Best Practices for Discussing Injury Prevention With Pediatric Patients and Families

Nandini Rajaram Siva, Leah C. Tatebe*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Pediatric emergency centers treat millions of unintentional injuries cases every year, and many of these injuries could have potentially been avoided by proper counseling about trauma safety and prevention. Through such discussions, clinicians have the ability to meaningfully decrease the number of these unintentional injuries. Not enough attention has been placed on critically injured children and adolescents who have a substantial burden on health care resources and morbidity. Emergency medicine providers and pediatricians have the responsibility to educate patients and families about proper child passenger safety and to remain up to date on this information. However, numerous barriers still exist for physicians to fully counsel patients and their families about firearms. Pediatric emergency medicine physicians can play a foundational role in the safety, prevention, and treatment of childhood injuries. Clinicians can become effective instructors for injury prevention by using the Haddon Matrix: host, agent, and environment; and the 3 Es of injury prevention: education, engineering, and enforcement of strategies. Legislative changes, educational approaches, and product modifications must come together to effectively achieve this goal. Although the idea of educating families in the emergency department may seem ideal because the immediacy of the current injury may make the families more receptive to the counseling, the integration of primary care physicians is beneficial for regular follow-ups and maintenance.

Original languageEnglish (US)
Article number100762
JournalClinical Pediatric Emergency Medicine
Issue number1
StatePublished - Mar 2020
Externally publishedYes


  • child passenger safety
  • childhood injury
  • fall prevention
  • firearm injury
  • injury prevention
  • patient counseling
  • poison prevention

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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