ed4ed education for educators youth risk trends current & emerging

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INDIVIDUAL SLIDES – RIGHT CLICK SECTION NAVIGATION Youth Risk Behaviors Injury Prevention Program SLIDE 1 10-24-2011 www.ed4ed4all.c om

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This program is one part of an Education Program for Educators about Current & Emerging Youth Risk Behaviors. Review the document "User's Guide" uploaded here to my profile for a full overview. (Ed4Ed4All program currently addressing "The Choking Game"; "EMO"; "Pharm Parties" 'Atypical Inhalants" . Please follow us on facebook, twitter and make sure to visit our web site for a video overview of "The Choking Game" ) This is the reduced file version with limited/no transitions and no embedded video files.

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Page 1: ED4ED Education for Educators Youth Risk Trends Current & Emerging

INDIVIDUAL SLIDES – RIGHT CLICK SECTION NAVIGATION

Youth Risk Behaviors Injury Prevention Program

SLIDE 1

10-24-2011

www.ed4ed4all.com

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INDIVIDUAL SLIDES – RIGHT CLICK SECTION NAVIGATION

TEACHING THE ESSENTIAL ELEMENTS OF

SLIDE 2

10-24-2011

www.ed4ed4all.com

RISK

Page 3: ED4ED Education for Educators Youth Risk Trends Current & Emerging

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THE MESSAGE – THE MISSION

SLIDE 3

10-24-2011

www.ed4ed4all.com

TO KEEP KIDS SAFE! INFORM & EDUCATE!

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ED4ED

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Bridging The Information Gap10-24-2011

SLIDE 4

ED4ED

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ED4ED

SLIDE 5INDIVIDUAL SLIDES – RIGHT CLICK SECTION NAVIGATION

ED4ED

10-24-2011

GASP - Games Adolescents Shouldn't PlayThe DB Foundation

APEAS - Association de Parents d'Enfants Accidentes par StrangulationChris Marceno Foundation

Jenny Morgan.orgStill Loving My Gabriel

The 8th Day FoundationConnor's Heart

For Kevins Sake: Stop the Choking GameErik's Cause Help Stop the Choking Game

National Inhalant Abuse Prevention Coalition

YOU ARE THE QUINTESSENTIAL ESSENTIAL ELEMENT OF ED4ED

SPECIAL THANKS TO THE EDUCATORS – YOUTH LEADERS – PARENTS

INJURY PREVENTION COLLEAGUES & SPONSORS

Page 6: ED4ED Education for Educators Youth Risk Trends Current & Emerging

ED4ED

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TOUCHSTONE SECTION GUIDE

Introduction

The Choking Game

EMO

PHARM PARTIES

INHALANTS

SLIDE 6

STATISTICS

RESEARCH/RESOURCES

Endorsements

Presentation Conclusions

Ed4Ed Program Videos

10-24-2011

U s i n g To u c h s t o n e S l i d e s I n P o w e r P o i n t – Q u i c k S t a r t G u i d e https://www.box.net/shared/evyixhithr

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VIDEO

10-24-2011

CHOKING GAME 911 CALL

PHYSIOLOGY OF THE CHOKING GAME

INDUCED SEIZURES

SURVIVORS OF THE CHOKING GAME

OUR ANGELS – VIDEO TRIBUTE

DEAREST JASON

EACH VIDEO IS IN WINDOWS MEDIA FORMAT – WHEN VIEWING THE SLIDE CONTAINING THE VIDEO – [LEFT]CLICK THE SLIDE TITLE TO PLAY THE VIDEO

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IGNORANCE

IGNORANCE = DEATHKNOWLEDGE = POWER

slide 9

10-24-2011

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• NO GAME - NO WINNERS• A DEADLY RISK BEHAVIORAnoxic/Hypoxic Brain Injury & Death

THE CHOKING GAMEWHAT IS IT?

SLIDE 10

10-24-2011

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Suffocation Roulette

Pass out

Tingling

Rising Sun

Funky Chicken

California High

American Dream

Flat liner

Space Monkey

Airplaning

Blackout

Space Cowboy

Gasp

NO MATTER WHAT THE NAMEITS NEVER A GAME!

TAPOUT GAME

KNOCK OUT

FLOATING

LIGHTS OUT FREE FALL

Underwater Sensation

Shenandoah Surprise

The Big Lebowski Breath Play

In & OutVisual Ecstasy

Kevin Kline-ing

10-24-2011

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DOES THIS SOUND LIKE A GAME TO YOU

?

[14:33] GASP VIDEO AVAILABLE IN FULL AT WWW.GASPINFO.COM

http://www.onetruemedia.com/otm_site/view_shared?p=7867d75c0c16c6ad102f8e

10-24-2011

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FULL 14:33 GASP VIDEO AVAILABLE IN FULL AT WWW.GASPINFO.COM

HYPERVENTILATION & OXYGEN DEPRIVATION

http://www.onetruemedia.com/shared?p=75f454f8cdaedc38ea3bff&skin_id=1703&utm_source=otm&utm_medium=text_url

10-24-2011

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PEOPLE FAINT ALL THE TIME

How is this different?P EO P L E CO M M O N LY FA I N T DU E TO LOW

B LO O D P R ES S U R E O R LOW B LO O D S U G A RLO S S O F CO N S C I O U S N ES S C AU S E D BY

A S P H Y X I A L AC T I V I T I ES H A P P E N S B EC AU S E T H E B R A I N I S STA RV I N G FO R OX YG E N

YO U R B R A I N S U STA I N S DA M AG E A N Y T I M E YO U A R E DE P R I V E D O F OX YG E N A S L I T T L E A S A 1 0 % R E D U C T I O N I S C O N S I D E R E D

“ D E P R I VAT I O N ”

YO U R B R A I N I S T HE M A ST E R CO N T RO L C E N T E R FO R A L L YO U R B O D I ES F U N C T I O N S

SLIDE 14

10-24-2011

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IT MAY LOOK LIKE “JUST PASSING OUT”

10-24-2011

THIS IS NOT FAINTING !

http://www.onetruemedia.com/shared?p=ac57de525707f07da8ccb2&skin_id=1803&utm_source=otm&utm_medium=text_url

• LOSS OF CONCIOUSNESS

• DUE TO OXYGEN DEPRIVATION

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WHY ARE THEY TWITCHING LIKE THAT?

NOT TWITCHING – THEY’RE SEIZING (HEADACHES AFTER “PLAYING” IS AN INDICATION OF SURGING -

INCREASES/DECREASES IN BRAIN PRESSURE) A HUGE SURGE OF BLOOD RETURNS TO BLOOD VESSELS IN YOUR

BRAIN ANY TIME OXYGEN IS RESTRICTED, INCREASING PRESSURE INCREASED PRESSURE IN YOUR BRAIN CAUSES SEIZURES -

STROKE REPEATED SURGING MAY LEAD TO RANDOM RUPTURES –

INSTANTLY OR LATER ON GRADUAL PRESSURE - LEAKS - CUMMULATIVELY DAMAGED

VESSELS MAY RUPTURE ANY TIME & CAUSE SUDDEN & UNEXPECTED DEATHS

10-24-2011

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MYTH

M I N O R B R A I N C E L L D A M A G E ( D E AT H O F L I V I N G C E L L S ) W I L L N O T C A U S E I M M E D I AT E D E AT H O F T H E P H Y S I C A L B O D Y

U N L I K E O T H E R C E L L S I N T H E B O D Y, T H E B R A I N C A N N O T M A K E N E W O N E S

T H E D A M A G E I S P E R M A N E N T T H E D A M A G E I S C U M U L AT I V E E A C H T I M E Y O U R B R A I N I S D E P R I V E D O F O X Y G E N D A M A G E

W I L L O C C U R A L I T T L E O R A L O T – D E P E N D I N G O N H O W M U C H A N D H O W

L O N G Y O U R B R A I N I S D E P R I V E D O F O X Y G E N B R A I N D A M A G E R E S U LT S I N P H Y S I C A L A N D M E N TA L

D I S A B I L I T I E S A L I T T L E O R A L O T – D E P E N D I N G O N H O W M U C H D A M A G E

W A S D O N E B R A I N D A M A G E C A N N O T B E U N D O N E

I KNOW OF PEOPLE WHO HAVE DONE IT AND THEY DIDN’T DIE.

SLIDE 17

10-24-2011

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NOT EVERYONE DIES…

SLIDE 18

http://www.onetruemedia.com/shared?p=88a2103556aea0c90d7307&skin_id=1604

10-24-2011

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Russian Roulette RUMORS

WHAT IF???? I D O N ’ T T I E

A N Y T H I N G A R O U N D M Y N EC K

I J U S T A P P LY P R E S S U R E

I O N LY H Y P E RV E N T I L AT E O R H O L D M Y B R EAT H R EA L LY H A R D

U N T I L I G E T D I Z Z Y & PA S S O U T

T H E R E S U LT I S T H E S A M E

C U M U L AT I V E P E R M A N E N T B R A I N C E L L D E AT H – A L I T T L E O R A L O T …

N E R V E S I N S I D E YO U R N E C K R E G U L AT E YO U R H E A R T B E AT

P R E S U R E O N YO U R N E C K C A N C A U S E A B N O R M A L H E A R T B E AT S & C A N C A U S E H E A R T AT TA C K

P R E S S U R E O N YO U R C H E S T C A N C A U S E I T T O O

R A P I D LY E X P E L L I N G A I R A F T E R H Y P E R V E N T I L AT I O N M AY A L S O C A U S E A B N O R M A L H E A R T B E AT S

SLIDE 19

10-24-2011

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Safe to Do with Friends?

• FALLS - BROKEN BONES (LEGS, JAWS, SKULL FRACTURES) • TOOTH LOSS, FACIAL LACERATIONS, PERMANENT

SCARRING & DISFIGUREMENT• HEAD INJURIES - RETINA DETACHMENT PERMANENT

BLINDNESS, CONCUSSION, INTERNAL INJURY TO BRAIN STRUCTURES THAT ALLOW NORMAL SIMPLE BODY FUNCTIONS (CONTROL OVER YOUR BLADDER AND BOWELS)

DANGEROUS BUT COMMON MISCONCEPTION

SERIOUS PHYISICAL INJURIES PERMANENT PHYSICAL DISABILITIES

SLIDE 20

10-24-2011

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INDIVIDUAL SLIDES – RIGHT CLICK SECTION NAVIGATION SLIDE 21

DENY THE LIES!

LOTS OF DEAD & INJURED KIDS “HEARD” AND BELIEVED THE L IES

THERE IS NO “SAFE WAY ” LOSS OF CONCIOUSNESS OCCURS

DIFFERENTLY EACH TIME ITS IMPOSSIBLE TO KNOW WHEN TO

RELEASE PRESSURE “ IN TIME”

10-24-2011

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HUGE LIE – “HIGH”A LURE - A HOOK

A STATE OF CONFUSION - FROM OXYGEN DEPRIVATION

I T S N OT PA S S I N G O U TI T S N OT FA I N T I N GI T S N OT A G A M EI T S N OT A F R E E H I G HN OT A S A F E A LT E R E D

STAT E O F M I N D !

• OXYGEN DEPRIVATION

• BRAIN RELEASES ALARM CHEMICALS PRODUCED BY DYING BRAIN CELLS

• C H E M I C A L S – R EG A R D L E S S O F S O U R C E C A N C R EAT E D E P E N D E N C Y

SLIDE 22

10-24-2011

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DEPENDENCY

• A CHEMICAL CASCADE IN THE BRAIN IS THOUGHT TO CREATE A DEPENDENCY

• DEPENDENCY IS A TERM USED WHEN A CHEMICAL’S ADDICTIVE PROPERTIES ARE NOT KNOWN OR UNDERSTOOD

• “INSSIDIOUS” DEPENDENCY• A SNEAKY DEPENDENCY

• PERHAPS EXPLAING WHY IT MIGHT START AS A GROUP CURIOSTIY

• ESCALATE TO SOLO EXPERIMENTATION (97% OF DEATHS REPORTED SOLO ACTIVITIES)

SLIDE 23

10-24-2011

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WARNING SIGNS

T H E H A L L M A R K O F B R A I N I N J U R Y S U D D E N C H A N G E S P E R S O N A L I T Y A N D / O R B E H AV I O R

B L O O D S H O T E Y E S F R E Q U E N T O R U N U S U A L

H E A D A C H E S D I S O R I E N TAT I O N A F T E R

S P E N D I N G T I M E A L O N E U N E X P L A I N E D M A R K S O R

C H A F I N G A R O U N D T H E N E C K ( S O M E T I M E S H I D D E N B Y S C A R V E S O R B R U S H E D A S I D E W I T H V A G U E E X P L A N AT I O N S )

INDICATORS TO BE AWARE OF L O C K E D D O O R S S E C R AT I V E B E H AV I O R U N U S U A L I T E M S ( A N Y T H I N G

T H AT C O U L D B E U S E D A S A L I G AT U R E )

I N U N U S U A L L O C AT I O N S ( T I E D T O D O O R S , B E D S , O R E V E N F O U N D L O O S E I N A B E D )

W E A R M A R K S O N D O O R S , B E D S

(BUT DON’T WAIT TO SEE THEM - FREQUENTLY THERE ARE NONE)

10-24-2011

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FOR MOST A TEEN "COUNTER CULTURE" SOCIAL GROUP

EMO - just a word – short for “emotional”

SLIDE 25

10-24-2011

WHAT MAKES IT “RISKY”

WHO MIGHT BE AT RISK?

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A Distinct Look – A Fashion Statement

For Most - Yes For Some - No

10-24-2011

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GLAMORIZING DEATHSELF-HARM

COMPETING TO "WIN MOST EXTREME EMO"

10-24-2011

DOES EVERY ONE ENGAGE IN SELF HARM?

B U T D O B E AWA R E O F

• D E S T R U C T I V E B E H A V I O R• D E P R E S S I O N• S U I C I D A L I D E A T I O N• S U I C I D A L S T A T E M E N T S

ABSOLUTEY NOT!

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Hawthorne Heights Armor for Sleep

Yellow CardAlexis on fire

A Static Lullaby Brand New

Finch From Autumn To Ashes

From First To LastFuneral for a Friend

Matchbook Romance My Chemical Romance

The Starting Line Fall Out BoySOME MAY MISINTERPRET THE LYRICS – HANNAH BOND DID

Music – Expressive & Creative Lyrics

10-24-2011

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HAN

GED

HERSELF

NO GAME – NO JOKE – NOT ALWAYS JUST TEEN CULTURE – NO GLAMOR HERE – DEFINITELY NOT FUNNY

10-24-2011

THE BOND FAMILY IS NOT LAUGHING

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Not Agricultural but Pharmaceutical

PHARM PARTIES?WHATS THAT?

SLIDE 31

10-24-2011

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Pharmaceutical Medication Abuse

• PHARM PARTIES–a deadly mix of

prescription drugs,–OTC drugs–alcohol

Nicknamed “trail mix” or “skittles”

SLIDE 32

10-24-2011

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12- 17 Year Old Admitted to E.R.

*69% of All Emergencies – alcohol alone

• 70 KIDS IN EMERGENCY ROOMS EVERY DAY

ANNUALLY - 24, 4181,200 – LIFE THREATENING & REQUIRE CRITICAL CARE

USA MIXED MEDS HOSPITAL ADMISSIONS

SLIDE 33

10-24-2011

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“Safe” PILLS – WILL KILL

• “Safe Meds” (even OTCs), in doses that exceed what is recommended for the medication’s purpose, damages your entire body – every organ! (Alcohol is a drug and when abused kills and injures too.)

Combinations Alterations

Life threatening side effects

Permanent damage to body & mind. Drug interactions - allergies…

ALL - serious & potentially deadly.

10-24-2011

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Prescription Medication Abuse

• 8% USA Citizens-Self-reported Use of Prescription Pain Medication for Non medical-“recreational” reasons at least once in the past year.

Ages 12+ “Recreational Use” Reported

SLIDE 35

10-24-2011

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Opioid Painkillers

• 50% Of all Prescription Medications Abused• Oxyconten

• Hydrocodone

• Vicodin

• Fentanyl patches

• Lethal and addictive. • Drug tampering (over

ride time release mechanism)

• Effects produced are unpredictable.

• Respiratory & Metabolic Suppression

44% - PsychotherapeuticsAnti-Anxiety & Sedatives

10-24-2011

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Common OTCs - Abused

• Over-The-Counter Medications drugs, especially cough and cold Herbal Remedies

• Herbal/Energy Drinks & “Tylenol PM” – all dangerous drugs

• Primarily by Younger Teens 12-16cheap-easy to obtain.

SLIDE 37

10-24-2011

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O-T-C s

• Dextromethorphan • DXM

Found in more than • 120 non-prescription • cough medicines

SLIDE 38

10-24-2011

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READ THE LABELS

DXM Nicknames• Robo• Skittles• Triple C’s• Dex• Vitamin D

• Tussin • DXM [abused]

SAME EFFECTS AS OPIATES

• OTHER OTCs • Caffeine & Herbs , • Tylenol • Toxic • Liver • Damage • Irreversible• *When Abused ALL are

Deadly Toxins

10-24-2011

• “BATH SALTS”• Physiological/Psychological effects• tachycardia (Rapid heartbeat)• hypertension (High blood pressure)• vasoconstriction (Narrowing of the blood

vessels)• insomnia (Inability to sleep)• nausea, stomach cramps, and digestive

problems• bruxism (Grinding teeth)• increased body temperature, chills,

sweating• pupil dilation• headache• kidney pain• tinnitus• dizziness• overstimulation• breathing difficulty• agitation/hypertonia• severe paranoia• confusion• psychotic delusions• extreme anxiety/agitation, sometimes

progressing to violent behavior• suicidal thoughts/actions

EMERGING TREND ATYPICAL HOUSEHOLD ITEM - Crossover See Slides 44 & 45 for More Images

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DEPRIVE THE BRAIN OF OXYGEN

Introduce agents affecting, damaging every organ in your body – not just killing your brain – but Your

vital organs too!

SLIDE 40

10-24-2011

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“Dusting” 10-24-2011

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COMPRESSED AIR“DUST OFF”

Inhaling flash-freezes-lungs

• Designed to clean your computer If inhaled, have the potential to kill.

THE CAN SAYS “COMPRESSED AIR” BUT KIDS ARE UNAWARE THAT THERE IS A Propellant TOO

• A Gas Like Gasses• That Refrigerate &

Freeze Your Home – Your Ice-Box - Same Gas – Same Freeze

10-24-2011

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EVERY DAY USES – COMMON ABUSES

• Inhalants are ordinary household products that are inhaled or sniffed, or smoked by children to get high. There are hundreds of them!

• Keep your eyes and noses sharp – you can spot it and you can save your friend’s life!

SLIDE 43

10-24-2011

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COMMON STREET NAMES & IMAGES10-24-2011

SLIDE 44

“Bath Salts” “k2”

New Alerts!

• "LAUGHING GAS" (NITROUS OXIDE)

• "SNAPPERS" (AMYL NITRITE) • "POPPERS" (AMYL NITRITE AND BUTYL NITRITE)

• "WHIPPETS" (FLUORINATED HYDROCARBONS, FOUND IN WHIPPED CREAM DISPENSERS)

• "BOLD" (NITRITES)

• "RUSH" (NITRITES)• ‘White Lightening’, ‘Blue Magic’, ‘Blow”, ‘Snow’‘Plant food’,

‘Window Cleaner [Bath Salts”] K-2/Spice; Incense, potpourri more potent than 9-tetrahydrocannabinol [marijuana — and various oxidized metabolites of each ]

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INHALANT EXAMPLE EFFECTS(JWH-018, jWH-073,JWH-200, CP-47,497, and cannabicyclohexanol (six different chemicals) used to make “Fake Pot”

Incense, potpourri Respiratory Failure; Lung Damage; sudden death

Methylenedioxypyrovalerone (MDPV) psychoactive drug with stimulant properties – (ingested /snorted & Smoked/Inhaled

'White Lightening', 'Blue Magic', 'Blow", 'Snow', 'Plant food', 'WindowCleaner ‘MDPK, MTV, Magic, Maddie, Black Rob, Super Coke and PV.

REFER TO OTC SECTION – PSYCHO ACTIVE DRUG EFFECT

Toluene Spray paintGlueDewaxerFingernail polish

Hearing lossDamage to spinal cord or brainLiver and kidney damage

Trichloroethylene Cleaning fluidCorrection fluid

Hearing lossLiver and kidney damage

Hexane GlueGasoline

Limb spasmsBlackouts

Nitrous Oxide Whipped cream dispensersGas cylinders

Limb spasmsBlackouts

Benzene Gasoline Bone marrow damage

INHALANTS – BY CHEMICAL ID – EXAMPLES - EFFECTS10-24-2011

SLIDE 45

EFFECTS…

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MORE IMMEDIATE EFFECTS OF INHALANTS

CARDIAC ARRHYTHMIAS [HEART ATTACK!]

ASPHYXIA/SUFFOCATION/SUDDEN DEATH

LOSS OF CONCIOUSNESS / SEVERE INJURIES FROM FALLING

DAMAGE TO THE OPTIC NERVE – CAUSING BLINDNESS

10-24-2011

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LONG TERM EFFECTS OF INHALANTS• KIDNEY

DAMAGE/FAILURE• LIVER

DAMAGE/FAILURE• HEART

DISEASE/FAILURE• BONE DISEASES• LUNG DAMAGE,

DISEASES & DISORDERS – “COPD”

• CUMMULATIVE AND PERMANENT BRAIN DAMAGE

• SEIZURES• STROKES• PERMANENT &

SEVERE DISABILITIES

SLIDE 47

10-24-2011

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STATISTICS

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10-24-2011

ACCURATE STATISTICS IN THE ED4ED PROGRAM’S PROFILED BEHAVIORS [WITH THE EXCEPTION OF “THE CHOKING GAME”] ARE MONITORED BY NATIONAL AND INTERNATIONAL HEALTH REPORTING AGENCIES (FOR A LISTING OF THESE AGENCIES AND/OR RESEARCH BASE REFER TO THE LINK PASTED BELOW.

– REFER TO ED4ED DATABASE/INDEX OF ALL SUBSTANTIATING RESEARCH/EDUCATORS RESOURCES AT: HTTPS://WWW.BOX.NET/SHARED/2RN9O0C0UO

THE DATA CONTAINED IN THE FOLLOWING 15 SLIDES ADDRESS “THE CHOKING GAME” ONLY DATA BASE & SUBSTANTIATING DATA MAINTAINED BY LYNDI TROST, ED4ED DIRECTOR [email protected]

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"THE CHOKING GAME"“CHOKING GAME” STATISTICS OF DEATH & INJURY

REPRESENT AN ASSESMENT. NO OFFICIAL NATIONAL OR

INTERNATIONAL REGISTRY MONITORS, COLLECTS &

REPORTS DATA BASED ON EMPIRICAL METHODS OF

COLLECTION. AT PRESENT INCIDENTS ARE RECORDED BY

INDEPENDENT INJURY PREVENTION/INTERVENTION

GROUPS, SUBSTANTIATED THROUGH SELF REPORTING BY

VICTIMS’ FAMILY MEMBERS, MEDIA, AND SCIENTIFIC

JOURNALS.

10-24-2011

STATISTICS

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ALL Victims To Date – 1006

SLIDE 50

10-24-2011

Male 19 & UnderFemale 19 &

Under Male Age Unknown Female Age

Unknown Gender / Age Unknown Adult Males 20+

Adult Females 20+

661

140

60

22 45

5

7015

5 0 0 1 0

Deceased Survived

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ADULTS - 5110-24-2011

Deceased Survived0

5

10

15

20

25

30

35

40

45

Adult Males 20+

Adult Females 20+

45

1

5

0

Adult Males 20+Adult Females 20+

*Media reports: 2 Incidents Age/Gender Withheld; 65 Males Age Withheld; 5 Females Age Withheld

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YOUTH VICTIMS - 88610-24-2011

Deceased Survived0

100

200

300

400

500

600

700

800

661

70

140

15

Females 19 & UnderMales 19 & Under

*Media reports: 2 Incidents Age/Gender Withheld; 65 Males Age Withheld; 5 Females Age Withheld

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10-24-2011

63.4%

14.0%

9.7%

6.2%

1.1%1.0%

INTERNATIONAL REVIEW 1006

= to Less Than 1%

USA 638 63.4%

France 141 6.2%

England 98 13.8%

Canada 62 9.7%

S_ Africa 11 1.1%

Withheld 10 1.0%

Scotland 5India 4

Ireland 4New Zealand 4

Australia 3Germany 3

Switzerland 3Belgium 2Jamaica 2Korea 2

Malaysia 2Peru 2

Wales 2Br Vir Islands 1

Brazil 1Egypt 1

Greece 1Holland 1

Italy 1Russia 1

Sweden 1

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CANADA Victims to Date 6210-24-2011

10%5%

7%

2%

5%

45%

2%

22%

3%

AB BC MB NB NS ON PE QC SK *

*Media reports: 3 incidents Providence Withheld

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46.08%

32.03%

3.59%

3.27%1.63%

1.31%1.31%1.31%0.98%0.98%0.65%0.65%0.33%0.33%0.33%0.33%

France England S_ Africa Withheld Scotland India Ireland New Zealand

Australia Germany Switzerland Belgium Jamaica Korea Malaysia Peru

Wales Br Vir Islands Brazil Egypt Greece Holland Italy Russia

Sweden

BEYOND THE NORTH AMERICAN CONTINENT - 30610-24-2011

USA/CANADA EXCLUDED

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OVERVIEW BY CALENDAR YEAR - Genders/Survivors/Decedents

10-24-2011

Calendar Years

Gender & Status 2011 2010 2009 2008 2007 2006 2005Females (Deceased) 0 13 15 26 29 18 18Females (Survived) 0 3 2 1 2 2 0Males (Deceased) 17 42 54 81 111 127 94Males (Survived) 3 8 11 6 11 15 9

Gender Unknown (Deceased) 0 0 0 0 0 0 0Total for Year 20 66 114 114 153 162 121

Calendar YearsGender & Status 2004 2003 2002 2001 2000 1999Females (Deceased) 2 4 6 5 4 1Females (Survived) 1 0 0 1 1 0Males (Deceased) 47 19 20 26 29 15Males (Survived) 4 0 0 1 1 0Gender Unknown (Deceased) 0 0 0 1 0 0Total for Year 54 23 26 34 35 16

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OVERVIEW BY CALENDAR YEAR - Genders/Survivors/Decedents

10-24-2011

Calendar YearsGender & Status 1998 1997 1996 1995 1994 1993Females (Deceased) 0 2 1 0 0 0Females (Survived) 0 0 0 0 0 0Males (Deceased) 8 4 4 3 3 2Males (Survived) 0 2 1 0 0 1Gender Unknown (Deceased) 0 0 0 0 0 0Total for Year 8 8 6 3 3 3

Calendar YearsGender & Status 1992 1991 1990 1989 1987 1986Females (Deceased) 0 0 0 0 0 0Females (Survived) 0 0 0 0 0 0Males (Deceased) 5 2 2 1 1 2Males (Survived) 0 0 0 0 1 0Gender Unknown (Deceased) 0 0 0 0 0 0Total for Year 5 2 2 1 2 2

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OVERVIEW BY CALENDAR YEAR - Genders, Survivors/Decedents

10-24-2011

Calendar YearsGender & Status 1985 1984 1983 1982 1981 1980Females (Deceased) 0 1 0 0 0 0Females (Survived) 0 0 0 0 1 1Males (Deceased) 1 1 3 1 1 0Males (Survived) 0 0 0 0 0 0Gender Unknown (Deceased) 0 0 1 0 0 0Total for Year 1 2 4 1 2 1

Calendar YearsGender & Status 1979 1978 1977 1975 1974Females (Deceased) 1 0 0 0 0Females (Survived) 0 0 0 0 1Males (Deceased) 0 1 1 2 1Males (Survived) 1 0 0 0 0Gender Unknown (Deceased) 0 0 0 0 0Total for Year 2 1 1 2 1

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Females (Deceased) 1 1Females (Survived) 0 0

Males (Deceased) 28 0Males (Survived) 1 0

Gender Unknown (Deceased) 0 0Total For Calendar Years/Gender Unknown *30 **1

OVERVIEW BY CALENDAR YEAR – Genders/Survivors/Decedents10-24-2011

Calendar Years Gender & Status 1973 1972 1971 1969 1950 1934

Females (Deceased) 0 0 0 0 0 0Females (Survived) 0 0 0 0 0 0Males (Deceased) 1 1 2 1 1 1Males (Survived) 0 0 0 0 0 0

Gender Unknown (Deceased) 0 0 0 0 0 0Total for Year 1 1 2 1 1 1

*Calendar Year Unknown and/or **Calendar Year and Gender Unknown

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ASSESMENT NO GEOGRAPHIC

CLUSTERING

USA BREAKOUT - 63810-24-2011

CA 47 7.37%

TX 43 6.74%

Withheld 34 5.33%

GA 31 4.86%

MI 31 4.86%

OH 31 4.86%

FL 29 4.55%

PA 28 4.39%

NY 24 3.76%

IL 23 3.61%

NC 23 3.61%

CO 19 2.98%

MO 18 2.82%

IN 16 2.51%

WA 16 2.51%

TN 13 2.04%

AL 12 1.88%

KY 12 1.88%

SC 12 1.88%

WI 12 1.88%MA 11 1.72%NJ 11 1.72%OR 11 1.72%AZ 10 1.57%NE 10 1.57%IA 9 1.41%VA 9 1.41%KS 8 1.25%

MN 7 1.10%CT 6 0.94%

MD 6 0.94%MS 6 0.94%NH 6 0.94%NV 6 0.94%AR 5 0.78%ME 5 0.78%UT 5 0.78%ID 4 0.63%LA 4 0.63%

NM 4 0.63%OK 4 0.63%MT 3 0.47%WV 3 0.47%AK 2 0.31%DE 2 0.31%ND 2 0.31%WY 2 0.31%DC 1 0.16%HI 1 0.16%SD 1 0.16%RI 0 0.00%VT 0 0.00%

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USA State Review TableIncidents Total - 638

10-24-2011

MD 6 0.94%ME 5 0.78%MI 31 4.86%MN 7 1.10%MO 18 2.82%MS 6 0.94%MT 3 0.47%NC 23 3.61%ND 2 0.31%NE 10 1.57%NH 6 0.94%NJ 11 1.72%

NM 4 0.63%NV 6 0.94%NY 24 3.76%

Incident Rank 1-5 (Highlighted Text)

OH 31 4.86%

OK 4 0.63%

OR 11 1.72%

PA 28 4.39%

RI 0 0.00%

SC 12 1.88%

SD 1 0.16%

TN 13 2.04%

TX 43 6.74%

UT 5 0.78%

VA 9 1.41%

VT 0 0.00%

WA 16 2.51%

WI 12 1.88%

Withheld 34 5.33%

WV 3 0.47%

WY 2 0.31%

AK 2 0.31%

AL 12 1.88%

AR 5 0.78%

AZ 10 1.57%

CA 47 7.37%

CO 19 2.98%

CT 6 0.94%

DC 1 0.16%

DE 2 0.31%

FL 29 4.55%

GA 31 4.86%

HI 1 0.16%

IA 9 1.41%

ID 4 0.63%

IL 23 3.61%

IN 16 2.51%

KS 8 1.25%

KY 12 1.88%

LA 4 0.63%

MA 11 1.72%

Incident Rank 6-10 (Highlighted Text)

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34 - USA Geographic Location Withheld In Media Reporting

47 6

11

16

4

3

2

519

410

43

48

1

2 7 12

9

18

23

31

16

3128

240

5

6

11

2

1

62

29

6125

64

23

6

11

12

31

12

91

[D.C.]

10

3

13

USA TOPOGRAPHICAL MAP

SLIDE 62

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USA CENTER FOR DISEASE CONTROL

CHOKING GAME DEATHS

COMPARED TO 5,101 SUICIDE DEATHS BETWEEN 1995-2007REPORT RELEASED 2/15/08

10-24-2011

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DATA COMPARISIONCDC 1995-2007 STUDY

10-24-2011

CDC REPORT

INDEPENDENT REPORT SUPPORTS CDC REPORT HIGHLIGHTS (AS TO PREVELENCE OF INCIDENTS IN AGE RANGE)

ED4ED REPORT MALE/FEMALE AGE & GENDER

6 7 8 9 101112131415161718190

20406080

2 4 2

15 17

35

70 6857 55 58

34

188

0 0 2 4 17

14 1422

9 5 50 0

Male Female

AGE OF VICTIMS

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Independent Reports 95-04 83

Independent Reports 2005 92

Independent Reports 2006 126

Independent Reports 2007 90

Total 391

DATA COMPARISIONCDC 1995-2007 STUDY

INDEPENDENT INCIDENT TRACKING SUPPORTS CDC REPORT (UNDER REPORTING DUE TO LIMITED MEDIA REPORTS AVAILABLE AT TIME OF STUDY )

Independent Tracking - Many Reports Delayed

CDC REPORTING

10-24-2011

Criteria: Deceased Victims, USA, Ages 6-19

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Silent Online Survey Maintained by GASP - [gaspinfo.com]

SLIDE 66

10-24-2011

GASP SURVEY STATISTICS OVERALL % Age Group Column1 Column2 Column3 Column4

  All -20 20+ M F

# people surveyed? 2720 1335 1383 610 2108

Have you heard of the choking game? 75% 84% 67% 77% 75%

Did you know of the game by any other name? 35% 42% 27% 37% 34%

Do you know of someone that has played? 59% 62% 56% 64% 57%

Do you know someone that still plays? 15% 23% 7% 22% 13%

Have you played? 27% 24% 30% 35% 24%

Do you still play? 6% 9% 3% 11% 4%

Have you played alone? 9% 11% 7% 13% 8%

Have you shown or told anyone how to play? 19% 24% 14% 27% 17%

http://www.gaspinfo.com/en/involved-survey-results.asp

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RESEARCH, RESOURCES & REPORTS

ADOLESCENT / CHILDHEALTH & WELLNESS

10-24-2011

REFER TO ED4ED DATABASE/INDEX OF ALL SUBSTANTIATING RESEARCH/EDUCATORS RESOURCES AT: HTTPS://WWW.BOX.NET/SHARED/2RN9O0C0UO

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CURRENT HEALTH STUDIES“THE CHOKING GAME”

• CDC - USA CENTER FOR DISEASE CONTROL• *JOURNAL OF PEDICATRIC MEDICINE• *BRITISH JOURNAL OF MEDICINE• OHIO STATE• *OREGON STATE• *CANADIAN MENTAL HEALTH DEPARTMENT

* STUDIES & REPORTS SINCE CDC REPORT RELEASED IN 2008

SLIDE 68

10-24-2011

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SUICIDE TREND REPORT

• 5,101 “SUICIDES” BY HANGING

• YOUTH & YOUNG ADULTS• AGES 10-24• 1990 - 2004

CONSIDER• A CONSERVATIVE 10% OF

THESE SUICIDE BY HANGING DEATHS RECLASSIFIED AS ACCIDENTAL STRANGULATION DUE TO ASPHYXIAL ACTIVITY [TCG]

• THE NUMBER OF OTHER HANGING DEATHS RULED AS ACCIDENTAL OR UNDETERMINED

AN ALARMING CDC REPORT IN 200610-24-2011

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CDC MMWR REPORT - RESULTS

RESULTS 82 PROBABLE DEATHS 86.6% MALE MEAN AGE 13.3 YEARS OLD

70 Deaths (w/sufficient detailed reporting) 67 (95.7%) Occurred while decedent was alone 42 (92.9%) Of Decedent’s Parents Were Unaware that The

Choking Game even existed, until after child’s death

SLIDE 70

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CDC HIGHLIGHTS

HIGHLIGHTS• DEATHS RISE AT AGE 9• SPIKE AT AGE 12 & 13• DECLINE AT 17

INDICATIONS• BEGIN EDUCATION EARLY• HIGH SCHOOL IS TOO LATE!

– YOUNGEST VICTIMS ARE ONLY 6 YEARS OLD!

– PREDOMINENT AGE GROUP MIDDLE SCHOOL YOUTH

10-24-2011

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Report Conclusion & Recommendations

PARENTS, EDUCATORS, HEALTHCARE PROVIDERS learn about and be able to recognize warning signs of TCG

MEs/Coroners should be aware of TCG as a possible COD from self inflicted strangulation (in referenced age group) which might otherwise be mischaracterized as suicides.

Better Mortality Surveillance & Research (youth risk-assessment surveys) Determine Prevalence Risk Factors Protective Factors SUMMATION!

IMMEDIATE & EFFECTIVE INTERVENTION!

SLIDE 72

10-24-2011

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OHIO SURVEY STUDY OF 2005

FINDINGS 11% of 12-18 had “played The Choking Game” 19% of 17-18 had “played The Choking Game”

SLIDE 73

10-24-2011

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BRITISH MEDICAL JOURNAL PUBLICATION

Injury Prevention 2009: 15:45-49; doi:10.1136/ip.2008.018523

Reprint with permission - Copyright © 2009 by the BMJ Publishing Group Ltd. 1Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada

2Chief Medical Examiner, Concord, New Hampshire, USA

Authors 1A J Macnab, M Deevska, F Gagnon, W G Cannon, 2T Andrew

Asphyxial Games or "THE CHOKING GAME":

A Potenti al ly Fatal Risk Behavior

http://injuryprevention.bmj.com/cgi/content/abstract/15/1/45

10-24-2011

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MACNAB/ANDREWS STUDY

OBJECTIVES• To determine the

prevalence of knowledge about and participation in asphyxial games; and how to raise awareness of this risk taking behavior and provide preventive education.

Design• A collaborative

research model using a school-based questionnaire at 8 middle/high schools in Texas (USA) and Ontario (Canada).

INJURY PREVENTION MAGAZINE

SLIDE 75

10-24-2011

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MACNAB/ANDREWS - Results

40% OF YOUTH SURVEYED• PERCEIVED NO RISK

ASSOCIATED WITH PARTICIPATION IN ASPHYXIAL GAMES

DATA A N A LYS I S• 2 5 0 4 s u r v e y s ( 9 0 . 7 % )

w e r e c o m p l e t e d .• 6 8 % o f c h i l d r e n

r e s p o n d i n g h a d h e a r d a b o u t t h e ‘c h o k i n g ’ ga m e

• 4 5 % k n e w s o m e b o d y w h o p l aye d i t

• 6 . 6 % h a d t r i e d i t ( 9 3 . 9 % w i t h s o m e o n e e l s e )

10-24-2011

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MACNAB/ANDREWS ADDITIONAL FINDINGS

T h e M o s t Re s p e c t e d S o u rc e fo r a P r e v e n t a ti v e Ed u c a ti o n M e s s a g e

• 43% PARENTS– parents for pre-adolescents

• 36% VICTIM FAMILY MEMBER OR PEER SURVIVOR– for older adolescents

MOST INFLUENTIAL FACTOR IN RISK BEHAVIOR CHOICES

Over 99% of youth replied that the right information about brain damage, disability and death would strongly influence them and that they would be less likely to engage or to try it again if they had already experimented.

Only 0.08% answered that their choice would not be influenced by this knowledge.

10-24-2011

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Knowledge of and participation in self-asphyxial behavior is not unusual amongst North American children. The age of the child likely determines who the most effective informant (parents or victims/victims’ family) for delivering preventive education intended to modify behavior.

MACNAB & ANDREWS BMJ STUDY CONCLUSION A CALL TO ARMS TO ALL EDUCATORS

10-24-2011

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Andrew Macnab, M.D.Professor of Pediatrics, University of Briti sh Columbia

Vancouver, Canada

“As a children’s doctor I have been involved in many instances where children have died unnecessarily because of ignorance or an unwise decision. The feeling of futility that all involved experience when this happens, and the enormity of the pain and sense of loss on each occasion, are difficult to comprehend. The loss of even one child under such circumstances is tragic, and knowing that every year a number of young people lose their lives, needlessly because asphyxial games, is a call to action for all of us.”

10-24-2011

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“Therefore, knowing that more children than we realized are aware of the ‘choking game’, knowing that some will die as a result, and knowing that having the right information influences choice and behavior, I would urge you to use these materials and every opportunity to give children the knowledge and ability to make informed choices.”

Andrew Macnab, M.D.Professor of Pediatrics, University of Briti sh Columbia

Vancouver, Canada

10-24-2011

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SHARE THE GIFT OF GOOD INFORMATION

SLIDE 81

https://www.box.net/shared/ov7inpeqye

10-24-2011

YOU ARE THE BRIDGE

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Thomas A. Andrew, M.D.Chief Medical Examiner - State of New Hampshire

“The myth that this kind of behavior is engaged in by only troubled youth must be dispelled. There is little need for me to remind parents and educators that the adolescent brain does not process information in the same manner as an adult brain.

Important brain development research indicates adolescents, even those “good kids,” are hardwired for risk-taking behavior.

In fact, the big lie promulgated to high achieving, action oriented children is that this behavior is a way to get a ‘drug-free high’.

Ironically, the group of children most likely to shun tobacco and alcohol may well be the more likely candidates to be playing this game.”

SLIDE 82

10-24-2011

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10-24-2011

http://www.onetruemedia.com/otm_site/view_shared?p=88a2ee6d5d4a621ed96e25

A CLOSING TRIBUTE TO COUNTLESS LIVES LOST

They didn’t know they were risking their lives – they thought it only a harmless “game”. We didn’t tell them –because we didn’t know. Before one can “do better”, one must “know better”.

I invite you to share our memories of these children, who lost their lives due to a simple lack of knowledge.

DON’T HESITATE TO EDUCATE!

(In 4 minutes you can save a child’s life.)Perhaps the life you save will be your own.

Video Duration: 4 Minutes

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Thomas A. Andrew, M.D.Chief Medical Examiner - State of New Hampshire

“Get informed, use the tools you have been given and be proactive. The impact you may have cannot be measured: save by the depth of feeling you experience attending the funeral of a child who dies in this most needless, maddening fashion.”

SLIDE 84

10-24-2011

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“Dearest Jason”

10-24-2011

~by his Mum – Dianna Brendle

HTTP://WWW.ONETRUEMEDIA.COM/OTM_SITE/VIEW_SHARED?P=9281E8D1331025A04D50F8

- (DURATION 3.30)

IN LOVING MEMORY OF JASON, WITH LOVE, AFFECTION AND ADMIRATION FOR HIS MOM. I AM DEEPLY GRATEFUL FOR THE TIRELESS, SELFLESS ACTS & WORKS IN EDUCATION & AWARENESS THESE FAMILY MEMBERS GIVE.

THESE MOMS & DADS, HAVE SUFFERED SUCH ANGUISH, YET THEY CONTINUE TO FIGHT. THEY DO NOT ALLOW WHAT THEY CANNOT DO (HAVE THEIR CHILDREN BACK) STOP THEM FROM SAVING THE LIVES OF OUR CHILDREN.

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EDUCATION 4 EDUCATORS

I N J U RY P R E V E N T I O N A DVO C AT E S I N T E R N AT I O N A L

C O L L A B O R AT I V E S U P P O R T N E T WO R K

• FULL TEXT RESEARCH IN htt ps://www.box.net/shared/2rn9o0c0uo

• COMMUNICATION/SUPPORT NETWORK http://health.groups.yahoo.com/group/Ed4Ed/join

S H A R I N G E D U C AT I O N M AT E R I A L S

E D 4 E D F R E E 4 A L LA LWAYS

10-24-2011

"CLOUD STORAGE" FILE SHARING

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EDUCATE BEFORE ITS TOO LATE

SLIDE 87

10-24-2011

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HTTP://WWW.ED4ED4ALL.COMFREE 4 ALL - ALWAYS

10-24-2011