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The importance of pediatric trauma prevention: The work of Criança Segura – Safe kids Brazil

      Highlights

      • Trauma is the main cause of death in children and adolescents until 14 years of age in LMICs (low- and middle-income countries).
      • Trauma prevention in children and adolescents is a very effective vaccine and avoids major issues regarding patients and families, healthcare systems and costs.
      • Prevention strategies should include all sectors of society.
      • Permanent education and data collection are important to measure the impact of prevention strategies.

      Abstract

      Trauma is the leading cause of death in children and adolescents less than 14 years of age worldwide. Although there have been advances regarding treatment in the last decades, it is still complex to assemble well-trained teams and proper hospitals to care for traumatized children. The most effective vaccine and the less expensive tool to deal with such a burden is prevention. The aim of the Non-Governmental Organization (NGO) Criança Segura – Safe Kids Brazil is to work with child and adolescent trauma prevention through three pillars: mobilization, communication, and public policy. Nationwide actions, campaigns, education material, events, research, and proposing laws resulted in a 53% decrease of trauma deaths in Brazil in a 20-year period. The strategy contributes to build the culture of prevention in Brazil with the involvement of every sector of society. Childhood trauma prevention is effective in decreasing trauma deaths. Criança Segura is now part of Children's Villages, an international organization that will be able to multiply the model through different countries.

      Levels of evidence

      Review article

      Keywords

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      References

      1. World report on child injury prevention. Edited by M. Peden, Oyegbite K., Ozanne-Smith J., et al. World Health Organization. ISBN 978 92 4 156357 4 (NLM classifi cation: WA 250) © World Health Organization 2008.

        • Peden M.
        • Oyegbite K.
        • Smith J.O.
        • Hyder A.A.
        • Branche C.
        • et al.
        World report on child injury prevention.
        World Health Organization, 2008
        • Athey J.
        • Dean J.M.
        • Ball J.
        • Wiebe R.
        Ability of hospitals to care for pediatric emergency patients.
        Pediatr Emerg Care. 2001; 17: 170-174
        • Nance M.L.
        • Carr B.G.
        • Branas C.C.
        Access to pediatric trauma care in the United States.
        Arch Pediatr Adolesc Med. 2009; 163: 512-518
        • Stamell E.F.
        • Foltin G.L.
        • Nadler E.P.
        Lessons learned for pediatric disaster preparedness From September 11. 2001.
        J Trauma. 2009; 67: S84-S87
        • Blake N.
        • Stevenson K.
        Reunification: keeping families together in crisis.
        J Trauma. 2009; 67: S147-S151
        • Abib S.C.V.
        • Schettini S.T.
        • Figueiredo L.F.P.
        Prehospital pediatric trauma classification (PHPTC) as a tool for optimizing trauma care resources in the city of São Paulo.
        Brazil. Acta Cir Bras. 2006; 21: 7-11
      2. DATASUS - Data of the Unified Health System. Ministry of health, department of Sus information (http://w3.datasus.gov.br/datasus/datasus.php).

        • Tallo F.S.
        • Abib S.C.V.
        • Baitello A.L.
        • Lopes R.D.
        An evaluation of the professional, social and demographic profile and quality of life of physicians working at the Prehospital Emergency Medical System (SAMU) in Brazil.
        Clinics. 2014; 69: 601-607
      3. Waiselfisz J.J. Map of violence 2012 children and adolescents in brazil – Brazilian center for the American Latin studies – FLACSO Brasil. (www.mapadaviolencia.org.br, acessed 10 Aug 2013)

        • Abib S.C.V.
        • Françóia A.M.
        • Waksman R.
        • Dolci M.I.
        • Guimarães H.P.
        • Moreira F.
        • Cezillo M.V.B.
        • Góes Jr, A.M.
        Unintentional pediatric injuries in São Paulo. How often is it severe?.
        Acta Cir. Bras. 2017; 32 (JulyONG Criança Segura –Safe Kids Brasil)https://doi.org/10.1590/s0102-865020170070000010
        • Abib S.V.C.
        • Françóia A.M.
        • Ricci F.
        • Cezillo M.V.B.
        • Müller B.R.
        Children safety devices in Brazil – why people do don't use them after the law?.
        J Transp Technol. 2014; 4: 205-215
        • Hyder A.A.
        • Chandran A.
        • Khan U.R.
        • et al.
        childhood unintentional injuries: need for a community based home injury risk assessments in Pakistan.
        Int J Pediatr. 2012; (Article ID 203204): 7 pageshttps://doi.org/10.1155/2012/203204
        • Prüss-Ürsün A.
        • Corvalán C.
        Preventing disease through healthy environments. Towards an estimate of the environmental burden of disease.
        World Health Organization, Geneva2006
        • Agran P.F.
        • Anderson C.
        • Winn D.
        • Trent R.
        • Walton-Haynes L.
        • Thayer S.
        Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age.
        Pediatrics. 2003; 111: 683-692
        • Flavin M.P.
        • Dostaler S.M.
        • Simpson K.
        • Brison R.J.
        • Pickett W.
        Stages of development and injury patterns in the early years: a population-based analysis.
        BMC Public Health. 2006; 6 (accessed 21 Jun 2013)
        • Rivara F.P.
        Developmental and behavioural issues in childhood injury prevention.
        J Dev Behav Pediatr. 1995; 16: 362-370
        • Agran P.F.
        • Winn D.
        • Anderson C.
        • Trent R.
        • Walton-Haynes L.
        Rates of pediatric and adolescent injuries by year of age.
        Pediatrics. 2001; 108: 45-56
        • Mohan D.
        Road safety in less-motorized environments: future concerns.
        Int J Epidemiol. 2002; 31: 527-532
        • Haddon W.
        On the escape of tigers: an ecologic note.
        Am J Public Health. 1970; 60: 2229-2234
        • Runyan C.W.
        Using the Haddon matrix: introducing the third dimension.
        Injury Prev. 1998; 4: 302-307
        • Haddon W.
        Energy damage and the ten countermeasure strategies.
        J Trauma. 1973; 13: 321-331
        • Chandran A.
        • Hyder A.A.
        • Peek-Asa C.
        The global burden of unintentional injuries and an agenda for progress.
        Epidemiol Rev. 2010; 32: 110-120
        • Tsoumakas K.
        • Mavridi F.
        • Matziou V.
        Androulakis I. Parents’ knowledge and attitudes about preventing injuries in motor vehicle accidents in children in Greece.
        Traffic Inj Prev. 2008; 9: 129-134
        • Ehiri J.E.
        • Ejere H.O.
        • Magnussen L.
        • Emusu D.
        • King W.
        • Osberg J.S.
        Interventions for promoting booster seat use in four to eight year olds traveling in motor vehicles.
        Cochrane Database Syst Rev. 2006; CD004334
      4. Motor vehicle occupant injury: strategies for increasing use of child safety seats, increasing use of safety belts and reducing alcohol impaired driving.
        Mortal Morb Wkly Rep. 2001; 50: 1