Content Information
According to the ACS-COT (2014), it is the role of the TPM to, "provide for intra-facility and regional professional staff development, participate in case review, implement practice guidelines, and direct community trauma education and prevention programs" (p. 43).
Intra-facility and regional professional staff development means reaching out to partners in the facility's surrounding area, including within the service area the facility belongs, to develop all members of the trauma team who may care for injured patients in the surrounding community. This includes EMS or pre-hospital personnel, flight crews, emergency room personnel, OR and in-patient nurses, as well as, laboratory and radiology staff members who play a vital role in the optimal care of the injured patient. Educational programs are available through definitive care facilities, the Iowa Department of Health and Human Services, and professional organizations that support the professional development of trauma care providers. Examples include:
- Rural Trauma Team Development Course (RTTDC)
- Trauma Care after Resuscitation (TCAR)
- Trauma Nursing Core Course (TNCC)
- Trauma Certified Registered Nurse (TCRN)
- Trauma Outcomes and Performance Improvement Course (TOPIC)
- Advanced Trauma Life Support (ATLS)
- Advanced Trauma Care Nurse (ATCN)
Implementing practice guidelines, as previously discussed, should optimally be done in concert with stakeholders at the trauma care facility. Wide distribution of the change in practice, with clear explanations for the change, the evidence behind the change, and how patients will be better served by the practice change will contribute to buy-in from practitioners. It is up to the trauma program to decide the best way to disseminate the change in practice. Email, fliers, and unit meetings are just some ways in which practice guideline changes can be distributed.
Community trauma education and prevention programs can be a unique way in which the trauma care facility provides outreach to the surrounding community, using registry data and community needs as a foundation. For example, if the trauma care facility is noticing an uptick of pediatric ATV accidents without associated safety equipment usage, the TPM might conduct a program at the local school concerning the importance of utilizing proper safety equipment while riding. Many facilities utilize various programs already established and tailor outreach to the communities. Remember to consult stakeholders for ideas and funding opportunities when initiating a program. Some available stakeholders include, but are not limited to:
- The Brain Injury Alliance of Iowa
- Iowa Falls Prevention Coalition
- The University of Iowa Injury Prevention Research Center
- The American Trauma Society Injury Prevention Repository
- Stop the Bleed campaign
Prevention Repository
- Healthy Habit All Stars - The Healthy Habit All-Stars program has been designed to assist in educating children about public health topics. Animated videos are used to communicate complex health information to children in an age appropriate manner. In addition to the videos, instructors have access to games and support materials like coloring books, activity pages, and posters to help reinforce the messaging. An outline has been developed to assist instructors in presenting the materials. The outline includes descriptions of the characters, key terms, introductions to the videos, an interactive game to support the concept of herd immunity, and support materials for educating on handwashing. The Healthy Habits All Stars also have a concussion module.
- ATV Safety The University of Iowa is committed to ATV safety and offers an ATV injury prevention program. Available materials include: ATV toolkit, ATV Safety Booklet, and Ride Safe Pledge.
- University of Iowa Stead Family Children's Hospital Safety Store The University of Iowa Stead Family Children's Hospital Safety Store offers low-cost safety products designed specifically for children with special health care and educational needs. Email contact: keepingkidssafe@uiowa.edu ; Phone Contact: 319-356-3543.
- Blank Children's Hospital Safety Store "At Blank Children's Hospital Safety Store our goal is to keep all children safe. We offer a variety of low-cost child safety products, hands-on practice and provide one-on-one education. All of our safety products are available to you at below-retail cost." Phone Contact: 515-241-6706.
- Bike Safety The National HIghway Traffic Safety Administration's bicycle safety initiatives focus on encouraging safer choices on the part of bicyclists and drivers to help reduce death and injuries on roads. The NHTSA website contains tips and tricks for bike helmet fitting, safely riding a bike, and decreasing the risk of crashes.
- Safe Kids Iowa "Safe Kids Iowa is led by Blank Children's Hospital - UnityPoint Health - Des Moines which provides dedicated and caring staff, operation support and other resources to assist in achieving our common goal: keeping your kids safe. Based on the needs of the community, this coalition implements evidence-based programs, such as care-seat checkups, safety workshops and sports clinics, that help parents and caregivers prevent childhood injuries." The Safe Kids Worldwide campaign is a "go-to source for safety information and safety tips." Safety Tips include everything from batteries, boating, and car seats to fireworks, falls, and drowning.
- Safe to Sleep®. "The Safe to Sleep® campaign, formerly known as the Back to Sleep campaign, has helped educate millions of caregivers—parents, grandparents, aunts, uncles, babysitters, child care providers, health care providers, and others—about ways to reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related causes of infant death. Through outreach activities, collaborations, and partnerships, Safe to Sleep® has helped to spread safe sleep messages to millions of people in communities throughout the world. In addition, research supported and conducted by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) has broadened our scientific understanding of SIDS. In 1994, the NICHD—in partnership with the American Academy of Pediatrics, the Maternal and Child Health Bureau of the Health Resources and Services Administration, the SIDS Alliance (now First Candle), and the Association of SIDS and Infant Mortality Programs—launched the Back to Sleep campaign to educate parents and caregivers about ways to reduce the risk of SIDS. Today, the Safe to Sleep® campaign builds on the successes of Back to Sleep to address SIDS and other sleep-related causes of infant death and to continue spreading safe sleep messages to members of all communities. Since the start of the campaign, SIDS rates in the United States have decreased by almost 50%, both overall and within various racial/ethnic groups. However, SIDS remains the leading cause of death for U.S. infants 1 month to 1 year of age. Some populations are also at high risk for SIDS. So the campaign collaborators and its partners still have work to do."
- Car Seat Safety NHTSA has a resource repository for car seat safety information including choosing the right car seat, intallation, and registration for recall notices.
- Brain Injury Alliance. "The mission of the Brain Injury Alliance of Iowa is to create a better future through brain injury prevention, advocacy, education, research, and support."
- The Progressive Agriculture Foundation® The Progressive Agriculture Foundation's® mission is to, "provide education, training, and resources to make farm, ranch and rural life safer and healthier for children and their communities. In addition to providing an opportunity to apply to host a Progressive Agriculture Safety Day, the Progressive Agriculture Foundation's® website hosts a resource repository for child and family activities to teach 7 - 14 year olds about animals, chemicals, tractors, and other topics.
NHTSA leads the national effort to save lives by preventing distracted driving.
We live in a connected world where multitasking is second nature and communication is instant. This, coupled with the compulsion to stay connected at all times, makes drivers overly confident in their ability to ‘safely’ text and use their cell phones while driving. Many drivers believe that they can practice unsafe driving habits such as “driving with their knees,” “glancing up and down from their phone,” or “creating singing vines while driving,” but these drivers often do not realize how many consequences these behaviors can cause. It’s imperative that every driver remembers: all distracted driving is dangerous.
To raise awareness of this dangerous behavior, the Ad Council partnered with the National Highway Traffic Safety Administration (NHTSA) in 2012 to create a Texting and Driving Prevention campaign. The campaign shows drivers that no matter how “safely” they think they can engage in distracted driving, the behavior is always dangerous - for every driver, all the time.
NHTSA is rolling out a new and ambitious public education campaign about the dangers of drugged driving. The taglines are “If You Feel Different, You Drive Different” and “Drive High - Get a DUI”. A fairly extensive array of materials are already available.
Many parents don’t realize it, but the #1 threat to their teen’s safety is driving or riding in a car with a teen driver. The fact is, more than 2,400 teens lost their lives in car crashes in 2016. That’s six teens a day too many. The main cause? Driver inexperience. One of the most important safety features for your teen driver is YOU. Parents Are the Key, a campaign from the Centers for Disease Control and Prevention (CDC), helps parents, pediatricians, and communities keep teen drivers safe on the road.
The injury Center protects America’s health by:
- TRACKING injuries and deaths to look for dangerous trends. Tracking systems, like the National Violent Death Reporting System (NVDRS), provide important data. For example, Alaska used NVDRS data to study veteran suicides and then partnered with the Alaska Veterans Affairs (VA) to develop prevention strategies, like expanding the current outreach program to enroll veterans in VA healthcare.
- RESEARCHING the best ways to prevent injuries and violence. Creating Business Improvement Districts (BIDs)—public-private partnerships that invest resources into local services like street cleaning and public safety—in Los Angeles led to a 12% reduction in robberies and an 8% reduction in overall violent crime in BID neighborhoods.
- DEVELOPING prevention strategies. Our HEADS UP campaign helps protect kids on and off the field by raising awareness about youth sports concussion and other serious brain injuries. After using one of the campaign’s toolkits, 77% of youth sports coaches reported they could more easily identify athletes who may have a concussion, and 72% reported educating other coaches, parents, and athletes.
- EVALUATING effectiveness of prevention strategies. MV PICCS (Motor Vehicle Prioritizing Interventions and Cost Calculator for States) is a free interactive calculator that helps state decision makers prioritize and select from 14 effective motor vehicle injury prevention interventions, based on their budget. MV PICCS calculates the expected number of injuries prevented, lives saved, and costs averted in the state./
- SUPPORT states in implementing programs. We invested more than $50 million in 44 states and D.C. to support opioid overdose prevention. With that money and assistance from our scientists, states have strengthened their Prescription Drug Monitoring Programs, improved their data tracking and reporting, and shared overdose data with healthcare providers and law enforcement.
We also support states in tackling other critical injury and violence problems, including providing funds and assistance to all 50 states to prevent sexual violence through our Rape Prevention and Education Program and to 23 states to address their most pressing issues through the Core State Violence and Injury Prevention Program.
- Gun Safety for Kids The NRA has developed a gun safety program called Eddie Eagle GunSafe® Program. "Parents play a key role in developing safe practices and are ultimately responsible for the behavior and safety of their children. Isolated lessons and concepts can quickly be forgotten but with repetition, children remember standard safety procedures. The goal of the Eddie Eagle GunSafe® program is to help you bring up an important safety issue with your child. It's not a complicated or confusing message, and it's easy and fun to teach."
- The Legacy of Christopher Allsup Foundation, Inc The Legacy of Christopher Allsup Foundation, Inc. is a 501c3 public charity founded in 2017 to honor the memory of 10 year old, Christopher. Christopher died on September 21, 2013 when an old red plastic gas container exploded showering him with burning gasoline. He was burnt over 90% of his body. The Legacy of Christopher Allsup Gas Can Exchange was established in 2014 to raise awareness and to educate the public on the potential dangers of portable gasoline containers and how a single spark can trigger a massive explosion. This type of explosion can be prevented by using a gas container equipped with a flame arrestor. A flame arrester is a metal screen that is designed to dissipate the heat and prevent a spark or a flame from jumping back into the can and causing an explosion.
- Iowa Safe Routes to School Iowa Safe Routes to School and the Iowa Bicycle Coalition would like everyone to keep an extra careful eye out for children walking or biking to school this year. Each new school year it seems, we hear of a young child being struck on their bike, or walking, trying to get to school. We all should take extra caution these first few weeks of the new school year. Take the time to look to your left, your right, and back left again, and then maybe, look one more time. Reduce your speeds in our communities, especially around schools - school zones are 20 mph. Children and parents alike, are getting back into the swing of things - trying out new routes and finding new ways to get to school. If we all take a few extra moments to be aware of our surroundings, we ALL can have a safe and wonderful school year! Heads up, drop your phones, and your eyes peeled.
- Stop the Bleed In April 2013, just a few months after the active shooter disaster on December 14, 2012, at Sandy Hook Elementary School in Newtown, CT, the Joint Committee to Create a National Policy to Enhance Survivability from Intentional Mass Casualty and Active Shooter Events was convened by the American College of Surgeons (ACS) in collaboration with the medical community and representatives from the federal government, the National Security Council, the U.S. military, the Federal Bureau of Investigation, and governmental and nongovernmental emergency medical response organizations, among others. The Stop the Bleed Campaign is one result from that Committee.
- EPA radon page The Environmental Protection Agency leads the charge for radon education, testing, and mitigation.
There are many resources for injury prevention programs aimed at preventing falls. Several resources are listed here.
"The National Human Trafficking Hotline is a national anti-trafficking hotline serving victims and survivors of human trafficking and the anti-trafficking community in the United States. The toll-free hotline is available to answer calls from anywhere in the country, 24 hours a day, 7 days a week, every day of the year in more than 200 languages. Our mission is to provide human trafficking victims and survivors with access to critical support and services to get help and stay safe, and to equip the anti-trafficking community with the tools to effectively combat all forms of human trafficking. We offer round-the-clock access to a safe space to report tips, seek services, and ask for help. We also provide information, statistics, and resources on a wide range of topics related to human trafficking."
Human trafficking happens in Iowa. Our quaint little agricultural state might not seem like the perfect place for human slavery, but when you think about it, our state has all the right stuff to make trafficking human beings attractive to those who seek to profit off the suffering of others: Two major interstates intersect the state's center making travel in and out quick and efficient; Iowans want to think the best of others and may not recognize the warning signs. But change can happen.
Recorded Education
The Iowa Trauma System Coordinator at the Bureau of Emergency Medical and Trauma Services coordinates, records, and uploads educational webinars designed to facilitate learning for trauma program managers across the State of Iowa.
11.22.2024 TPM Webinar: "Needlessly Treated: Prehospital Needle Thoracostomy"
10.25.2024 TPM Webinar: "SEQIC Indicators"
8.23.2024 TPM Webinar "ImageTrend Report Writer 101"
6.28.2024 TPM Webinar: "From the State EMS Office"
5.24.2024 TPM Webinar: "Creating a Trauma Program's Digital 3-Ring Binder"
3.22.2024 TPM Webinar: PI Case Study
12.22.2023 TPM Webinar: https://youtu.be/1Zo02kRfI48 Year in Review 2023
10.27.2023 TPM Webinar: https://youtu.be/loFJ6ivRHUE Understanding Autism
09.29.2023 TPM Webinar: *(recording coming soon)* Response Criteria & Facility Naming in ImageTrend
08.25.2023 TPM Webinar: https://youtu.be/2k9ZL-zhULM Audit Filters and Open Forum
07.2023 TPM Webinar: https://youtu.be/_tzMPydZR9Q ImageTrend Report Writing and Performance Improvement (PI)
06.23.23 TPM Webinar: https://youtu.be/xb0spfchqIs Emergency Department Response to Intimate Partner Violence
TPM Webinar 6.23.23 Slides Emergency Department Response to Intimate Partner Violence
05.26.23 TPM Webinar: https://youtu.be/eKOkbryG-r8 Disaster Behavior Health
TPM Webinar 5.26.23 Slides State updates
Disaster Behavioral Health Slides
02.24.23 TPM Webinar: https://youtu.be/e0vbXzT4Prc Pips Case Study
01.27.23 TPM Webinar: https://youtu.be/1SZnKB1JurY State updates and registry open floor
12.16.22 TPM Webinar: https://youtu.be/bzVytS3Nt0s The Year in Review and Intro to IPEAC Recognition Program
Iowa Pediatric Emergency Assessment and Care (IPEAC) slides
10.28.22 TPM Webinar: State Updates and Roundtable Open Discussion
09.23.22 YouTube video for TPM Webinar: https://youtu.be/R0e45H02pwA SIM-Iowa, State Trauma Registry Annual Report
TPM Webinar 09.23.22 Slides State Updates, SIM-Iowa, State Trauma Registry Annual Report
SIM-Iowa website: https://sim-ia.uiowa.edu/
08.26.22 YouTube video for TPM Webinar: https://youtu.be/WYW2-013dqc Program Updates & Upcoming Opportunities
TPM Webinar 08.26.22 Slides Program Updates & Upcoming Opportunities
07.22.22 YouTube video for TPM Webinar: https://youtu.be/zFe-yt5VKBU PI in ImageTrend
TPM Webinar 07.22.22 Slides PI in ImageTrend
06.24.22 YouTube video for TPM Webinar: https://youtu.be/h0oftrosYJo Over- and Undertriage Monitoring
TPM Webinar 6.24.22 Slides State updates & upcoming events
04.22.22 YouTube video for TPM Webinar: https://youtu.be/aBgXpw-lZUc General Updates
03.25.22 YouTube video for TPM Webinar: https://youtu.be/oBbshhyefBk Injury Prevention & Data
02.25.22 YouTube video for TPM Webinar: https://youtu.be/pnBF3bPJiyw Updates, FAQs, SACA, Frequent CD's
01.28.22 YouTube video for TPM Webinar: https://youtu.be/ms7BAeaq5Ug Iowa Donor Network
12.17.21 YouTube video for TPM Webinar: https://youtu.be/rtVj_BVlnK8 The Year in Review
10.22.21 YouTube video for TPM Webinar: https://youtu.be/8p6n112vnHQ Trauma Registry & Report Writing
09.24.21 YouTube video for TPM Webinar: https://youtu.be/SbJNSCX8E50 Human Trafficking
TPM Webinar 9.24.21 Slides
Human Trafficking Presentation Slides
08.27.21 YouTube video for TPM Webinar: https://youtu.be/e-hTr_MCScs Frequent Criteria Deficiencies
05.28.21 YouTube video for TPM Webinar: https://youtu.be/YqlqMD5IFwc FAQs and SACA clarifications
TPM Webinar 05.28.21 Slides **Note updated information on Slide #7 regarding ATLS for Advanced Practitioners
04.23.21 YouTube video for TPM Webinar: https://youtu.be/SF8U-i8Zz-s University of Iowa Burn Care: Initial Assessment, Management, & Transfer
TPM Webinar 04.23.21 Slides
03.26.21 YouTube video for TPM Webinar: https://youtu.be/3grxrO52pKc Fall Prevention Programs guest speakers
02.26.21 YouTube video for TPM Webinar: https://youtu.be/vDsgEmJK2eM Trauma Program Updates and FAQ
01.29.21 YouTube video for TPM Webinar: https://youtu.be/W0WxnoTcHys TSAC Highlights and new Virtual Survey Process