Building a Community Injury Profile: The First Step Toward a Risk Reduction Program for the City of Dallas [open pdf - 4MB]
"The problem was that people in Dallas regularly suffer injuries that require emergency medical response by the Dallas Fire-Rescue Department (DFR). The consequences of these injuries are numerous and their effect extends from the injured person to the city's public safety and medical resources. Although fire prevention activities have been part of the duties of DFR's emergency responders for decades, they are not involved in injury prevention and the Department does not conduct local, non-fire-related community risk analysis. The purpose of this project was to provide the foundation for an injury prevention program by using descriptive research to identify areas and population groups that experience the most injuries and are at the greatest risk for requiring emergency medical response. This project focused on the following questions to form a community injury profile: a) Who is suffering injuries? b) What types of injuries are occurring? c) Where are people being injured? and d) What injuries, locations or population groups should be the focus of a prevention program? A literature review, combined with interviews and the analysis of an original dataset (DFR EMS [Emergency Medical Service] Trauma Incidents 2009-2011) contributed to the findings. The number and type of EMS incidents in Dallas indicate that: (a) young adults suffer the most injuries and Black people are disproportionately impacted by injuries, (b) motor-vehicle collisions, falls and assaults are the leading causes of injuries, and (c) the zip codes with the highest number of injuries are neighborhoods with older homes, low home values and a low median household income. Recommendations included: begin an injury prevention program that focuses on falls and coordinate data collection, risk reduction and community education efforts among all DFR Bureaus. Future researchers should: document the impact of injuries on Dallas and use qualitative analysis to supplement the community injury profile that was developed for this project."
United States Fire Administration: http://www.usfa.fema.gov/