnøwH[Cab;ehIyb¤enA

• ku MbnÞ úbekAGIeLIgedIm,IykGVImYyenATIx<s;

• eFV Ir)aMgenAmat;TVarpÞH nig bg¥ Üc ebImanekµgtUc ehIyku M[TukekµgelgenA TIx<s;dUcCa tuERKedayKµanGñkemIlva.



etIRtUvkarBardUcemþcedIm,IkarBarePøIgeqH

• kuMCk;)arIenAelIERK

• RtUvkarBarCYsCuleRKÓgePøIgEdlcas;² nigTukdak;va[RtwmRtUv

• kuMdak;GV IEdlGaceqHenAEk,ERKedk



• RtUvmanRckeKcecjcMnYn2sMrab;ecjBIbnÞb;-GaKar

• RtUvdak;sBaØaRbkasGasnñeBlmanePøIgeqH

• ebImanePø IgeqH – RtUvecjeRkAebI)ankan;Etqab;kan;Etl¥ ehIyeBlecjmkeRkARtUvrab;smaCikrbs;xøÜn

ebIman)at;nrNamñak;RtUvraykarR)ab;eTAPñak;garBnøt;GKÁIP½y minRtUvcUleTAkñ úgvij

edayxøÜnÉgeT. enAeBlmanePø IgeqH minRtUvrt;eTABYnenAeKon²eT. – ebICab;enAkñ úgeBlePøIgkMBugeqH minRtUvebIkTVarEdleqHeT RtUvrkRckepSgecj dUcCabg¥ Üc

edayERsk[eKCYy.

–

karQøk;nwgEpSgGac[søab;dUecñHRtUvlUnecoskEnøgEpSgedayRKbRcmuH nigmat;edaylYcdkdegð Immþg²

– ebIsMelokbMBak;rbs;GñkeqH sUmkuMrt; RtUvQb;pþÜlxøÜneTAelIkMralehIy Rbemolxø ÜncuHeLIgedIm,I[)at;GNþatePø Ig



• enAshrdæGaemrikRbCaCnCag 2lannak;)anrgeRKaHnwgkarBulkñ úgmYyqñaM²

• enAqñaM 2003 enAmnÞIrBTükal;Em:tEtmYy mankrNIBuldl;eTA 608nak; esµ I 4°

énCMgwTUeTA EdlRsþIman57/9° nigburs42/1°. RkumGayuEdlrgeRKaHman BI

15-29=56/1° BI30-44qñaMman26/2°.• karBuleRcInmkBI cMNIGarhar ¬257 krNI¦ eRbIfñaMelIsdUs¬249krNI ¦

Buleday fñaMsMlab; stVl¥ it ¬53krNI¦ BuledaypwkRsamanCatiemtaNuleRcIn

¬28 krNI ¦ nigedaymUlehtuepSgeTot ¬21krNI¦ .

karBul



• enAshrGaemrikkarBuleRcInmkBI elbfñaMelIsdUs Buleday sab‘U sMGatpÞH eRbgkateqA

fñaMsMlab;stVl¥ it sMlab;esµ A eRKOgsMGag.

• enARbeTskm< úCakarBuleRcInmkBI fñaMsMlab;stVl¥it fñaMsMlab;esµA elb»sfhYsdUs.

dUecñHedIm,IkarBarRtUv³

–

rbs;EdlGac[BulRtUvTukdak;[q¶ayBIédekµg nigmansresrsMKal;elIdb b¤kMBugEdldak;va.

– edIm,IkarBarnigCYysRgÁaH[)anTan;eBl RtUvsÁal;elxTUrs½BÞénmCÄmNÐl énkarBul (

Poisoning Center) EdlenACitbMput b¤eBTü EdlenACitbMput.

– eBlykGñkBuleTAeBTüRtUvykrbs;EdlnaM[BuleTACamYypgedm,IgayRsYlrkfñaM bnSab.



søak; nigsÞH

• ekµgGacsÞH b¤søak;enAeBlEdlvaelbrbs;tUc rwgenAkñúgmat;rbs;va.dUecñHedIm,IkarBar eKRtUvTukrbs;tUc²[q¶ayBIédekµgeRkamGayu 3qñaM.

minRtUv[ekµgjauMkar:uteqA RKab;sár htdr½ eBatlIg. l.RtUvBinitüRbdab;ekµgelg[)anRtwmRtUvERkgmanrbs; pSMdUcCaex©A b¤bMENktUc²EdlekµgGacelbcUl)an. kuM[ekµgebomfg;)øas;sþIk b¤ eb:ge)a:g

kµ úgmat;.• eyIgGacCYyekµgEdlsøak;)anedayeRbIviFI HEIMLICH or Abdominal

thrust



• ku MykkaMePøIgeTACnøelg b¤P¢g;elg nwgGñkd¾éTeRBaHxøacralék

• kaMePIøgRtUvcak;esar nigTukenAepSg BIRKab;.

• RtUvBinitükaMePøIg[)anRtwmRtUvmunnwgykeTAeRbI• Rbkan;P¢ab;nUv\riyabTmansuvtßiPaB

•

Rby½tñkuMdak;kaMePIøg[ekµgyk)an• eBleRbIR)as;kaMePøIgkuMeRbIeRKOgejon fñaM nig suraeRBaHvanaM[man karsMerc

citþxus.

karpÞ úHGavuF



eRKaHfñak;kñúgeBlelgkILa b¤kMsanþ

KWCaeRKaHfañk;EdlbgáeGaymanrbYsenAeBlkMBugelgkILab¤kñúgeBlkMsanþmYy

• c,ab;b¤bTbj¢aEpÞkñúgenAkEnøgkILanigkMsanþdUcCa³

• kuMEhlTwkelgEtÉg• eBlCiHTUkRtUvBak;GavsuvtßiPaB

•

RtUvBinitükEnøgelgkILafaetImansuvtß iPaBb¤eT/• RtUUvBak;mYk b¤]bkrN_suvtßiPaBeBlelgkILa b¤El,gkMsanþNaEdl haniP½y

bNþaleGayman eRKaHfñak;.



eRKaHfñak;kargar

eRKaHfñak;kargarekIteLIgenAkEnøgdEdlbKlikeFVkar

dUcCa karRbQmnwgsarFatUKmI sarFatupH nig eRKOg

cRk .

mUlehtudMbUgEneRKaHfñak;kargar

KCalT§plEnkarRbQm b:HBal;eTAnwgPak;gar

E dlmanCatiBul pHeBlkMBugeFVkar.

taragEnktahaniPyEneRKaHfak;kargarBIRbPBepSg :

karCIkEr:

sMNg;

kardwkCjn

Ksikm

kEnþgjaMuTwk )aymnIreBTü

kEnßg lk;eRKOgeTs

eragcRkkEnßgplitnavaeragcRkeQI

eragcRksµ itelahFatu

eragcRktm,aj- eragcRkplitnigevcx©b;sac;

http://www.rightdiagnosis.com/risk/occupation_hobby.htm

http://www.rightdiagnosis.com/risk/occupation_hobby.htm



hanP½ykargar

ktþahanP½yrbsrbskargarCaktþaEdlmindUcCamUlehtuEdl

bgárbs rWCgWedayp§al;eT bEnþvamanTnak;TMngCamYy.

manktþahanP½ynrbYskargarGaceGayman

Having a risk factor for Occupational

Injuries makes the chances of getting a

condition higher but does not always leadto Occupational Injuries. Also, the absence

of any risk factors or having a protective

factor does not necessarily guard you

against getting Occupational Injuries. For

general information and a list of risk

factors, see the risk center .

http://www.rightdiagnosis.com/riskcenter.htm

http://www.rightdiagnosis.com/riskcenter.htm



• GMeBIhwgSaKWCaeRbIkMlaMg b¤GMNacCaBaküsMedA CarUbrag pøÚvcitþ

EdleFVI[manrbYs edayxø ÜnÉg nigdl;Gñkd¾éT.

• mUlehtuPaKeRcInénGMeBIhwgSaeRcInmkBI sgÁm ePT eRKOgRsvwg nig eRKOgejon karrMelaP vaytb;edayeRbIkMlaMgbMBan karrukKYn karlbcab; .

GMeBI hw gSa -rbYsedayectna



kareFV I Abdominal thrust

edayxøÜnÉg eBlsøak;

kareFV I

Abdominalthrust

edIm,ICYyGñkrgeRKaH

edaysøak;



BaküKnø wH

• niymn½yénrbYs

•

RbePTénrbYs• karkarBareRKaHfñak;cracr

• viFICYyekµgEdlsøak;edayrbs;rwgtUc

• etIeKeRbItaragrbs;GñkNaedIm,IerobcMyuTæsaRsþkarBareRKaHfñak;cracr• GMeBIhwgSasß itkñ úgRbePTrbYsNa?

Unintentional Injury 2015

Documents

Transcript of Unintentional Injury 2015