Single Use Detergent Sacs (SUDS): An Emerging Threat or Novel - - PowerPoint PPT Presentation

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Single Use Detergent Sacs (SUDS): An Emerging Threat or Novel - - PowerPoint PPT Presentation

Single Use Detergent Sacs (SUDS): An Emerging Threat or Novel Nuisance? Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) Multi-Centre Study Daniel Rosenfield, MD 1 , Stephanie VandenBerg, MD 2 , Mohamed Eltorki, MD 2 , Suzanne


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Single Use Detergent Sacs (SUDS): An Emerging Threat or Novel Nuisance?

Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) Multi-Centre Study

Presented by: Stephanie VandenBerg, MD CCFP-EM

April 30, 2015 Daniel Rosenfield, MD1, Stephanie VandenBerg, MD2, Mohamed Eltorki, MD2, Suzanne Beno, MD1, Dominic Allain, MD3, Tara Rankin, MSc3

1Division of Paediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, 2Department of Emergency Medicine, University of Calgary, Calgary, AB, Canada,

3 Department of Emergency Medicine, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada

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No conflicts of interest

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Extent of the Problem Toxicity Methods Knowledge Transfer Background

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Background

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What’s the problem?

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Aspiration Ingestion Ocular Derm

Respiratory depression & arrest Esophageal necrosis, burns and strictures Decreased LOC Conjunctivitis Keratitis Irritation, burns & paresthesias

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Where are the gaps?

No Canadian data exists

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Primary Objective

Determine the incidence of SUDS exposure causing injury amongst the paediatric population (age 0- 17 inclusive) in three tertiary paediatric hospitals from July 1 2009-July 1 2014

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Secondary Objectives

  • 1. To compare epidemiology and morbidity when

examining exposure to SUDS and traditional (liquid/powder) detergent

  • 2. To determine the type of exposure to SUDS and

their prevalence

  • 3. To determine the type of exposure that is

associated with the highest morbidity

  • 4. To examine factors associated with exposure,

including brand, location of exposure, and the location of the product

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Methods

Multicenter retrospective chart review The Hospital for Sick Children (Toronto) Stollery Children’s Hospital (Edmonton) Alberta Children’s Hospital (Calgary) Canadian Hospital Injury Reporting and Prevention Program (CHIRPP) Database study with supplementation of data from local electronic patient charts and PICU databases

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Outcome Data

Mild, Moderate and Severe outcomes

MILD: minimally bothersome, rapidly resolving MODERATE: systemic in nature, treatment usually required but not life threatening SEVERE: life threatening or result in severe disability

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Knowledge Translation & Advocacy

Engineering Education

Enforcement

Economics

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Knowledge Translation & Advocacy

Education Health Canada, Industry, Media, Parents

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Engineering Requiring SUDS containers to have a child-proof lid Wrapping individual SUDS in unappealing wrapper

Knowledge Translation & Advocacy

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Progress

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Questions?