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Injury prevention in people with disabilities

Clinical review p 975 

Some risk of injury exists for almost every human activity, and this risk may be increased for people with impairments, disabilities, or other special healthcare needs. The mechanism of injury is insensitive to the presence or type of disability, whether the injury involves transfer of excessive kinetic energy to the body, as in physical trauma, or deprivation of an essential element such as oxygen, as in submersion. However, the additional risk associated with the underlying condition changes the dynamics of the injury process. Epidemiological studies have, for example, found that people with epilepsy have a greater risk of drowning and burns than those without the disease1–3 and that individuals with a sensory deficit are at greater risk of pedestrian injury.4 Besag's description in this week's BMJ of the death by drowning of a 14 year old boy who suffered from tonic seizures (p 975)5 raises questions about injury prevention strategies in an area where there is not much evidence. …