CRACKCast E040 – Injury Prevention and Control

In CRACKCast, Podcast by Justin Roos2 Comments

This episode of CRACKCast covers Rosen’s Chapter 040, Injury Prevention and Control. Although we typically think of  the role of the emergency physician in the acute care management of patients, they can be crucial in identifying public health concerns and exacting broader system based changes necessary to save lives.

Shownotes – PDF Link

Rosen’s in Perspective:

  • Trauma is a DISEASE
  • This is a cognitive shift emphasizing that trauma isn’t the outcome of some misfortune or random event, but predictable outcome of a specific chain of events
  • Injury from trauma is the leading cause of death for most age categories in North America, and costs the system over 117 billion dollars alone in the US annually

1) What are the three key aspects to Injury Control?


  • must understand the epidemiology
  • look into the biomechanics
  • use education, research and public policy/law enforcement to prevent injury

Acute Care

  • institutions and protocols around managing trauma
    • Trauma system with referral hospitals, EMS system, Guidelines for care, and following care with outcome research


  • Physical Therapy, Occupational Therapy, Mental Health providers
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2) What makes up the Injury Triangle?

First developed by Dr. William Haddon, physician administrator for the National Highway Traffic Safety Administration (NHTSA)


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3) List 6 of 10 potential strategies for preventing transfer of energy



Wise Cracks: What can you actually do, as a health practitioner, to help injury prevention?



This post was uploaded and copy edited by Ross Prager (@ross_prager)

Justin Roos

Justin Roos is an emergency medicine resident at the University of British Columbia. His interests include mountain and wilderness medicine. He is a contributor to the CrackCast podcast.

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Adam Thomas

CRACKCast Co-founder and newly minted FRCPC emergency physician from the University of British Columbia. Currently spending his days between a fellowship in critical care and making sure his toddler survives past age 5.
Chris Lipp is one of the founding Fathers for CrackCast. He currently divides his time as an EM Physician in Calgary (SHC/FMC) and in Sports Medicine (Innovative Sport Medicine Calgary). His interests are in paediatrics, endurance sports, exercise as medicine, and wilderness medical education. When he isn’t outdoors with his family, he's brewing a coffee or dreaming up an adventure…..