traumatic brain injury in florida: statewide needs assessment data & implications for broward...

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Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child Health Policy, Director Professor Pediatrics, COM Barry Nierenberg, PhD ABPP Associate Professor Center for Psychological Studies

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Page 1: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

Traumatic Brain Injury in Florida:Statewide Needs Assessment Data &

Implications for Broward County

Deborah A Mulligan, MD FAAP FACEPInstitute for Child Health Policy, Director

Professor Pediatrics, COM

Barry Nierenberg, PhD ABPPAssociate Professor

Center for Psychological Studies

Page 2: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

Traumatic Brain Injury

Cause: – Blow or jolt to the head or a penetrating head

injury that disrupts the function of the brain.

– The severity of a TBI may range from “mild,” i.e., a brief change in mental status or consciousness to “severe,” i.e., an extended period of unconsciousness or amnesia after the injury.

Approximately 1.4 million people sustain a TBI each year in the United States

Page 3: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

The Problem

Among children ages 0 to 14 years, TBI results in an estimated:

2,685 deaths; 37,000 hospitalizations; and 435,000 emergency department visits.

CDC estimates 5.3 million Americans currently have long-term or lifelong need for help to perform activities of daily living as a result of a TBI.

Page 4: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

Children safetyChildren safety

The goal – Create a safe surroundingRoad & Environmental

# Seat Belts# Helmets# Pedestrian safety# Home safety# Strangers # Online predators

Page 5: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

Early Intervention Over 1.4 Million Americans suffer a Traumatic

Brain Injury (TBI) each year

That's 1 TBI every 21 SECONDS

50,000 people die as a result of their brain injury

90,000 suffer a permanent life-long disability

Conservatively, TBI's cost the U.S. Economy over $56.3 Billion annually

No known cure.

Page 6: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

Rambam Health Care Campus:

1000 beds (A+P)

Level 1 Trauma C.

Biggest TC (~35%)

Referral Center:

10 Peripheral hosp.

IDF

Palestinian Authority

UN

USA 6th Fleet

Page 7: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child
Page 8: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

Second Lebanon War, August 6, 2006

Page 9: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

18 killed (9 Kids)

> 30 wounded

Haifa – Bus 37 March 5, 2003

Page 10: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child
Page 11: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child
Page 12: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

Terror - death toll 2000-2008Terror - death toll 2000-2008

44

206

451

208

117

5630 13 16

0

50

100

150

200

250

300

350

400

450

500

2000* 2001 2002 2003 2004 2005 2006 2007 2008**

* From Sep 29, 2000 ** Until March 31, 2008 http://www.shabak.gov.il

Total – 1141 dead (70% civilians)

<17y – 123 dead (11%)

>6600 wounded

Page 13: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child
Page 14: Traumatic Brain Injury in Florida: Statewide Needs Assessment Data & Implications for Broward County Deborah A Mulligan, MD FAAP FACEP Institute for Child

Thank You

www.nova.edu/ichp