FIRE & BURN PREVENTION NEWS - American Burn Association

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FIRE & BURN PREVENTION NEWS - American Burn Association

W I N T E R 2 0 1 1V O L U M E 7 , I S S U E 1F I R E & B U R NP R E V E N T I O N N E W SI N S I D E T H I S I S S U E :N E W S I G O NB U R NE P I D E M I O L O G YP R E V E N T I O NE D U C A T I O N F O RH A R D T I M E S2 0 1 2 A B A B U R NP R E V E N T I O NP O S T E RC O N T E S TR E C A L L O F G E LF U E L C A N D L E SN A T I O N A L S C A L DP R E V E N T I O NC A M P A I G NU P C O M I N GE V E N T S223456TA L E T T E R F R O M T H E C H A I Reaching – Care – Research– Rehabilitation – Prevention– these are the fivespheres of expertise of theAmerican Burn Association.Clearly, North American burncenters are blessed with someof the most competent, caringand skilled teachers and caregiversthat can be found in anymedical setting in the world.And research on pain-free treatment,infection control and scarreduction management by ABAmembers is cutting edge. Buthow well versed are our burncenter teams on Prevention?Really?That is a question the ABA PreventionCommittee intends toB . D A N I E L D I L L A R D ,C H A I R M A N A B A P R E V E N T I O N C O M M I T T E Eanswer. After all, Prevention isthe one sphere within the ABAin which ALL members canand should participate. A priorassessment (Lehna, C., & Meyers,J. (2010) JBCR, 31(1),111-120) of nurses have disclosedthat this populationbelieves that it is very importantfor them to provideprevention education to patientsand patient family members.In that same assessment,however, they ratedtheir competence in providingthis information as low.In the coming months, the PreventionCommittee will quantifythis knowledge and experientialdeficit by means of aJ U V E N I L E F I R E S E T T E R N A T I O N A L D A T A B A S EAcurrent hot topic in therealm of juvenile firesettingis the notion of creating ajuvenile firesetter nationaldatabase. A juvenile firesetternational database would be acollection of information aboutyouth who have intentionallyused fire inappropriately. Inorder to collect this information,it is necessary that theperson or agency who encounteredthe firesetter report himor her to the state’s juvenilejustice system so that there isan official record of the incidentthat can later be put intoa national database. In orderto be applicable, the nationaldatabase should reflect demographicinformation about thefiresetter such as age, genderand ethnicity, and perhapsinformation about any preexistingmedical condition, familystatus (e.g. broken home,abuse), and academic performance.It should also includedescriptive information aboutthe fire itself such as the locationof the incident, ignitionsource, scale of damages, andany injuries or deaths incurred.The information in thenational databaseshould reflect severalfactors about thefiresetter as well asinformation about thefire itself.―Burn Prevention Knowledge& Practices Assessment‖ ofburn center team members.The assessment tool was createdby Janet Cusick Jost, RN,MSN and has been refinedand modified by team members:Ernest Grant, RN, MSN;Karla Arhns Klas, RN, BSN,CCRP; Annette Matherly, RN;Sue Jane Smith, RN, MSN; andPhillip Tammaro, FF.All members of burn centerteams are encouraged to completethe assessment. Informationharvested from thisstudy will be used for futureABA programming including apotential post graduate preventioncourse conducted atan ABA Annual Meeting.The subject of such a databasewas addressed at a paneldiscussion entitled, NationalJuvenile Database – Is ItNeeded? Can It Be Done? atthe 43 rd annual AmericanBurn Association Meeting thispast March. Panelists includedDave Gulledge, Data UnitManager of the Oregon Officeof the State Fire Marshal; PaulSchwartzman, M.S. from FingerLakes Regional Burn Association;Martin King, Assistantcontinued on pg. 5


F I R E & B U R N P R E V E N T I O N N E W SPage 2B U R N E P I D E M I O L O G Y S I G A P P R O V E D B Y A B A F O R 2 0 1 2new Special Interest Group (SIG)A with potential relevance for fire/burn injury prevention specialists hasbeen established within the AmericanBurn Association. The recently approvedBurn Epidemiology SIG will conveneformally for the first time at the2012 annual meeting in Seattle.Burn prevention advocates are oftenhampered by the lack of credible datato plan and evaluate their preventioninitiatives. The rationale for preventionprograms is often contingent uponaccurate baseline data. This new SIGprovides a forum to discuss how dataand statistics, studies in other areas,and national surveys can be correctlycited in presentations and grant fundingapplications.The initial goal of the SIG will be toobtain consensus on a one-page, annuallyupdated fact sheet presentingcredible estimates for basic fire/burndeath and injury statistics.Since there is no single reliable nationalhealth statistics database, the consensussheet will require blending fireand burn injury data and statisticsfrom several sources, including theNational Burn Repository, NIH, CDC,etc. The process through which informalconsensus on the ABA’s 2012 factsheet was reached will be presentedat the April 23 meeting.The SIG could potentially develop intoa year-round electronic ―clearinghouse‖ for ABA members, staff andthe media, with respect to questionson burn statistics not addressed in theABA’s National Burn Repository.Over the past 15 years, ABA factsheets reflect a decline in total burninjuries, posing a special challenge forburn epidemiologists. This apparentdecline may be the result of our interventionsas prevention educators,safety messages by the media, or saferconsumer products. The declinecould also represent non-preventionbased sociological factors such asThe meeting of the newBurn Epidemiology SIG hasbeen scheduled forMonday April 23, 3:00-5:00 pmat the ABA convention(see page 6).smaller family size or the consumptionof food and beverages away from thehome. The new SIG will address theseand other important questions relevantto burn injury prevention.If you have suggestions to help guideits inaugural agenda, please shareyour concerns and potential agendaitems in advance with Peter Brigham,the SIG’s initial coordinator, atpabrigham@gmail.com.Peter Brigham, MSWF I R E A N D B U R N P R E V E N T I O N E D U C A T I O N F O R H A R D T I M E S―We don’t have the budget to do preventioneducation.‖―We don’t have the manpower to doprevention education. ‖―We know prevention is a worthy goal,but—‖Stop us if you’ve heard this before.Ironically, there is often plenty of attention,money and time paid after a tragedythat could have been prevented.But the reality is, as the media trumpetsthe latest crisis (economic, political,meteorological), as budgets areslashed and staff are laid off, it becomeseven harder to make preventiona priority.Budgets are unlikely to be restored inthe near future. New hires for publiceducation, prevention and safety alsoseem a distant dream. As for the media—it’snever going to change. Ratherthan hope that things will improve,how can we get effective preventioneducation out there today?By giving people—teachers,fire services, parents andothers—resources thatare easily accessible,can be used effectivelyin whatever amount oftime is available withoutspecial training,are culturally appropriateand relevantfor the target audience,and free or low-cost. Here’s howwe have kept all of these principles inmind when designing or choosing programs:Accessible. Rather than bemoan thefact that attention is usually (if onlytemporarily) paid to fire and burns onlyafter they have occurred, we designeda program that couldtake advantage of this briefteachable moment aswell as help teacherswho, whether they areprepared or not, mustdeal with the questionsand fears raised in childrenwhen a peer has a fire at home.continued on pg. 4


V O L U M E 7 , I S S U E 1Page 32 0 1 2 A B A B U R N P R E V E N T I O N P O S T E R C O N T E S TCalling all members of the burn team!Here’s your chance to increase awareness of burn hazards or preventionmessages. Three monetary awards in the amounts of $500,$300, or $200 will be awarded to the top three posters. All awardsare paid to the Institutions represented. Winners will be announcedduring the ABA Annual Meeting in Boston.Contest Details/Poster ThemesPosters may address scalds, any single burn or fire prevention problem,a specific population, or multiple etiologies. Posters will beevaluated according to the following criteria: originality of the idea,creativity, quality of the verbal and graphic message, the immediateclarity and positive tone of the message the poster conveys, as wellas composition, and other elements of design.Poster abstract forms in Word format must be completed andreturned by January 16, 2012.Late entries will not be accepted.To obtain a poster abstract form, go towww.ameriburn.org/preventionNews.phpContact: Curtis Ryun, RN CRyun@LHS.org2011 First Place WinnerDesiree L. Jimenez, EMT-B and Shellie Mason, MS, NP-CThe Children’s Hospital Burn Center, Aurora, COP O S T E R C O N T E S T R U L E SPlease read this page carefully and completely before youstart your poster! If the poster does not meet all the judgingcriteria, the poster will not be judged or displayed.1. The poster must relate to burn or fire prevention.2. Total poster size will be 18 X 24 inches and laminated(No FOAM backing).3. Posters and CD will not be copyrighted.4. All posters must be original work. It is the responsibilityof the entrant to adhere to all copyright laws.5. It is the responsibility of the entrant to obtain andretain written photo consent from each person depictedin the poster and to forward the original ofsaid consent to the ABA Central Office and a copy tothe poster chair.6. If the content (both verbal and graphic) of the posterportrays any illegal activity, it will be automaticallydisqualified.7. If an institutional logo is included, the logo or otheracknowledgements should be placed in the lower lefthand corner of the poster. Printing should not exceed18 point type, and should be confined to a 2 x 4 inchspace. Names of institutions and/or organizationsshould not appear in poster text.8. Any person, institution, organization or poster thatdoes not comply with the poster rules and requirementswill be disqualified on submission and will notbe eligible for display.9. The poster shall not have been previously publishedor presented at a national conference. (It may havebeen presented at an ABA-endorsed regional meeting.)The poster shall not be displayed or presentedin any other format at this current ABA Meeting.10. One CD version of the poster in PowerPoint formatmust be mailed to the Poster Contest Chair and receivedno later than February 16, 2012. These CDsbecome the property of the ABA. Be sure not to missthe display of entries!11. Posters are to be taken to the Burn Prevention Boothby Tuesday at 5 pm and taken down on Thursdaymorning by 12:00 noon. If the posters are not pickedup by the designated time, we are not responsible fortheir return.12. Posters will be displayed at the ABA PreventionBooth at the 2012 Annual Meeting. Posters will bejudged by members of the ABA Burn PreventionCommittee with ribbons placed on the three winningposters.


F I R E & B U R N P R E V E N T I O N N E W SPage 4P R E V E N T I O N E D U C A T I O N F O R H A R D T I M E Scontinued from pg. 2In ―After the Fire: The Teachable Moment,‖we suggest age -appropriatebooks and discussion questions tohelp the class process the event, followedby classroom and take-homeactivities and further reading thatteach children how to prevent a firefrom happening in their own home andwhat to do if a fire does occur.Easy to use. In helping to design a firesafety program for preschool- and kindergarten-agechildren, members ofthe Prevention 1st team worked withearly childhood educators to createactivities that were age-appropriateand helped teachers meet requirementsfor word recognition, comprehension,vocabulary and other learningstandards. The result, the awardwinningplay safe! be safe! multimediaprogram, can be used ―straightout of the box‖ in brief lessons thatcan fit into any classroom schedule.Culturally appropriate. For our video―Home Fire Drill: Does Your FamilyKnow What to Do?‖ we recruited familiesliving in city neighborhoods—likethose most often affected by fires inour community—to test their homeescape plans under realistic conditions.The results let our audience―see themselves‖ and realize they toomight not be as prepared as theythought, encouraging them to bothplan and practice a home fire drill.Free or low cost. Given the budget cutsfacing virtually all community organizations--fromschool systems to fire departments--there’slittle point in designingan effective program that isunaffordable. One major key to affordabledistribution is partnerships. ―Afterthe Fire: The Teachable Moment‖ ismade available to teachers in our communitywith the facilitation of the localRed Cross, and is also available as afree download from our website. Withunderwriting from BIC Corporation,play safe! be safe! is distributed freethrough nationwide workshops and isotherwise available for only the cost ofshipping and handling.Robert E. Cole, PhDCarolyn E. Kourofsky,Prevention 1stResources named in this articleare available from:www.prevention1st.orgwww.homefiredrill.orgwww.playsafebesafe.comS U C C E S S F U L I N I T I A T I O N O F R E C A L L O F G E L F U E L C A N D L E SA T E A M E F F O R Turing the month of August, theD University of Iowa Hospital burnunit admitted three patients who receivedburns while using a gel fuel candle.Candles that use gel fuel areknown as fire pots. Two patients (20%and 14% TBSA) were refueling the candle.Both had thought the candle’sflame had been extinguished prior toadding additional fuel. The third patient(9.5% TBSA) was sitting around anignited gel fuel candle with friendswhen the candle spontaneously explodedsending the gel fuel many feet inthe air and landing on the patient. Thefirst two patients required surgery. Allthree patients were intubated on arrivalto the burn unit.Recognizing the danger of the gel fuelcandles, Lori Roetlin, our burn unit socialworker, contacted the Iowa stateFire Marshall, Ray Reynolds. He beganan investigation and discovered thatother injuries with the candles hadbeen reported previously (37 in all).These injuries led to the recall of thelarge gel fuel containers marketed by asingle company (Napa) in June of2011. Simultaneously, in responseto an injury to a constituent, a senatorand representative from NewYork, jointly called for a nationwiderecall of all gel fuel. However,other models and fuel remainedon the market.Mr. Reynolds wrote a press releasesummarizing theinjuries we had seen.He sent the release tostate wide media.Shortlyfollowing therelease, ConsumerProductand Safety Commission (CPSC) recalledgel fuel marketed by eight companies(one company pulled out of thewithdrawal). The withdrawal was madepublic by the Associated Press, WashingtonBureau.A press release can be written byanyone. Partnering with the localor state Fire Marshall canprovide additional assistanceto physicians interested inburn prevention. We believethe press release played arole in the expanded withdrawalof the gel fuel. Unfortunately,these items can stillbe purchased on line. Iguess another press releaseis in order!Lucy Wibbenmeyer, MDUniversity of Iowa Hospitalsand Clinics


V O L U M E 7 , I S S U E 1Page 5J U V E N I L E F I R E S E T T I N Gcontinued from pg. 1Chief from West Allis Fire Department;and Detective John Lowman, JuvenileFiresetter Intervention Specialist fromthe Highland Park Police Department.Each panelist shared important informationregarding the benefits and challengesthat a national database wouldproduce.All panelists agreed that a nationaldatabase would be valuable for identifyingtrends in juvenile firesetting andwould provide great advantages to lawenforcement and the fire services.Some of those advantages includehelping identify juveniles at risk of firesettingbehaviors, recommendation ofnational codes and standards, andfocused research and public educationefforts (Gulledge). The database couldalso assist with emergency planningand provide quicker response times toarson. Such planning could help preventinjuries, damages, or even deaths.In addition, it would allow for bettertracking of repeat offenders who haverelocated, and better surveillance ofneighborhoods that are at high risk forfiresetting incidents. Schwartzmanargues that a database might evenprovide a ―conceptual framework toexplain firesetting behavior,‖ whichwould be invaluable to firesetter interventionists.On the other hand, a juvenile firesetternational database faces a number ofchallenges. Gulledge points out thatwhile the Oregon State Fire Marshallcurrently has its own online databasein place, it would be difficult to create auniform system across all fifty states,because laws vary from state to state.According to King, most law enforcementagencies agree that a nationaldatabase would be advantageous; it isdifficult to determine if it ―should bejust a database with basic identifiers,or a tracking mechanism, or both‖once it crosses state lines. Furthermore,it is challenging to get participationin such a system as it relies on thelaw enforcement personnel to enterthe data, and that may not be doneconsistently.Another controversy related to a juvenilefiresetter national database revolvesaround the issue of juvenile privacy.Due to this issue alone, Lowmanis doubtful that such a database wouldever come into existence, claiming thatstate police in Illinois are not legallypermitted to send information relatedto juveniles to the FBI, and wouldtherefore definitely not be permitted topublish juvenile information in a publicor private database. Further, the riskof exposing a juvenile’s privacy maydeter parents from willingly referringtheir children to organizations that offerbeneficial intervention services.A possible solution to the various problemsof a national database is ananonymous system that tracks trendsin juvenile firesetting without revealinga juvenile’s personal information. Lowmancontends that a national databaseshould only include demographic informationrelated to the juvenile and theincident (e.g. ethnicity, gender, location,ignition source), but no personalidentifiers. Such a system would bemost useful as a database of trends,and could not be used as a mechanismto track individual firesetters.King feels that the best formula forcreating a juvenile firesetter nationaldatabase would be to determine whichstate has the most effective system,and then adapt that system so that itcould be reproduced across the country.In this case, perhaps personalidentifiers would be maintained only atthe state level and then removed fromthe national database to protect juveniles’privacy, while information aboutfiresetting trends would remain.Fabianne Furman, CommunityOutreach Specialist/Juvenile FiresetterInterventionalist, Burn InstituteN A T I O N A L S C A L D P R E V E N T I O N C A M P A I G Ns you have heardA over the last coupleof years, five nationalorganizations — theFor more information,please visitInternational Associationof Fire Fighterswww.iafffoundation.orgBurn Foundation, the American BurnAssociation Burn Prevention Committee,the Federation of Burn Foundations,the International Association ofFire Chiefs, and the Home Safety Council(now merged with Safe Kids Worldwide)—havejoined forces to create theNational Scald Prevention Campaign.This Campaign is aninnovative national programdesigned expresslyto help fire and lifesafety educators, burnclinicians, and injuryprevention professionals reach alladults with life-saving informationthey need to prevent scalds in andaround their homes. It focuses onthe high risk population 0—4 yearsof age and the senior population.This program was developed withyour assistance and feedback, guidedby the National Scald Prevention CampaignSteering Committee. The toolkitwas designed in such a way that youmay brand it as your own. In the nextcouple of weeks you will receive thistoolkit in the mail. An online resourcecenter for the National Scald PreventionCampaign will becoming in the next coupleof months as well.Tony BurkeIAFF BurnFoundation


The ABA Prevention Committeehe Burn Prevention Committee is charged by the American Burn AssociationT (ABA) to provide leadership in the area of burn prevention; gather and disseminateinformation related to burn awareness, prevention, and survival; assist in thedevelopment of burn prevention programs on the local, regional, national and internationallevels; and to serve as a resource to members and affiliated organizationsin the field of burn prevention. Members of the Committee are selected and appointedby the President of the ABA from within its general membership. They arecredentialed as burn care support professionals, public safety professionals, educationspecialists and corporate and non-profit managers. The focus of the committee’swork is in North America.www.ameriburn.org/prevention.phpAmerican Burn AssociationBurn and Fire PreventionNewsletterNewsletter Editors/DesignersScott CohenDirector of Prevention EducationBurn FoundationPhiladelphia, PALaura M. WareAssistant EditorBurn FoundationPhiladelphia, PAIf you have an interesting article, idea, or opinion forthe next issue of the ABA Fire & Burn Prevention Newsletter,please contact Scott Cohen at scohen@burnfoundation.orgE V E N T S C O M I N G U P . . .ABA Burn Quality Consensus Conference andNational Leadership ConferenceFebruary 7—9, 2012Washington, DCwww.ameriburn.org/2012NLC.phpAmerican Burn Association44th Annual MeetingApril 24—27, 2012Seattle, WAwww.ameriburn.org/44thAnnualMeeting.phpThis conference will focus on definingquality metrics as related to thedelivery of burn care. Keep pace with national expectationsin delivery of burn care Identify gaps of knowledge so as tofocus our priorities in education Standardize research outcomemeasurements to guide clinical trials Optimize cost effectiveness andinfluence differential reimbursement

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