The New England Journal of Medicine, 2013, Vol.368(18), pp.1723-1730
Injuries, whether intentional or unintentional, account for a substantial burden on the health care system. This article describes the magnitude of the problem worldwide, enumerates ongoing efforts to prevent injuries, and summarizes systems that need to be in place to care for the injured. Injuries have traditionally been defined as physical damage to a person caused by an acute transfer of energy (mechanical, thermal, electrical, chemical, or radiation energy) or by the sudden absence of heat or oxygen. This definition has been broadened to include damage that results in psychological harm, maldevelopment, or deprivation.1 Injuries are most commonly categorized with reference to the presumed underlying intent: injuries considered to be unintentional include those caused by road-traffic incidents, falls, drowning, burns, and poisonings, and injuries considered to be intentional include those caused by self-harm, interpersonal violence, and war and conflict.2,3 The subject of injuries . . .