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Peer Reviewed JournalCurrent Filters: New in last 90 days [remove]; Classification:Health, Mental Health & Safety [remove];
7 results found.|
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The ABC Daycare disaster of Hermosillo, Mexico On June 5, 2009, the ABC Daycare facility in Hermosillo, Mexico, caught on fire with an estimated 142 children and 6 adult caregivers inside. The purpose of this article is to describe the factors contributing to the disaster including care of the survivors, tertiary burn center triage, patient transport, and treatment for this international mass casualty event. Finally, the results of an investigation performed by the Mexican Government are reviewed. A summary of the Mexican Government's investigation of the circumstances of fire and an examination of prevention lapses in other Mexican daycare centers was obtained from their public Web site. The demographic and clinical characteristics of the children transported to the burn center were obtained from the patients' medical records and transport data sheets. The ABC Daycare had many fire safety breaches that contributed to the severity of the tragedy. Twenty-nine children died at the scene and more than 35 children were hospitalized throughout Mexico. A total of 12 children were transported to two Shriners Hospitals, 9 to Sacramento, and 3 to Cincinnati. The mean age of patients sent to the Shriners Hospitals was 2.9 +/- 0.16 years (2-4 years), with 5 being male and 7 female. The mean duration between injury and arrival was 9.2 +/- 2.1 days, the burn size was 43.0 +/- 6.8% TBSA (6.5-80%), and there were 3.75 operations per patient. Four had fourth-degree burns requiring finger amputations (2), flaps to cover bone (1), or a through-knee amputation (1). Ten patients were admitted to the intensive care unit, and nine patients (seven with inhalation injury) required mechanical ventilation for a mean of 23.6 +/- 10.3 days. All the surviving children were discharged after a mean length of stay of 45.9 +/- 8.7 days. In the first year postinjury, seven children were readmitted a total of 11 times for reconstructive surgery, wound care, or rehabilitation. Ultimately, a total of 49 children died. A review of other daycare centers in Mexico revealed similar safety lapses that could lead to future major disasters. This burn disaster in Hermosillo was potentially preventable with adherence to standard prevention principals. The young age of the victims and the need for an international medical response posed special problems. Prevention efforts need to be improved to prevent future disasters in Mexico. (author abstract) |
Reports & Papers
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Environmental exposures in the context of child care A discussion of recent research on the presence of potentially harmful chemicals in child care settings, the role of staff education in the improvement of indoor child care environments, and the regulation of chemical use in child care settings |
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From policy to practice: Implementation of water policies in child care centers in Connecticut A documentation of the availability and accessibility of water in early care and education centers and correspondence with state and federal policy and accreditation standards in child care centers, based on data from one-day observations conducted in a random sample of 40 Child and Adult Care Food Program-participating preschool classrooms in Connecticut |
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Is there a difference between center and home care providers' training, perceptions, and practices related to obesity prevention? A comparison of center and home care providers' training, practices, and written policies regarding obesity prevention, and their perceptions of both influences on children's health and factors determining food menu selection, based on data from 88 home care providers and 94 center providers who attended local child care training workshops in east central Illinois from March 2009 to August 2010 |
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Low-income parents' perceptions of pediatrician advice on early childhood education An examination of parents' attitudes toward involving the pediatrician in early care and education decisions and the barriers they may face in following the pediatrician's advice, based on data from 27 parents of 3- and 4-year-olds at an urban primary care center in Cincinnati |
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South Dakota Head Start & Early Head Start: Oral health An overview of dental care received by and dental health service accessibility for children in South Dakota Head Start and Early Head Start programs, with a focus on the 2012 program year |
Fact Sheets & Briefs
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"You have to listen to me because I'm in charge": Explicit instruction improves the supervision practices of older siblings Objectives: Sibling supervision increases young children's risk of unintentional injury. Both noncompliance by the supervisee and insufficient supervision contribute to this risk. The current study examined whether explicitly instructing older siblings to supervise their younger siblings and prevent specific risky behaviors improves their supervision practices. Methods: Supervisees and older siblings were placed together in a playroom. One group of older siblings were given explicit instructions not to allow the supervisee to engage in specific risk behaviors, whereas a second group was not. Results: Informing older siblings that they were "in charge" resulted in a higher frequency of proactive supervision strategies, more forceful reactions to stop supervisee risk taking, and a trend toward improved watchfulness. Supervisees in the no instruction condition also engaged in more hazard interactions compared with those in the instruction condition. Conclusions: Explicitly informing older children to supervise younger siblings may reduce younger children's risk of injury when siblings are supervising. (author abstract) |
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