hyperthermia deaths of children in vehicles june 29, 2011 complete and mail back the evaluation form...
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Hyperthermia Deaths of Children in Vehicles
June 29, 2011
Complete and mail back the evaluation form at the end in order to get CEU credits.
Webinar brought to you by the Maryland Institute for Emergency Medical Services Systems’ EMSC Program, with funding by the
Maryland State Highway Office.
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Hyperthermia Deaths Hyperthermia Deaths of Children in Vehiclesof Children in Vehicles
Jan Null, CCMJan Null, CCM
San Francisco State UniversitySan Francisco State University
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Recent HeadlinesRecent Headlines Girl, 2, dies in daycare van
Toddlers died of hyperthermia
Police: Baby Left in Car Died from Overheating
New Braunfels infant dies in hot car
Child dies after being left in pickup
New Orleans police investigating death of small boy
……. and 9 more similar headlines this year. and 9 more similar headlines this year
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16164
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2010 Headlines2010 Headlines
Twins die trapped inside a hot vehicleTwins die trapped inside a hot vehicle
Funeral today for girl found dead in hot vanFuneral today for girl found dead in hot van
Baby left in truck all day diesBaby left in truck all day dies
Toddler dies after being left in hot carToddler dies after being left in hot car
Baby daughter dies after dad forgets her inside his carBaby daughter dies after dad forgets her inside his car
Son dies after 9 hours in carSon dies after 9 hours in car
… …. And 43 more similar headlines in 2010 ….. And 43 more similar headlines in 2010 ….
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49496
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How Many?How Many?
510+510+7
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1998-2010<1 Airbag death/yr38 Hyperthermia/yr
1991-199721 Airbag Deaths/yr11 Hyperthermia/yr
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What Circumstances?What Circumstances?
253253
8686
150150
100 of the “forgotten” children (44%) were100 of the “forgotten” children (44%) wereto have been dropped off childcare/preschool .to have been dropped off childcare/preschool .
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How Old?How Old?
Average Age = 21 monthsAverage Age = 21 months Youngest = 1 month (2 cases)Youngest = 1 month (2 cases) Oldest = 13 yearsOldest = 13 years
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When?When?
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Current LawCurrent Law
More states have laws against leaving pets in vehicles
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HyperthermiaHyperthermia Child’s less capable of cooling their bodiesChild’s less capable of cooling their bodies Body temperature rises 3 to 5 times fasterBody temperature rises 3 to 5 times faster Heat StrokeHeat Stroke
Body ≥ 104 ° FBody ≥ 104 ° F System shuts downSystem shuts down SymptomsSymptoms
Stops perspiring, faintness, cramps, Stops perspiring, faintness, cramps, rapid pulse, and possible delirium or comarapid pulse, and possible delirium or coma
Death at 107 ° FDeath at 107 ° F
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HyperthermiaHyperthermia… … or severe brain damage:or severe brain damage:
Before:Before:"He was talking, walking, running and acting up,” his "He was talking, walking, running and acting up,” his mother said. "He was potty trained. He was beginning to mother said. "He was potty trained. He was beginning to talk to us in sentences ... ”talk to us in sentences ... ”And now:And now:"Demarion can't talk anymore,” she said. "He moans. He "Demarion can't talk anymore,” she said. "He moans. He doesn't walk. He doesn't crawl. He's no longer potty doesn't walk. He doesn't crawl. He's no longer potty trained. He has to be fed through a tube … He can’t give us trained. He has to be fed through a tube … He can’t give us a hug anymore.”a hug anymore.”
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My Involvement?My Involvement? Almost 10 YearsAlmost 10 Years July 24, 2001, San Jose CaliforniaJuly 24, 2001, San Jose California
Kyle Patrick Gilbert (5 mo)Kyle Patrick Gilbert (5 mo) Left by 19-year-old fatherLeft by 19-year-old father
Media asked “How hot did it get in the car?”Media asked “How hot did it get in the car?”
Only study was by LA State Med. Soc. for only Only study was by LA State Med. Soc. for only a single 93° daya single 93° day
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How Hot? How Fast?How Hot? How Fast?
Summer 2002 observational studySummer 2002 observational study
16 study days 16 study days Outside air temperatures from 72 ° - 96° FOutside air temperatures from 72 ° - 96° F
On two days, measurements were also made On two days, measurements were also made with the windows “cracked” 1.5 incheswith the windows “cracked” 1.5 inches
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How Cars Get HotHow Cars Get HotIncoming Shortwave Solar Radiation Warms Interior Objects
Air and Windows are Transparent to SunlightAir and Windows are Transparent to Sunlight
Outgoing Longwave Radiation Heats the Air
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How Hot? How Fast?How Hot? How Fast?
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How Hot? How Fast?How Hot? How Fast?
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An 80° DayAn 80° Day
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An 80° DayAn 80° Day
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An 80° DayAn 80° Day
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An 80° DayAn 80° Day
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An 80° DayAn 80° Day
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An 80° DayAn 80° Day
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An 80° DayAn 80° Day
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Future EffortsFuture Efforts• TemperaturesTemperatures
• Extended time periodsExtended time periods• Different vehicle typesDifferent vehicle types
• Incident StatisticsIncident Statistics• Find unknown casesFind unknown cases
• Lexis-NexisLexis-Nexis• NetworkingNetworking
• OutreachOutreach• SafeKidsSafeKids• National Weather ServiceNational Weather Service• Harrison’s HopeHarrison’s Hope
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Safety RecommendationsSafety Recommendations• Never leave a child unattended in a vehicle. Never leave a child unattended in a vehicle. Not even for a minute! Not even for a minute!
• If you see a child unattended in a hot vehicleIf you see a child unattended in a hot vehicle Call 9-1-1.Call 9-1-1.
• Be sure that all occupants leave the vehicle when Be sure that all occupants leave the vehicle when unloading. Don't overlook sleeping babies. unloading. Don't overlook sleeping babies.
• Have a plan that your childcare provider will call you ifHave a plan that your childcare provider will call you if Your child does not show up for school. Your child does not show up for school.
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Safety RecommendationsSafety Recommendations
• Teach your children that vehicles are never to be used Teach your children that vehicles are never to be used as a play area. as a play area.
• Keep keys and remote entry devices out of reach.Keep keys and remote entry devices out of reach.
• If a child is missingIf a child is missing• Check the pool firstCheck the pool first• Check the car, including the trunkCheck the car, including the trunk
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SAFETY RECOMMENDATIONSSAFETY RECOMMENDATIONS
SafeKidsSafeKids National Weather National Weather ServiceService
Harrison’s HopeHarrison’s Hope 31
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SAFETY RECOMMENDATIONSSAFETY RECOMMENDATIONS
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Contact InformationContact Information
Jan Null, CCMJan Null, CCM San Francisco State UniversitySan Francisco State University 408-379-7500408-379-7500 [email protected]@sfsu.edu ggweather.com/heat/ggweather.com/heat/
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Thank you for participating today!Final Instructions:
• Evaluation form is available on our website: http://www.miemss.org/EMSCwww/CPSHome.htm; alternatively, we can email it to call participants.
• Return your completed evaluation along with the contact info page to receive your CEU certificate.