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Injury and Violence

Jonathan R. Ballard, MD, MPH, MPhil, Charity F. Kranz, DO and Tisha K. Johnson, MD, MPH Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Injury, intentional or not, is often predictable and preventable.

  • Unintentional injuries are no longer considered “accidents” given that most injuries are preventable.

  • As of 2015, unin...

DIAGNOSIS

HISTORY

  • Mechanism, timing, and location of injury:

    • Blunt versus penetrating; intentional versus unintentional; others injured versus isolated injury; circumstances (weather, substance use, r...

TREATMENT

  • Prevention: The primary focus for reducing injury and violence is individually tailored prevention based on risk factors combined with population-level prevention (2). The “three Es”: educat...

ONGOING CARE

COMPLICATIONS

Social burden of injury: loss of productivity, emotional loss, nonmedical expenditures, reduced quality of life, litigation, rehabilitation, mental health costs, altered fami...

REFERENCES

1
Curry P, Ramaiah R, Vavilala MS. Current trends and update on injury prevention. Int J Crit Illn Inj Sci.  2011;1(1):57–65. [View Abstract on OvidMedline]
2
Sleet DA, Dahlberg LL, Basa...

ADDITIONAL READING

CODES

ICD10

  • T14.90 Injury, unspecified

  • T14.8 Other injury of unspecified body region

  • R29.6 Repeated falls

  • T75.1XXA Unsp effects of drowning and nonfatal submersion, init

  • T14.91 Suicide attempt

  • Z91.81 Histor...

CLINICAL PEARLS

  • Injury and violence are predictable and preventable.

  • Unintentional injury is a leading cause of death in the United States.

  • Injury is the primary source of lost years of productive life ...

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