An incident is typically an illness or injury that does or potentially could involve emergency response measures. Examples of incidents include an asthma attack that does not respond to the care plan or a playground fall resulting in a bone fracture. By protocol, EMS is contacted whenever medications such as diazepam or epinephrine are administered. Such contacts may not necessitate transport, and parents may instead take their child to a health provider or home. An incident could also be a situation that has the potential to cause significant harm. The incidents represented in these data are those that involved SHS staff providing care. There were a total of 1272 incidents documented in SY 2014-15. Of these, 55 of the ill/injured were AISD or SHS staff or visitors on campus, and 1217 involved students. Further analysis in this report focuses on student incidents.
Of the total 1217 student health incidents, 137 required Emergency Medical System contact and 94 students were transported via EMS to the Emergency Department (ED). An additional known 316 incidents resulted in a parent taking a child to ED. This was most common among elementary students, where 146 were taken to ED by a parent. An increasing trend over prior years of parent transport to ED initiated further exploration of the data and discussion with staff. Findings include consensus that there were more playground injuries, many of which did not necessitate EMS contact. It was noted that the data collection system does not currently provide a means to document that a parent indicated they were taking their child to a health provider other than an Emergency Department (ED).
*Beginning in SY 2012-13, elementary students include those in grades EE-grade 5, middle school students include those in grades 6-8 regardless of the campus, and high school students are those in grades 9-12. The primary impact of this change is that 6th grade students on those few elementary campuses that have a 6th grade are now considered in the calculation of middle school incidents.
Total incidents declined compared to the prior year for elementary, middle and high school students. There are consistently fewer incidents involving high school students than at the lower grade levels. Elementary students were more likely to be seen in ED (transported by EMS or their parent) than at the other grade levels.
Incidents due to student injury substantially exceed those due to illness. Analysis of injury incidents allows for the identification of safety improvements that could prevent future injuries. When an incident involves an identified hazard on campus, the circumstances are called to the attention of the principal for remediation, shared with the campus safety team and the District safety team. Beginning in SY 2012-13, elementary students include those in grades EE-grade 5, middle school students include those in grades 6-8 regardless of the campus, and high school students are those in grades 9-12. The primary impact of this change is that 6th grade students on those few elementary campuses that have a 6th grade are now considered in the calculation of middle school incidents. Injury incidents at the middle school level have increased in the past two years and in SY 2014-15 were at their highest level in five years, raising concern particularly as to whether these were accidents or the result of student aggression. High school students also saw an increase in injury incidents over the prior year.