It is time for students and their families to relax, recharge, and have some fun together during the summer break.
On this episode of the Supercast, we talk to an Intermountain Health Riverton Hospital trauma nurse on the many ways to avoid mishaps and keep everyone safe, whether it’s out in the baking sun, waterside by the lake, riding Ebikes, or using child car seats. It is expert advice that can help keep everyone safe from a host of potential hazards over the summer months.
Linked below are the education resources referenced during the podcast, including:
Audio Transcription
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Britta:
Really those steps of make sure the scene is safe. You don't wanna become another victim if you're on a road or some sort of disaster's happening.
Anthony Godfrey:
It is comfortable knowing that you're here and just that you guys are ready to help.
Britta:
Yeah, and we're honored to help.
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Anthony Godfrey:
Hello and welcome to the Supercast. I'm your host, Superintendent Anthony Godfrey. It is time for students and their families to relax, recharge, and have some fun together during the summer break. On this episode of the Supercast, we talked to a trauma nurse from Intermountain Health, Riverton Hospital on the many ways to avoid mishaps and keep everyone safe, whether it's out in the baking sun, waterside by the lake, riding e-bikes or using child seats properly.
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Anthony Godfrey:
We are at Intermountain Health, Riverton Hospital, talking with Britta about how to stay safe this summer. Britta, introduce yourself, please.
Britta:
Awesome, yeah, happy to be with you here today. Britta, and I'm the trauma program coordinator for Riverton Hospital.
Anthony Godfrey:
Tell me about your responsibilities as the trauma program coordinator. You don't organize trauma, you respond to trauma.
BRITTA:
That's right, yes.
Anthony Godfrey:
Tell me about what your job entails.
BRITTA:
So my job entails a big part of my role is injury prevention and community outreach. So we want to prevent our community from being trauma patients and coming to the ER with injuries. So that's a big part of our role. And then how can we provide the best care possible, high quality care for any injured patient that comes into the hospital?
Anthony Godfrey:
Prevent the trauma drama this summer.
BRITTA:
That's right, no trauma llamas or trauma drama.
Anthony Godfrey:
Yeah, that's right. So to avoid the trauma drama, what do families need to be focused on this summer? You have, as a nurse, you've seen the most difficult situations, things that could have been avoided. Let's help people prepare in advance for a safe summer. What are some of the things we need to be watching out for?
BRITTA:
Great question, yes. A lot of times people think, it's gotta be these complex things or you need to do all these things. But really it's those simple things you can do that truly could potentially save a life. So some of the top things that we're seeing at our hospital, we're seeing lots of falls, people falling down or from ladders. Unfortunately in this area with the growth in our patient population over the last few years, we've seen lots of falls from second story windows.
Anthony Godfrey:
So- Falls from second story windows?
BRITTA:
Mm-hm.
Anthony Godfrey:
Wow, so how does that happen? What are some of the situations that cause someone to fall out of a second story window?
BRITTA:
Great question, and just absolutely heartbreaking when we see it anywhere, because just it can be so serious for these little kids. Typical ages are between about two and five, give or take. A lot of times furniture can be really close to the window. And then we want parents to know that the screens, they don't keep kids in. They can keep bugs out but not kids in. So those screens, they'll pop right out. And if you do open the window, especially this time of year with the weather, you don't wanna open it any more than about four inches. So we talk about the four inch rule and we have stickers that we provide to help educate to that.
Anthony Godfrey:
So don't open the window more than four inches. And those screens are meant to pop out so that if there's a fire you need to get out, you can. But we forget that sometimes and feel like they offer more protection than they do from children falling out of the window. So do you see this fairly frequently that children fall out of the second story window?
BRITTA:
We have, yeah, unfortunately, the last few years. So yeah, we've really tried with our pediatric patients to educate to this or just let them know, be really mindful with the weather changing. Especially in the spring and fall, that's when we see the most of window falls, unfortunately.
Anthony Godfrey:
Where would parents get a hold of a sticker like that to remind them only to open the window four inches?
BRITTA:
We have them in our emergency department and then with Intermountain Health, with our community health programs. With Primary Children's, we have a lot of these resources readily available or that education online.
Anthony Godfrey:
You mentioned also keeping furniture away from the window so that it's not easy to climb up on the furniture and out the window.
BRITTA:
Totally, yep. Especially that age group, it doesn't take long for that little busy body or busy two-or three-year-old to climb up or climb up to look out the window. So absolutely furniture, that's something that can be preventable or that they can do to help prevent those injuries.
Anthony Godfrey:
And you have some heartbreaking injuries even just from the second floor, second story, as far enough to really hurt yourself.
BRITTA:
Totally, yeah. We've seen some really serious injuries or have shared a couple patient stories over thyears of where they've been okay and recovered, but we've had to quickly life-flight them or get them to Primary Children's as fast as we can, stabilize and get them to our tertiary receiving center, which is Primary Children's Hospital.
Anthony Godfrey:
Broken bones, concussions, that sort of thing?
BRITTA:
Brain bleeds, skull fractures. Yeah, a lot of broken bones. And then, yeah, all your internal organs, but yeah, especially that age, their head and then broken bones with arms and legs.
Anthony Godfrey:
Okay, good tips. What else would you be watching out for this summer?
BRITTA:
Yeah, so another thing that we're seeing quite a bit, we've just seen a big uptick in our area especially, is a lot of bikes, e-bike, e-scooter, scooter injuries. So we are tracking all of these injuries that we see at our hospital, and about 50% are helmeted, 50% are unhelmeted. And there's a new bill, I think it's the HB 381 bill that just passed. That means kids on scooters, especially, yeah, between under eight, they're not allowed to ride the scooters that are pretty much motorcycles, cuz some of these scooters, they go greater than 30 miles per hour.
Anthony Godfrey:
Right, so under eight, you can't ride them at all.
BRITTA:
Under eight, and then between eight and 15, they need adult supervision or in the line of sight, or completing a safety course that will be provided through the state.
Anthony Godfrey:
So basically, they either can't ride a motorized scooter or they can't ride it unsupervised until they're old enough to drive a car.
BRITTA:
That's right.
Anthony Godfrey:
Now, as a district, we send out information about changes in the law regarding children riding scooters. We sent that out in Parent Square about a month ago, but we'll also link to this information in the show notes so that parents can follow up and get more information. But really, it is interesting because transportation technology has advanced, and with it, there are more hazards out there. It's really exciting to ride those, but it's also very dangerous.
BRITTA:
And they're so fun. We want you to have fun, but we want you to do it safely. So yeah, the biggest change with this bill passing is under 21 years old, you need to wear a helmet. You'll be required, so you could be ticketed, police officers, if you're riding an e-bike and don't have a helmet on. So that's by far the biggest change.
Anthony Godfrey:
And over 21, you're free to make bad decisions like not wearing a helmet.
BRITTA:
Over 21, we highly recommend your brain is so squishy, and you only have one brain. So we highly recommend helmets.
Anthony Godfrey:
Keep that squishy brain working, wear that helmet even though the law isn't requiring you to.
BRITTA:
That's right. Again, they're so fun, but we just want you to stay safe and do it safely. But yeah, some of the injuries we're seeing are very serious. About half of our injuries from January till now, about half of them have required to be admitted or transferred from our hospital with how serious their injuries are, the severity of the injuries that we're seeing with these; and again, about half are wearing helmets. So we actually have a helmet log in the ER, so any bike or scooter injury we're seeing, we're asking them, “Do you have a helmet?” And it was donated by the Utah Pediatric Trauma Network. And so we checked them out of helmet and provide this education. And we're happy to provide that for patients that we see in the ER so that they have a helmet after they leave or if they're able to be discharged.
Anthony Godfrey:
That's wonderful. So you are facilitating that lifestyle change after a very difficult situation.
BRITTA:
Trying to, yeah, or trying to educate about it, absolutely.
Anthony Godfrey:
Fantastic, I love that. So scooters, vehicles, and window safety, talk to me about what else we need to be careful about.
BRITTA:
Yeah, this time of year, in the upcoming months, who doesn't want to be around water, especially with the summer heat to cool off? Whether it's swimming or big lakes, a big teaching point is around open water, life jackets are a must. No matter who you are or how great a swimmer, it truly can save a life to have a life jacket. Then pools and hot tubs, we really strongly educate. It only takes one second, you take your eye off or a couple of swipes on your phone. And that child could be jumping in the pool that cannot swim or in the hot tub.
Anthony Godfrey:
Set your playlist in advance, get your Bluetooth speaker going, and then put the phone down so you can fully focus on monitoring the kids who are swimming.
BRITTA:
100%, just that hyper-vigilance or one parent or adult in charge of your children of saying you know where they are at all times. But it really truly, it only takes a couple of seconds. And unfortunately, we have seen a handful of near drownings or drownings in just the past month.
Anthony Godfrey:
Really? So part of it, it sounds like from what you just said, is making sure that you don't just have adults generally in the vicinity, but someone specifically assigned to make sure that they are focused on safety. You're responsible, you're in charge of making sure everyone's doing okay.
BRITTA:
Absolutely, yep, or not assuming, you know, there's- Yeah. There’s some adults here. So everyone's being watched, yeah, exactly.
Anthony Godfrey:
Going back to open water, open water is defined as just anything that's not a swimming pool, basically natural bodies of water. And that's where you need the life jacket. You would think that the name life jacket would be enough to recommend it. Like, it's a life jacket, maybe I should wear that.
BRITTA:
Yep, or even paddle boarding, you've got this big paddle, this big board, and you're like, I'll be okay, but it only takes one slip or a big rock, and that big board could slip away from you.
Anthony Godfrey:
Yeah.
BRITTA:
So those life jackets-
Anthony Godfrey:
This notion I can just hold on to the board, and I'll be fine.
BRITTA:
Mm-hm, yep.
Anthony Godfrey:
Kind of the equivalent of, I'm driving along, and if we get in an accident, I'll just put my arm out and protect someone instead of a seat belt, right?
BRITTA:
Yep, 100%.
Anthony Godfrey:
Boy, it must be difficult. As we go through this, I'm sure this is calling to mind instances that you've had to help deal with over the years, where people were just out trying to have fun, or just at home, and suddenly a life changing accident happens. So it must be a very difficult job to deal with that, day in and day out.
BRITTA:
It can be, absolutely, yeah, and I really can't give enough recognition, and kudos to our emergency department team, and those who care for our admitted patients who are injured. But they're really ready for anything at all times. We're ready for anything that walks in the door, that comes in private vehicle or by EMS, and we do see a lot of very serious injuries that we're ready to respond to.
Anthony Godfrey:
It is comfortable knowing that you're here, and just that you guys are ready to help.
BRITTA:
Yeah, and we're honored to help. We love it. It's our part of, with working in the emergency department, we feel honored because it truly can be someone's worst day. And we could try our very best to be that difference in their worst day, or potentially save their life.
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Anthony Godfrey:
Stay with us. When we come back, more tips from Britta on staying safe this summer.
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Male Voice:
Never miss an episode of the Supercast by liking and subscribing on your favorite podcasting platform. Find transcripts for this episode and others at supercast.jordandistrict.org.
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Sandy Riesgraf:
Hello, I'm Sandy Riesgraf, Director of Communications for Jordan School District, and we want to invite you to connect with us. So many exciting things are happening in your child's school, your neighbor's school, in every school here every day. Don't miss out on following the fun or simply staying informed when there's important information we need to share. Join us at jordandistrict.org or follow us on Facebook, Twitter, and Instagram at Jordan District. We can't wait to connect.
Anthony Godfrey:
Okay, I always like to ask this question of police, fire, anyone who's in emergency services. Is there a show out there that you think accurately portrays what it's like to be a trauma nurse?
BRITTA:
I would say, yeah, of all the shows, the most recent, The Pit. I've seen both seasons, and yeah, although a handful of things aren't, but by far the labs they talk about, the orders they place, the scenarios that they have is by far the most realistic. Especially compared to Scrubs or Grey's Anatomy or things like that. But yeah, a lot of us, we really enjoyed watching The Pit.
Anthony Godfrey:
I like watching The Pit as well. I like knowing that I don't ever have to do any of that. So I'm grateful that you do that work.
BRITTA:
Yes, yep, and hats off to our first responders or PD or those in the ER that really thrive in that environment or really enjoy that work.
Anthony Godfrey:
Absolutely. Tell me about some other things to avoid this summer.
BRITTA:
Perfect, yeah, so one other along with, in line with our e-bikes, e-scooters, or any e-mobility. But a lot of people like to get out there on their motorcycles or ATVs, four-wheelers. And again, it's so much fun. Our Utah mountains are just gorgeous and fun to take advantage of all the trails. But yeah, if you're out there, you wanna be responsible. Know your skill level or the roads or that protective gear, especially with motorcycles and four-wheelers. That helmet, goggles or gloves, boots. We do see a lot of injuries from ATVs and motorcycle injuries as well.
Anthony Godfrey:
Talk about car seats.
BRITTA:
Okay, so yeah, the biggest thing with car seats is that you wanna make sure your child is in the correct car seat. So you wanna be especially mindful of weight and height. And that oftentimes those rear-facing can go well beyond two years, depending on their weight and height. And any child under 13 years old, they should be riding in the back seat. That's the safest spot for them. But again, those simple things, seat belts are a game changer. We ask every patient that comes into the ER with a motor vehicle accident, how fast they are going, did the airbags go off? Did you have your seat belt on? And it's really surprising how many people did not have their seat belt on. That potentially could have prevented some of those injuries.
Anthony Godfrey:
My car gets angry with me more than any car I've had before. It just will not stop beeping unless you put your seat belt on. I've tested it out. I hate to admit and it never stops.
BRITTA:
It's a good strategy.
Anthony Godfrey:
Yep.
BRITTA:
I like your car.
Anthony Godfrey:
Yeah, so if my car helps me make good decisions that way at least, that's good.
BRITTA:
The spot, the top that I was mentioning, but it's available through Intermountain Children's Health. But this was collectively through the Utah Trauma Registry. So it's all the trauma centers across Utah, all the data of any injured patient. But they were able to see how can we prevent backovers and frontovers by reducing blind spot. And our Utah Trauma Registry and a lot of our amazing brilliant minds from Utah, a lot of studies that they came out with showed trucks and vans. Their blind spot clearance is much less safe than other cars, which is kind of the why of why a lot of vans and trucks now have those cameras. You know, our rear view cameras where we can see to help prevent a lot of these injuries. So just be very mindful every time you hop in the car of potential blind spots. And that's the spot, the top campaign.
Anthony Godfrey:
Absolutely, yep.
BRITTA:
Be especially mindful and vigilant, especially if you have littles around or you don't have those backup cameras. Because those blind spots potentially go back 20, 30, 50 feet where you can't see anything behind you.
Anthony Godfrey:
Maybe another reminder as well is just cars heat up fast and children and pets. And you just can't leave them in the car even for a moment.
BRITTA:
Absolutely, yeah. So the biggest danger is exactly like you said, even a mild day 60, 70, the car's interior can get up to 100, 110 degrees very quickly. So, and a lot of these kids, even if you crack the window, it's not gonna cool it down much. So, and they're potentially trapped in that hot car tragedy without the parent even knowing. So a few preventative things you can do. But yeah, look before you lock, even if a lot of times people are in a hurry. “Oh, I gotta hurry to this” and or to keep, have a visual trigger of something, whether it's a teddy bear or something to know that your child's in that. Or there's Intermountain Health Day offer, it's called Forget Me Not Window Clings, just as a visual reminder. But as you said, a lot of cars nowadays, they'll have reminders of saying check your back seat or something might be on of the weight. Look before you lock and spot the top.
Anthony Godfrey:
Okay, fantastic. And don't ride ATVs at all. That doesn't really run.
BRITTA:
You can, but safely, yes.
Anthony Godfrey:
Now, Jordan School District has always been a place where students are focused on blood drives.
BRITTA:
They've done a great job.
Anthony Godfrey:
We do that through our HOSA groups. And we've actually collected a lot of blood. We have a couple of drives that we're doing for employees as well this summer. Tell us about the importance of giving blood to be ready to respond to these emergencies.
BRITTA:
Absolutely, yeah, especially in trauma with our severely injured patients. If they're bleeding out or any internal bleeding, whenever we activate a trauma one patient in our emergency department, we automatically have two units of PAC red blood cells that respond to that trauma one patient in case they need blood. But yeah, in the world of trauma and injured patients, that blood is potentially life saving for so many reasons. Or in our hospital we have something that's called Massive Transfusion Protocol, where we're gonna keep giving them blood as much as they need, as fast as we can, to prevent them from bleeding out. If it is an arterial bleed, we also teach a program, it's called Stop the Bleed. So this shirt, I'm wearing it says the shirt can save a life. But we go over pressure, packing, and tourniquets. It only takes about two to three minutes to bleed out if it's an arterial bleed. And the average response time from EMS is about seven to ten minutes. And so really with the Stop the Bleed course, we're trying to empower people that simple intervention of pressure. You could absolutely save a life.
Anthony Godfrey:
When I underwent some emergency training a few years ago, I was told that you should intervene. You should jump in if there's an emergency. And don't wait for the experts, don't wait for a professional. Jump in and stop the bleeding. And it sounds strange that you would have to be told that. But I can imagine that people freeze in a situation. And they don't think about the fact that using their shirt to stop the bleeding could really save a life. So dive in and try to help the best you can.
BRITTA:
Absolutely, yeah, and really those steps of make sure the scene is safe. You don't wanna become another victim if you're on a road or some sort of disaster's happening. And then the next step would be alert 911. So yeah, we always educate, put your phone on speaker phone. If you forgot the Stop the Bleed course or you don't know what to do, that dispatcher will walk you through all the steps that you need to do to stop that bleed and also help get our EMS responders and our first responders on their way.
Anthony Godfrey:
Good, fantastic. Well, thank you so much for these tips for staying safe. And thank you for everything that you have done over the years to help prevent problems and help address them when they do happen. And we're just grateful to have you in our community.
BRITTA:
Absolutely, yeah, we at Riverton Hospital, we're always happy to see you, but we would love to not see you as a trauma patient and want you to stay safe this summer. So thank you so much for the opportunity.
Anthony Godfrey:
Thank you very much, have a great summer.
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Anthony Godfrey:
Thanks for joining us on another episode of the Supercast. Remember, “Education is the most important thing you will do today!” We'll see you out there.
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