Objectives: Learners will be able to understand the problem of - - PowerPoint PPT Presentation

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Objectives: Learners will be able to understand the problem of - - PowerPoint PPT Presentation

Jul 15, 2023 372 likes •906 views

DOSE : Direct On Scene Education : Baby Safe Sleep Initiative Prepared by: Captain James Carroll And Jennifer Combs, MSN, ARNP Healthy Mothers, Healthy Babies Coalition of Broward, Inc. Objectives: Learners will be able to

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DOSE: Direct On Scene Education™:

“Baby Safe Sleep Initiative”

Prepared by: Captain James Carroll And Jennifer Combs, MSN, ARNP Healthy Mothers, Healthy Babies Coalition of Broward, Inc.

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Objectives:

  • Learners will be able to understand the

problem of sleep related infant death.

  • Learners will be able to list 5 components of a

safe sleep environment for an infant.

  • Learners will be able to describe the DOSE:

Direct On Scene Education™ program.

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“Oh Baby, We Have a Problem!”

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Just the Facts….

  • Each year in the United

States, there are about 3,600 Sudden Unexpected Infant Deaths (SUID). infants less than 1 year old and have no immediate obvious cause.

  • The three commonly

reported types of SUID are:

  • •SIDS: About 1,500 infants

died of SIDS in 2016.

  • •Unknown cause: 1,200

infants

  • •Accidental suffocation and

strangulation in bed: 900 infants

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SIDS vs. Accidental Sleep Related Deaths

What’s the difference?

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SUID

  • SUID: Sudden Unexpected Infant Death
  • SUID is the umbrella heading under which

sudden infant deaths are classified

  • SUID includes accidental sleep related deaths
  • Reducing Risk versus Prevention
  • Must know the difference between SIDS and

ASSB (accidental suffocation, strangulation in bed)

  • Important to know the difference between the

two when educating the community

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SUID Unexplained SIDS Undetermined Explained Accidental Suffocation & Strangulation in bed Known Diagnosis Positional Asphyxia Trauma Poisoning Drowning

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What is SIDS?

Sudden Infant Death Syndrome (SIDS) is the sudden death of an infant younger than 1 year

  • f age that remains unexplained after a

thorough case investigation, including:

– Performance of a complete autopsy – Examination of the death scene – Review of the infant’s and family’s clinical histories

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SIDS is NOT…

  • Not Preventable, but the risk can be reduced!
  • Not caused by vomiting and/or choking
  • Not caused by DPT vaccine or other immunizations
  • Not contagious
  • Not the result of child abuse or neglect
  • Not the cause of every unexpected infant death
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Maternal Risk Factors

  • Smoking during and after pregnancy
  • Age less than 18 years
  • Poor or limited prenatal care
  • Anemia
  • Drug or Alcohol use (paternal use also)
  • Poor baby spacing <18 months
  • History of STDS/Urinary tract infections
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Infant Risk Factors

  • Low Birth weight <2,500 grams
  • Prematurity <37 weeks
  • Black
  • Native American
  • Exposure to tobacco smoke and drugs
  • Males
  • Multiple gestation
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Disparities

  • Disparities exist
  • Native American
  • African American
  • Why?
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Native Americans

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African Americans

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SUID Risks Summary

  • Stomach sleeping
  • Soft sleep surfaces, pillows, toys and loose bedding
  • Overheating during sleep
  • Maternal smoking during pregnancy and second

hand smoke in the baby’s environment

  • Bed sharing with an adult or with other children
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Sleep Related Deaths

  • Are 100% preventable!!!
  • Accidental Suffocation

and Strangulation in Bed (ASSB)

  • Falls under SUID
  • Types:

– Suffocation – Wedging – Entrapment – Strangulation

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Bumper Pads

  • Should be removed

from crib

  • Suffocation hazard
  • Babies burrow into

corners

  • Banned from being sold

in Chicago and in the state of Maryland

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Suffocation from Bed Sharing

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Crib Wedging

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Bed Wedging

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Wedging

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Entrapment

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Positional Asphyxia

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Positional Asphyxia

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Dangerous Places to Sleep

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Pillows

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Twins

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Risk Reduction/Safe Sleep Recommendations

1. Baby should sleep on the back for each and every sleep. 2. Baby should sleep alone in their own separate sleep space: crib, bassinet, pack-n-play. 3. No bed sharing with adults or other children. 4. Firm mattress with tight fitting crib sheet only. 5. No toys, pillows, loose bedding in the crib.

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Risk Reduction/Safe Sleep Recommendations

  • 6. No bumper pads!
  • 7. No exposure to tobacco smoke.
  • 8. Offer a pacifier each and every sleep.
  • 9. Room sharing with caregiver.
  • 10. Do not allow baby to overheat with sleep:
  • ne layer of clothing; if cooler weather, then

no more than one extra layer of clothing than the adult is wearing.

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How to Keep Baby Safe to Sleep: ABCs of Safe to Sleep

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DOSE

Direct On Scene Education™

Introduction

What is it? How does it work? Why does it work?

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In the Beginning…

.

How did this come to be?

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Healthy Mothers, Healthy Babies Coalition of Broward

  • The Fetal Infant Mortality Review is conducted

each year by HMHB of Broward in Broward County, Florida

  • Excess amount of sleep related infant deaths
  • Community engagement projects including

working with first responders to address the issue

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City of Fort Lauderdale

Population in 2016: 178,752 2.6 million visitors per year 34.77 square miles, 4,761 per square mile FD-12 Stations, 450 FF 60K calls a year

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Safe Sleep Summit 2011

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What can we do???

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First Responders to the Rescue!

  • Captain Carroll attended the “Safe Sleep Summit” and was

shocked by the number of deaths

  • “Baby Safe Sleep Initiative” was developed together by Captain

Carroll and Jennifer Combs, MSN, ARNP in collaboration with Healthy Mothers, Healthy Babies Coalition of Broward

  • DOSE: Direct On Scene Education™
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“Baby Safe Sleep Initiative”

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Broward

  • 41% of the sleep related deaths, seven total, occurred

in the city of Fort Lauderdale in 2011

  • Fort Lauderdale Fire Rescue operates 11 stations

throughout the city and runs over 42,000 emergency calls a year.

  • There was a lack of awareness about the magnitude of

the number of sleep related infant deaths occurring not

  • nly in the city, but throughout the county
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How It Works

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Why It Works

  • First responders fix

things by nature

  • First responders are

easily recognizable

  • Trusted by the

community

  • Unique access to the

homes

  • Informal education

being done already

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Components

  • Evaluation of community problem
  • Partnering with community maternal child

health agencies

  • Education of first responders
  • Sleep environment check
  • Removal of hazards, crib referral or set up
  • Family education
  • Referral to community partners
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Success Stories!

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When they technically have a crib…

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Watch It Work

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What We Have Accomplished

*FLFR Baby Sleep Deaths 2011: 7

*FLFR Baby Sleep Deaths 2012: 3 *FLFR Baby Sleep Deaths 2013: 3 *FLFR Baby Sleep Deaths 2014: 1 *FLFR Baby Sleep Deaths 2015: 2 *FLFR Baby Sleep Deaths 2016: 3

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I was lucky, let’s be smart…

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Questions? More Information?

Captain James Carroll Fort Lauderdale Fire Rescue JCarroll.DOSE@gmail.com Jennifer Combs, MSN, ARNP nicurn13@att.net