Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child Health.
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Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County
Deborah A Mulligan, MD FAAP FACEP Institute for Child Health Policy, Director Professor Pediatrics, COM Barry Nierenberg, PhD ABPP Associate Professor Center for Psychological Studies
Traumatic Brain Injury
Cause:
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Blow or jolt to the head or a penetrating head injury that disrupts the function of the brain.
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The severity of a TBI may range from “mild,” i.e., a brief change in mental status or consciousness to “severe,” i.e., an extended period of unconsciousness or amnesia after the injury.
Approximately 1.4 million people sustain a TBI each year in the United States
The Problem
Among children ages 0 to 14 years, TBI results in an estimated: 2,685 deaths; 37,000 hospitalizations; and 435,000 emergency department visits.
CDC estimates 5.3 million Americans currently have long-term or lifelong need for help to perform activities of daily living as a result of a TBI.
Children safety
The goal – Create a safe surrounding
Road & Environmental # Seat Belts # Helmets # Pedestrian safety # Home safety # Strangers # Online predators
Early Intervention
Over 1.4 Million Americans suffer a Traumatic Brain Injury (TBI) each year That's 1 TBI every 21 SECONDS 50,000 people die as a result of their brain injury 90,000 suffer a permanent life-long disability Conservatively, TBI's cost the U.S. Economy over $56.3 Billion annually No known cure.
Rambam Health Care Campus: 1000 beds (A+P) Level 1 Trauma C.
Biggest TC (~35%) Referral Center: 10 Peripheral hosp.
IDF Palestinian Authority UN USA 6 th Fleet
Second Lebanon War, August 6, 2006
Haifa – Bus 37 March 5, 2003 18 killed (9 Kids) > 30 wounded
Terror - death toll 2000-2008
500 450 400 350 300 250 200 150 100 50 0 44 206 451 2000* 2001 2002 * From Sep 29, 2000 ** Until March 31, 2008 208 2003 Total – 1141 dead (70% civilians) 117 2004 <17y – 123 dead (11%) >6600 wounded 56 2005 30 2006 13 16 2007 2008** http://www.shabak.gov.il