Injury In America -- Copyright -- Preface -- Acknowledgments -- Contents -- Executive Summary -- INJURY: MAGNITUDE AND CHARACTERISTICS OF THE PROBLEM -- EPIDEMIOLOGY OF INJURY: THE NEED FOR MORE ADEQUATE DATA -- Recommendations -- PREVENTION OF INJURY -- Recommendations -- INJURY BIOMECHANICS RESEARCH AND THE PREVENTION OF IMPACT INJURY -- Recommendations -- TREATMENT -- Recommendations -- REHABILITATION -- Recommendations -- CURRENT FEDERAL EXPENDITURES FOR INJURY-RELATED RESEARCH -- ADMINISTRATION OF INJURY RESEARCH -- 1 Injury: Magnitude and Characteristics of the Problem -- 2 Epidemiology of Injuries: the Need for More Adequate Data -- HUMAN FACTORS IN INJURY CAUSATION -- PRODUCT, VEHICLE, AND ENVIRONMENTAL FACTORS IN INJURY CAUSATION -- ELEMENTS OF AN INJURY SURVEILLANCE SYSTEM -- EXISTING INJURY SURVEILLANCE SYSTEMS AND THEIR LIMITATIONS -- EPIDEMIOLOGIC USES OF INJURY DATA -- RECOMMENDATIONS -- 3 Prevention of Injury -- GENERAL APPROACHES TO INJURY PREVENTION -- Education -- Laws -- Product and Environmental Design -- PREVENTION OF SPECIFIC TYPES OF INJURY -- Transportation Injuries -- Workplace Injuries -- Recreation Injuries -- Falls -- Fires and Burns -- Assaultive Injuries -- Self-Inflicted Injuries -- Relationship of Alcoholic Beverages To Injury -- STATUS OF INJURY-PREVENTION PROGRAMS AND RESEARCH -- RECOMMENDATIONS -- 4 Injury Biomechanics Research and the Prevention of Impact Injury -- STATE OF INJURY BIOMECHANICS RESEARCH -- MECHANISMS OF INJURY -- RESEARCH NEEDS -- In Jury Mechanisms -- Measurement of Biomechanical Responses -- Tolerance -- Assessment of Safety Technology -- Other Factors in Injury -- CONCLUSIONS -- RECOMMENDATIONS -- 5 Treatment -- PREHOSPITAL CARE -- HOSPITAL CARE -- Shock -- Neuroendocrine Response -- Infection -- CHARACTERISTICS OF INJURIES THAT REQUIRE TREATMENT -- Cellular Changes That Alter Function.

Physical Alterations That Produce Major Problems -- Loss of an Organ -- CONCLUSIONS -- RECOMMENDATIONS -- 6 Rehabilitation -- RESEARCH ISSUES AND NEEDS -- Musculoskeletal Injuries -- Pathophysiology of Soft-Tissue Injury and Nerve Regeneration -- Fracture Healing Processes -- Fracture Nonunion -- Microsurgical Techniques -- Structural and Ultrastructural Anatomy -- Bioengineering and Biomaterials -- Burns -- Pathophysiology of Fire-Related Gas Inhalation -- Problems in Cutaneous Debridement and Replacement -- Prevention and Control of Tissue Contractures and Hypertrophic Scarring -- Disabling Pain -- Psychosocial Research and Prosthetic Methods -- Second Injury of the Spinal Cord -- Training -- Transportation -- Preservation of Spinal-Cord Function -- Preservation of Residual Function -- Nerve Regeneration -- Pressure Sores -- Management of Pressure Sores -- Consequences of Injudicious Injury Care -- Management of Sequelae -- CONCLUSIONS -- RECOMMENDATIONS -- 7 Current Federal Expenditures for Injury-Related Research -- 8 Administration of Injury Research -- CRITERIA FOR ORGANIZING INJURY RESEARCH -- FUNCTION OF A FEDERAL CENTER TO ADMINISTER INJURY RESEARCH -- LOCATION OF A FEDERAL CENTER TO ADMINISTER INJURY RESEARCH -- National Institutes of Health -- Department of Defense -- Department of Transportation -- National Bureau of Standards -- Centers for Disease Control -- CONCLUSIONS AND RECOMMENDATIONS -- References -- Appendix A Recommendations For An Injury Research and Training Agenda -- SURVEILLANCE AND DATA COLLECTION -- PREVENTION -- BIOMECHANICS -- TREATMENT -- REHABILITATION -- TRAINING AND ORGANIZATION FOR INJURY CONTROL -- Appendix B Committee Biographies -- Index.