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Injury Prevention


Injury prevention and mitigation are important parts of the mission of PeaceHealth.

As part of our overall strategy of increasing community health and mitigating the greatest hazards causing injury and accidents, the PeaceHealth Office of EMS, Injury Prevention and Trauma Education sponsors and coordinates major collaborative community efforts, coalitions, and services.

Coalition Sponsorship and Major Activities

Safe Kids West Oregon Coalition

  • Coordinate and sponsor quarterly coalition meetings
  • Quarterly officer collaboration meetings
  • Monthly and quarterly car seat clinics with free or low-cost car seats and boosters installed for free
  • Annual Family Safety Fair
  • Outreach events for at-risk populations
  • Free bicycle helmets and safety education
  • Media engagement in child safety topics and services
  • Funding development for operation capital 

Stop the Bleed/Stop the Bleed Train the Trainer

  • Monthly training of Train the Trainers
  • ATAB Regional STB Resource
  • Quarterly Train the Trainer Classes
  • Annual Statewide Train the Trainer Courses at State EMS Convention

Advanced Trauma Education

  • Annual Trauma/Critical Care Pediatric Conference
  • Annual ATLS Instructor Course
  • Twice Annual ATLS Provider Courses

Advocacy and Engagement

  • Chair, State EMS Committee, Oregon Department of Health, EMS and Trauma section 
  • Co-Chair, State EMS Licensing and Disciplinary Committee
  • EMS Representative to State Trauma Advisory Board
  • Chair, Bi-monthly EMS committee 
  • Hospital representative, EMS monthly medical control board (MCB)
  • Hospital representative, REGION 5 Training Association participation
  • Public safety representative on ATV Safety committee
  • EMS representative for ATAB3 committee
  • Hospital representative, Safe Lane Coalition
  • Hospital representative, Mobile Integrated Healthcare
  • EMS representative, STEMI steering committee
  • EMS representative, Stroke steering committee
  • EMS representative, Trauma Multidisciplinary committee
  • EMS/Hospital representative, State Cardiac Arrest Registry (CARES) committee
  • Coordinator, SAFE KIDS WEST Oregon
  • Hospital representative, Lane Community College paramedic program
  • Committee member, Oregon State Ambulance Association
  • Hospital representative, Oregon State Fire Chiefs EMS section
  • Member, state SAFE KIDS coordinating board
  • Member, VISION ZERO safety board

Falls Prevention

  • Local Speaker for Falls Prevention With Community Groups and at-risk Populations
  • Collaboration Through Multiple Local Adult/senior Wellness Community Groups
  • Advertising of Local Tai Chi Courses
  • Internal Patient Education Through in-room Medi
  • EMS Protocol Changes/education
  • Community Paramedic Engagement
  • Willamalane Adult Education Community Falls Prevention Classes
  • Home Caregiver Education

Falls Prevention 

An older man begins his ascent on the stairway

Falls are not inevitable events -​- they are largely preventable. Nevertheless, one in three people over age 65 will suffer a fall that could have been prevented with a few simple steps, such as securing household rugs or wearing shoes in the house.

The risk of severe injury is higher for adults over age 65. And although falls can occur anywhere, more than half happen right at home. In the U.S., someone over age 65 falls every 15 seconds, and 95 percent of all hip fractures in people over 65 are caused by falling to the ground.

Fall Prevention Resources for Individuals

What can I do to prevent a fall?

By​ visiting this site and arming yourself with knowledge, you have taken the first step toward protecting yourself from a serious fall. Here are four simple things you can do to lower the risk of falls:

  • List of free falls prevention programs throughout the state
  • Have your doctor review your prescription and over-the-counter medications. As we age, our bodies don't use medications as efficiently as they used to. Some medications, or combinations of medicines, might cause dizziness or reduce alertness.
  • Get your vision checked. You could be wearing outdated prescription lenses or have a condition such as glaucoma or cataracts that reduces how well you can see.
  • Get moving! Talk to your doctor about specific exercise routines that focus on improving balance and strength. Tai Chi has proven effective for this.
  • Refer to the tips below to make your home safer. About half of falls happen at home, and many can be prevented.

Make Your Home Safe

Many falls in the home can be prevented with a few simple adjustments. Here are some room-to-room tips you can adopt for a safer home. In addition, consider wearing an alarm or whistle to summon help in case of a fall.

 

Floors, Stairs and Steps

  • Move furniture so paths are clear
  • Remove or secure floor rugs to prevent slipping and tripping
  • Keep clutter and unnecessary objects off the floor and stairs
  • Place cords next to the wall to prevent tripping
  • Repair loose or uneven steps
  • Make sure carpet is firmly attached to the floor and stairs
  • Tighten or replace loose handrails
  • Install switches for overhead lighting at the top and bottom of stairs

Kitchen, Laundry and Bathroom

  • Buy smaller-sized products, such as laundry soap and milk
  • Keep frequently used items within easy reach
  • Get a step stool with a handle to grip; never use a chair
  • Apply a non-slip rubber mat to the tub or shower floor
  • Install sturdy grab bars for the tub or shower and next to the toilet

Bedrooms

  • Place a lamp close to the bed within easy reach
  • Install a night-light so you can see where you're walking
  • Add lighting to dark areas and hang shades or curtains on windows to reduce glare

Other

  • Always wear shoes inside and outside the house
  • Place a phone near the door in case you fall and can't get up

Community Resources

Fall Prevention Resources

The Oregon Fall Prevention Program aims to reduce senior falls by linking clinical practice to evidence-based fall prevention programs in the community. For more information on any of these programs please use our Request More Information form.

  • The STEADI Fall Prevention Toolkit is designed to help healthcare providers incorporate falls risk assessment and proven interventions into their clinical practice, by referring patients to three evidence-based programs designed for varying levels of mobility.
  • Tai Chi: Moving for Better Balance is a simplified eight-form program derived from Yang-style Tai Chi, that helps older adults improve their balance and reduce the likelihood of falling when practiced for at least 12 weeks.
  • The Stepping On Falls Prevention Program is a seven-week class in a small-group setting that helps older adults learn balance exercises and develop specific knowledge and skills to prevent falls.
  • The Otago Exercise Program is an individually tailored balance and strength program delivered by physical therapists in the hom

Assess Your Risk of Falling

Yes or No   ​Why is this important?
​Yes (2) ​No (0) I have fallen in the past year.​ ​People who have fallen once are likely to fall again.
​Yes (2) ​No (0) ​I use or have been advised to use a cane or walker to get around safely. ​People who have been advised to use a cane or walker may already be more likely to fall. Unsteadiness or needing support while walking are signs of poor balance.
​Yes (1) ​No (0) ​Sometimes I feel unsteady when I am walking. ​This is also a sign of poor balance.
​Yes (1) ​No (0) ​I steady myself by holding onto furniture when walking at home. ​People who are worried about falling are more likely to fall.
​Yes (1) ​No (0) ​I am worried about falling. ​People who are worried about falling are more likely to fall.
​Yes (1) ​No (0) ​I need to push up with my hands to stand up from a chair. ​This is a sign of weak leg muscles, a major reason for falling.
​Yes (1) ​No (0) ​I have some trouble stepping up to a curb. ​​This is a sign of weak leg muscles, a major reason for falling.
​Yes (1) ​No (0) ​I often have to rush to the toilet. ​Rushing to the bathroom, especially at night, increases your risk of falling.
​Yes (1) ​No (0) ​I have lost some feeling in my feet. ​Numbness in your feet can cause stumbles and lead to falls.
​Yes (1) ​No (0) ​I take medicine that sometimes makes me feel light-headed or more tired than usual. ​Side effects from medicines can sometimes increase your chance of falling.
​Yes (1) ​No (0) ​I take medicine to help me sleep or improve my mood. ​These medicines can sometimes increase your chance of falling.
​Yes (1) ​No (0) ​I often feel sad or depressed​. ​Symptoms of depression, such as not feeling well or feeling slowed down, have been linked to falls.
Total:___________________​ ​ ​ ​
​Add up the number of points for each "yes" answer. If you scored 4 points or more, you may be at higher risk of falling. Discuss this quiz with your doctor. ​ ​ ​

Ladder Safety

Falls from portable ladders are one of the leading causes of occupational fatalities and injuries.

Safety tips from OSHA

  • Read and follow all labels/markings on the ladder.
  • Avoid electrical hazards! – Look for overhead power lines before handling a ladder. Avoid using a metal ladder near power lines or exposed energized electrical equipment.
  • Always inspect the ladder prior to using it. If the ladder is damaged, it must be removed from service and tagged until repaired or discarded.
  • Always maintain a 3-point (two hands and a foot, or two feet and a hand) contact on the ladder when climbing. Keep your body near the middle of the step and always face the ladder while climbing (see diagram).
  • Only use ladders and appropriate accessories (ladder levelers, jacks or hooks) for their designed purposes.
  • Ladders must be free of any slippery material on the rungs, steps or feet.
  • Do not use a self-supporting ladder (e.g., step ladder) as a single ladder or in a partially closed position.
  • Do not use the top step/rung of a ladder as a step/rung unless it was designed for that purpose.
  • Use a ladder only on a stable and level surface, unless it has been secured (top or bottom) to prevent displacement.
  • Do not place a ladder on boxes, barrels or other unstable bases to obtain additional height.
  • Do not move or shift a ladder while a person or equipment is on the ladder.
  • An extension or straight ladder used to access an elevated surface must extend at least 3 feet above the point of support (see diagram). Do not stand on the three top rungs of a straight, single or extension ladder.
  • The proper angle for setting up a ladder is to place its base a quarter of the working length of the ladder from the wall or other vertical surface (see diagram).
  • A ladder placed in any location where it can be displaced by other work activities must be secured to prevent displacement or a barricade must be erected to keep traffic away from the ladder.
  • Be sure that all locks on an extension ladder are properly engaged.
  • Do not exceed the maximum load rating of a ladder. Be aware of the ladder’s load rating and of the weight it is supporting, including the weight of any tools or equipment.

For more information see American Ladder Institute's website.