Trauma Times Newsletter for March/April 2022

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Volume 13, Issue 2 

March & April 2022

In This Issue:

Call for Articles in Trauma Times

The Trauma Times newsletter is a bimonthly e-newsletter created by the Division of Trauma and Injury Prevention focused on trauma and injury prevention topics going out to our 7,800+ subscribers. For 2022, we wanted to reach out to you, our subscribers and readers, to bring different perspectives to Trauma Times within the context of trauma and injury prevention. If you are interested in submitting an article or have feedback, please send it to We will gladly promote conferences, symposiums and training opportunities.


Feel free to forward this newsletter to others in your organization who may benefit from trauma and injury prevention updates. Their contact information can be added to the subscribers list as well. 


Staffing Updates: Kristin Combs, Emma Heltzel

Kristin Combs (Records Coordinator)

Kristin Combs has joined the Division of Trauma and Injury Prevention as a Records Coordinator.  Kristin will be focusing her responsibilities on coroner engagement and outreach.  Kristin most recently served as the Deputy Coroner with the Noble County Coroner’s Office.  She also has experience as an Emergency Care Tech at Parkview Noble Hospital in Kendallville, IN and as a Lab Assistant at Parkview Health Labs for nearly 10 years.


Contact Information:


Phone: 463-246-3346 



Emma Heltzel (Injury Prevention Epidemiologist)

Emma Heltzel has been promoted to Injury Prevention Epidemiologist.  Emma served as the Trauma Registry Coordinator for the last year and prior to that position was an intern for the Division. Congratulations Emma.


Contact Information:


Phone: 317-234-3265


Governor's Public Health Commission to Meet 3/17, 4/21

The Governor's Public Health Commission recently met on Jan. 20, 2022. Data have been used as a tool to inform difficult decisions during the pandemic and in public health as a whole, and the commission met virtually to discuss the uses of public health data as part of its work to examine the state’s public health system and make recommendations that can improve the delivery of public health services.


The meeting on Feb.17, 2022 focused on childhood and adolescent health integration. Recordings and livestreams of the Governor's Public Health Commission meetings can be found on the IDOH YouTube channel. Minutes, agendas, and presentation slides from each meeting will be uploaded to the Commission's website as they are finalized. 


Listening tours have also been scheduled around the state for public input on the topics being considered by the commission. Speakers will have up to 3 minutes to provide comment. Written public comments can be submitted to the commission here. Learn more and find the listening tour locations and dates on the Commission's website.


Naloxone Grant Opportunity Announcement

The Indiana Department of Health (IDOH) is accepting grant applications to provide first responders in rural counties intranasal naloxone. Only first responders who provide services in rural counties are eligible to receive the naloxone doses. For grant activities, first responders include (professional and volunteer): firefighters, law enforcement officers, paramedics, emergency medical technicians, and other legally organized and recognized volunteer organizations that respond to adverse opioid-related incidents. IDOH will provide naloxone administration training for grant applicants upon request. IDOH encourages all agencies to be trained in naloxone administration, regardless of whether they have been trained in the past. The source of the grant funds for this program is the Substance Abuse Mental Health Services Administration (SAMHSA) First Responder Comprehensive Addiction and Recovery Act grant. Please visit the application link to apply and view the full project description:


Free NARCAN Application for Community Programs

The opioid overdose epidemic affects community members of all ages and backgrounds. Community programs play a key role in distributing resources and educational materials to the people they serve. As such, libraries, colleges, high schools, and YMCA centers may apply for free Narcan using Emergent BioSolution’s Community Programs Requests Forms, found here. Eligible entities may receive up to 2-8 free doses of Narcan, depending on the type of organization. Additional resources on Narcan education, making a request to receive an educational kit, and more can be found on that website.


Additionally, here are supplemental resources to support the use of naloxone in these community spaces:


Rural Emergency Medical Services Training Grant (Due Date Passed)

SAMHSA released a Notice of Funding Opportunity for EMS training. The purpose of this program was to recruit and train rural emergency medical service providers to address mental health and substance use disorders. This opportunity targeted local EMS agencies.


Though the application due date (Feb.14, 2022) has passed, we wanted to notify you of this opportunity for potential collaboration, should it apply to your organization or partners and be available again in the future.


Link to grant announcement:  


A modified two-process Knox test for investigating the relationship between law enforcement opioid seizures and overdoses

Authors: G. Mohler, S. Mishra, B. Ray, L. Magee, P. Huynh, M. Canada, D. O’Donnell, and S. Flaxman


Abstract: Recent research has shown an association between monthly law enforcement drug seizure events and accidental drug overdose deaths using cross-sectional data in a single-state, whereby increased seizures correlated with more deaths. In this study we conduct statistical analysis of street level data on law enforcement drug seizures, along with street level data on fatal and non-fatal overdose events, to determine possible micro-level causal associations between opioid-related drug seizures and overdoses. For this purpose, we introduce a novel, modified two-process Knox test that controls for self-excitation to measure clustering of overdoses nearby in space and time following law enforcement seizures. We observe a small but statistically significant (p < 001), effect of 17.7 excess non-fatal overdoses per 1,000 law enforcement seizures within 3 weeks and 250 meters of a seizure. We discuss the potential causal mechanism for this association along with policy implications.


Read the article in full here:


NASHIA: Working Together Promoting Brain Injury Awareness Month (March 2022)

2022 March Brain Injury Awareness Logo

Picture from

March is National Brain Injury Awareness Month! The National Association of State Head Injury Administrators (NASHIA) developed a three-year (2020-2022) national theme for promoting March Brain Injury Awareness Month, Working Together Promoting Brain Injury Awareness Month. NASHIA is working along with states, national organizations, and local members to promote awareness of brain injury. 


The Centers for Disease Control and Prevention’s (CDC's) Injury Center defines a traumatic brain injury (TBI) as caused by a bump, blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. Research shows that people most commonly get TBIs from falls, firearm-related injuries, motor vehicle crashes, or assaults.


TBIs are a major cause of death and disability in the United States. CDC has estimated that TBI contributes to 166 American deaths each day, causing 61,000 deaths in 2017. In 2016, there were 1,239 Hoosier deaths related to TBI (18.6 per 100,000 Indiana residents). Additionally, Indiana residents experienced 6,726 TBI-related hospitalizations within the same year (101.4 per 100,000 Indiana residents).


Moreover, people with a history of TBI may be as much as 11 times more likely to die from accidental fatal poisoning, with opioids attributed to a significant number of cases. Unfortunately, substance abuse is a risk for TBI, and TBI is a risk for substance abuse. In the context of an increasing opioid epidemic, it is imperative that TBIs are properly diagnosed and treated to reduce long-lasting impairments.


IDOH’s Division of Trauma and Injury Prevention has partnered with Rehabilitation Hospital of Indiana (RHI) and other stakeholders to build the capacity of professionals who work with people with brain injury throughout the state. Rehabilitation centers like RHI seek to provide personalized care for patients with brain injuries and other injuries and conditions to enable them to return to the highest level of function. State plan goals include identifying statewide needs to serve those with TBIs, improving access to resources and care, and bolstering the surveillance and prevention of youth TBIs. IDOH will work toward this vision of preventing brain injuries and improving long-term outcomes of those impacted by TBI in Indiana. Learn more about the State Plan here.



You can help take part by: 


Springing Forward into Carbon Monoxide Safety

Daylight saving time will begin soon on March 13! Not only will it be time to spring forward your clocks, but it’s also a good time to replace your smoke and carbon monoxide detector batteries. The National Fire Protection Association (NFPA) recommends that the batteries are replaced every 6 months. There are also 10-year batteries that do not need to be replaced as frequently.


Carbon monoxide (CO) is an odorless, colorless gas. It can be produced because of burning fossil fuels, and exposure can lead to poisoning, depending on duration and levels of exposure.


Initial symptoms of low to moderate CO poisoning can include headache, fatigue, shortness of breath, and dizziness. With higher levels of exposure and poisoning, symptoms can worsen into confusion, loss of muscle coordination, loss of consciousness, and death. According to the Centers for Disease Control and Prevention, there are at least 430 deaths and 50,000 visits to emergency departments due to accidental CO poisoning each year in the United States.


Carbon monoxide alarms are a reliable way to alert you of rising levels of CO and keep your home safe. It is recommended that they are installed near every sleeping area in your home. If they alarm, immediately move outside to fresh air and call 911.



More CO Safety Tips:

  • Regularly check your detectors according to manufacturer's instructions. The Consumer Product Safety Commission (CPSC) recommends checking them once a month.
  • Know the symptoms of CO poisoning. If you suspect you are experiencing CO poisoning, seek medical care promptly.
  • Only use portable generators outside enclosed spaces and the home and at least 20 feet from windows, doors, and vents. They can be a source of toxic engine exhaust.
  • Do not leave a car or truck running inside an attached garage, even if the garage door is open.
  • Do not burn charcoal inside a home, garage, vehicle, or tent.
  • Do not use gas appliances such as ovens or clothes dryers to heat your home.


Learn more about carbon monoxide safety here:


Distracted Driving Awareness Month (April)

Submitted by Heidi Bultema, Trauma Intern at IDOH Division of Trauma and Injury Prevention


Whether it be a cell phone ringing, a child crying, or an individual eating, it seems that more people stopped at a red light are focused on something other than getting to their destination safely. Distracted driving causes numerous accidents, including those that can lead to fatalities. In 2018 alone, 2,800 people were killed and 400,000 people were injured from distracted driving related accidents. Not everyone involved in a distracted driving accident must be in a car. According to the Centers for Disease Control and Prevention (CDC), 1 in 5 of these individuals were not in their car, but instead were walking or biking along the road. Everyone, in the car or near the road, is at risk to be involved in a distracted driving accident. Teenagers are most at risk and affected by distracted driving-related accidents. The CDC explains that teens are more likely to admit texting, not wearing a seat belt, or drinking before driving as distractions. Parents or guardians play a key role in preventing distracted driving accidents. From when the teenagers first learn to drive, it is important as the adult to have conversations with them about possible distractions. They can discuss not texting while driving or driving after drinking. Bringing up the consequences of these actions could be a good place to start. They can teach the teenager to be familiar with the route they will be driving, so they don’t need to keep looking down at their maps for directions. Lastly, they should discuss with the teenager being sure to eat and drink before heading out on the roads if possible.


What exactly is distracted driving? There are three main types of distractions:

  • Visual: Taking your eyes off the road
  • Cognitive: Taking your mind off driving
  • Manual: Taking your hands off the steering wheel

Distracted driving includes anything inside or outside the vehicle that prevents the driver from having their full attention on the road. There are a few solutions that can help lessen the amount of distracted driving accidents. Drivers should not multitask when driving. If anyone riding in the car notices that the driver is not paying attention and instead is on their phone, digging in the bag for another French fry, or looking elsewhere from the road, it is important that they ask the driver to relieve themselves of the distraction. So, next time you are out on the road, put the phone down and focus on the journey ahead so you can reach your destination. As Ralph Waldo Emerson once said, “Life is not about the destination, it’s about the journey.”


National Youth Violence Prevention Week (April 25-29)

Submitted by Nicolette Schlup, Trauma Intern at IDOH Division of Trauma and Injury Prevention


National Youth Violence Prevention Week (NYVPW), recognized April 25-29, aims to advocate for youth and prevent further violent crimes against them. The Centers for Disease Control and Prevention (CDC) reports that homicide is the third leading cause of death for youth, with greater risk for racial minority and LGBTQ+ youth. Each day, over 1,000 minors are treated in emergency departments for injuries relating to physical assault. These violent acts contribute to mental health issues such as depression and suicide, future violent acts, smoking and substance misuse, obesity, risky health behavior, and academic issues including dropping out of school. In addition to the cost youth face, the country annually loses $21 billion in medical and productivity costs.


Sandy Hook Promise, an organization dedicated to preventing gun violence in schools and co-founder of NYVPW, reports that youth violence is preventable. They gathered a list of action steps for all members of the community including parents, schools, senior citizens, community organizations, universities, first responders, governments, businesses, religious organizations, medical institutions, and media outlets. Read more about the specific steps community members can take at the Sandy Hook Promise NYVPW website.


The CDC recognizes that youth violence is rooted in systemic healthcare issues, and the social determinants of health play a large role. To address youth violence, prevention programs must address the inequity of our society. The CDC recommends systemic changes on multiple levels of the Social Ecological Model. More information can be found on the CDC webpage titled Preventing Youth Violence. Examples of interventions to target systemic issues include early childhood home visitations, quality education including pre-school, youth mentoring programs, and more.



Interested in becoming more involved in youth violence prevention? Check out the groups below that are working to address the issue:

March & April 2022 Upcoming Events

Healthy Minds, Healthy Lives Workshop Series

February - July 2022

In person, find upcoming locations here.


The Healthy Minds, Healthy Lives (HMHL) program will be conducting 23 workshops across the state of Indiana to raise awareness and reduce stigma about mental health, mental illness, and suicide prevention in collaboration with AgrIInstitute. Attendees will be trained and certified in Question, Persuade, and Refer (QPR) suicide prevention.  


Registration for the first workshops beginning in February is open now! Seating is limited to 35 individuals, so please register now to reserve a spot. 

Alcohol is STILL a Drug: An Exploratory Webinar Series

March 1, 11 a.m.-11:30 a.m. EST


Alcohol is STILL a drug. The opioid crisis, increase in stimulant misuse, and marijuana legalization dominate the news, yet alcohol remains the number one substance causing health, social, legal and financial problems throughout the United States. 


While this series will focus on the hopefulness of recovery from alcohol use disorder, we’ll also take a deep dive into what we know about the full impact of alcohol overuse and the ways it affects every person in the United States.


Visit Great Lakes A/MH/PTTC to learn more!

Administration for Community Living (ACL) Traumatic Brain Injury (TBI) Stakeholder Day

March 8, 12 p.m. - 4:30 p.m. EST


Each year, TBI Stakeholder Day brings all stakeholders together to discuss important issues around TBI services, supports, and systems and to learn from other stakeholders, brain injury survivors, family members, support networks, and state and federal representatives. This year, ACL will have sessions on Survivor Engagement Strategies, Domestic Violence and the Effect on Children, Effective Partnerships with Behavioral Health with a Focus on Suicide, and Effective Strategies for Using and Leveraging Data. Issues of equity and intersectionality will be woven into each session. Additionally, we will also hear from leaders at ACL, and other federal partners engaged in efforts to promote and educate communities on the challenges surrounding this field and the promising practices and initiatives occurring at the national level.




Register here!

Understanding Prevention Science Parts 1 & 2

March 9 and 16, 1 p.m. - 2:30 p.m. EST


Prevention science is the development and implementation of evidence-based strategies to improve the health and wellbeing of people, families, and communities. This two-part webinar series will define and review prevention science and its relevance to prevention professionals. It will also discuss strategies and provide recommendations for ensuring prevention science is supporting public health efforts.


Visit Great Lakes A/MH/PTTC to learn more (Part 1/Part 2)!

Breaking the Cycle of ACEs

March 16, 1 p.m. EST


Research has established the link between Adverse Childhood Experiences (ACEs) and increased susceptibility for substance use disorders later in life. Too often, inequitable policies aggravate this link, inducing stress in certain communities that undermines community and child wellbeing. This webinar will explore how public health providers can partner with communities to build resilience and break the cycle of intergenerational trauma.


Register here!

Safe States Injury and Violence Prevention Virtual Advocacy Day

March 24, all day


Safe States annual Advocacy Day is scheduled for March 24. It is an exciting opportunity for you to participate in the policymaking process, hone your advocacy skills, and support your colleagues in strengthening the injury and violence prevention (IVP) voice in Congress. As the halls of Congress remain closed to the public, Advocacy Day will once again be virtual, allowing you to participate without the need to travel to Capitol Hill.


Contact: Paul Bonta (


Learn more about how you can participate here!


Access Safe States' Congressional Priorities for advocacy here.


You can also visit the Safe States Advocacy Center to get tips on drafting an email to your representative.

Access and Accessibility: Telehealth Barriers for Patients with Disabilities

March 29, 12 p.m. EST


This webinar aims to define “access” and “accessibility” while teaching about the unique social, economic, and environmental disadvantages people with disabilities face. We will also address the impact of telehealth on people with disabilities both during the COVID-19 pandemic and beyond.


Contact: Cam Hilt (


Event information and registration link here.

Indiana Law Enforcement Academy SHIELD Training

April 7, 9 a.m. - 12 p.m. EST


This program from the SHIELD Training Initiative will provide officers and departments with operational strategies and best practices to:

  • Protect you from occupational health and safety risks
  • Improve job satisfaction by offering strategies to reduce cumulative stress, trauma and its effects, and burnout – thereby improving retention
  • Expand your toolbox to help you respond more effectively to the public health challenges of the overdose crisis
  • Reduce addiction and related crime
  • Strengthen police-community relations

To register or for more information, click here

MAT Waiver Training April 2022

April 19, 12:30 p.m. - 4 p.m. EST


This is a free webinar to assist physicians, nurses, physician assistants, and psychiatrists who wish to apply for a waiver to prescribe buprenorphine for the treatment of opioid use disorders.


Contact: Heidi Malone (


Event information and registration link can be found here.



Contact Us:

Upcoming Observances 

And how you can take action!



National Ladder Safety Month

Self-Injury Awareness Day (March 1)

Patient Safety Awareness Week (March 13-19)

National Poison Prevention Week (March 20-26)

National Alcohol and Drugs Facts Week (March 21-27)

  • Explore these programming ideas for your community put together by the National Institute on Drug Abuse.
  • Take the National Drug & Alcohol IQ Challenge to test your knowledge on drugs and substance abuse.
  • Spread the word on social media using the hashtag #drugfacts.



Child Abuse Prevention Month

Sexual Assault Awareness Month

National Youth Sports Safety Month

  • Keep kids hydrated and make sure they drink plenty of water.
  • Know the signs of heat-related illnesses.
  • Make sure kids warm up with gentle stretching and light cardio prior to play or practice. More injury prevention tips can be found here.
  • Use Prevent Child Injury's Youth Sports Injuries Toolkit to spread awareness and resources.

National Public Health Week (April 4-10)

National Drug Take Back Day (April 30)