December 16, 2023

1400H - 1500H
Via Zoom

Empowerment
objective - for
laypeople to have an
Beware of essential
New Year Eve’s understanding of the
Health New Year Eve’s
Dangers Health Dangers in
their health
management.
 December 16, 2023
1400H - 1500H
Via Zoom
Welcome all!
Empowerment MUTE yourself but always
objective - for show your video picture.
laypeople to have an Sign in your name, FB
Beware of essential account, or email address in
the Chat Box! Include names
New Year Eve’s understanding of the of companions attending.
Health New Year Eve’s
Use the Chat Box to ask
Dangers Health Dangers in questions and make
their health comments while the PEP TALK
is on.
management.
There will be group pictures
at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 Empowerment ROJOSON’S REQUEST:
objective - for
FEEDBACK TO THIS
laypeople to have an PEP TALK!
Beware of essential
New Year Eve’s understanding of the Pls. type in your
Health New Year Eve’s feedback in the chat
Dangers Health Dangers in box during the open
their health forum and before we
adjourn!
management.
Thank you!
 LET’S NOW HAVE A
Empowerment GROUP PICTURE
objective - for TAKING BEFORE WE
laypeople to have an START PEP TALK
essential PROPER IN 2
Beware of MINUTES!
New Year Eve’s understanding of the
Health New Year Eve’s Pls. turn on your
Dangers Health Dangers in video!
their health Show your face!
management.
 Empowerment
objective - for ROJoson PEP Talk
laypeople to have an
I have a Patient
Beware of essential Empowerment
New Year Eve’s understanding of the Program in which I
Health New Year Eve’s like to empower the
Dangers Health Dangers in lay people or
their health patients to take
control in the
management.
management of
their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.
 My PEP TALK today is
Empowerment entitled:
objective - for Beware of New
laypeople to have an Year Eve’s
Beware of essential Health Dangers
New Year Eve’s understanding of the
Health New Year Eve’s
Dangers Health Dangers in
their health
management.
 Contents of PEP Talk: Disclaimer:
Beware of - Definition of New Year’s Eve
- Common health dangers during New Year Eve’s
New Year Eve’s ROJoson PEP Talk
celebration
Health - Prevention of common health dangers during New Year contains ROJoson’s
Dangers Eve’s celebration Thoughts,
- Prevention of vehicular accidents (related to alcohol Perceptions,
intoxication) Opinions and
- Prevention of physical injuries from quarrels and Recommendations
disagreements (related to alcohol intoxication)
- Prevention of heart syndrome (TPORs) culled from
• Prevention of firecracker injuries in the Philippines experiences of other
• First-aid management of firecracker injuries professionals and
• Prevention of burn injuries ROJoson.
• First-aid management of burn injuries
 Definition of New Year’s Eve
Beware of
New Year Eve’s Is the night of December 31 and the morning of
Health January 01.
Dangers
In New Year’s Eve, many people celebrate the
end of a previous year and the beginning of a
new year in various countless ways.

These celebrations, if not done with caution,

usually lead to various health dangers which are
usually preventable.
 Common health dangers during New Year Eve’s
Beware of celebration
New Year Eve’s
Health In the Philippines, common health dangers
Dangers during New Year Eve’s celebration include the
following:
- Vehicular accidents (related to alcohol
intoxication)
- Physical injuries from quarrels and
disagreements (related to alcohol intoxication)
- Heart syndrome and heart attack
- Firecracker injuries
 Prevention of common health dangers during
Beware of New Year Eve’s celebration
New Year Eve’s
Health The best way to prevent the common health
Dangers dangers during New Year Eve’s celebration is to
know
• what they are
• their usual causes
• how to prevent
 Prevention of vehicular accidents (related to
Beware of alcohol intoxication)
New Year Eve’s
Health • Avoid alcoholic intoxication – drink alcohol in
Dangers moderation or, better still, abstain from
alcohol.

• Don’t drive after drinking alcohol.

BE WARY OF THIS DANGER – VEHICULAR

ACCIDENTS SECONDARY TO ALCOHOL INTAKE.
 Prevention of physical injuries from quarrels and
Beware of disagreements (related to alcohol intoxication)
New Year Eve’s
Health • Avoid alcoholic intoxication – drink alcohol in
Dangers moderation or, better still, abstain from
alcohol.
• Don’t quarrel after drinking alcohol.
• Don’t inflict injuries during quarrel or
disagreement.

BE WARY OF THIS DANGER – PHYSICAL INJURIES

FROM QUARRELS AND DISAGREEMENTS
SECONDARY TO ALCOHOL INTAKE.
 Prevention of physical injuries from quarrels and
Beware of disagreements (related to alcohol intoxication)
New Year Eve’s
Health • Avoid alcoholic intoxication – drink alcohol in
Dangers moderation or, better still, abstain from
alcohol.
• Don’t quarrel after drinking alcohol.
• Don’t inflict injuries during quarrel or
disagreement.

BE WARY OF THIS DANGER – PHYSICAL INJURIES

FROM QUARRELS AND DISAGREEMENTS
SECONDARY TO ALCOHOL INTAKE.
 Prevention of HEART SYNDROME / ATTACK https://hcahealthcareto
Beware of day.com/2018/12/28/av
oid-holiday-heart-new-y
New Year Eve’s A 2018 study shows the risk of heart attacks ears-eve/
Health increase significantly during the winter holiday How to avoid holiday
Dangers season. During a 15-year period, Swedish heart this New Year’s Eve
researchers discovered the chance of a heart
attack were 15 percent higher than usual on
Christmas, 37 percent higher on Christmas Eve,
and 20 percent higher on New Year’s day.
 Prevention of HEART SYNDROME / ATTACK https://hcahealthcareto
Beware of day.com/2018/12/28/av
oid-holiday-heart-new-y
New Year Eve’s What is holiday heart syndrome? ears-eve/
Health Holiday heart syndrome occurs when patients How to avoid holiday
Dangers develop an abnormal heart rhythm called atrial heart this New Year’s Eve
fibrillation, or AFib, a rhythm disorder of the
upper chambers of the heart during which time St. David’s
the upper chambers lose the mechanical function Healthcare
and doesn’t contract.
 Prevention of HEART SYNDROME / ATTACK https://hcahealthcareto
Beware of day.com/2018/12/28/av
oid-holiday-heart-new-y
New Year Eve’s What causes holiday heart syndrome? ears-eve/
Health Doctors coined the term after noticing an How to avoid holiday
Dangers increase in instances of this condition related to heart this New Year’s Eve
or caused by heavy holiday drinking. So, alcohol
can trigger episodes of AFib or an irregular
heartbeat. It’s important to note that holiday
heart syndrome is one specific condition linked to
heavy drinking, however, there are other factors
that can cause heart-related health concerns.
 Prevention of HEART SYNDROME / ATTACK
Beware of https://hcahe
New Year Eve’s What else might the increase in cardiac events during the althcaretoday.
com/2018/12
Health winter holiday season? /28/avoid-hol
• Emotional Stress: Unfortunately, the holiday season can iday-heart-ne
Dangers w-years-eve/
be a source of stress due to family gatherings and/or How to avoid
financial pressures (with gifts and travel expenses). holiday heart
• Overindulgence: Poor eating habits and high salt intake this New
can exacerbate chronic heart conditions, such as heart Year’s Eve
failure and chronic high blood pressure.
• Delayed treatment: Delays in seeking treatment during
the holidays may also play a part in the prevalence of
cardiac events.
 Prevention of HEART SYNDROME / ATTACK
Beware of https://hcahe
New Year Eve’s What are some tips to reduce holiday heart syndrome? althcaretoday.
com/2018/12
Health It’s expected to enjoy the holidays with food, family and /28/avoid-hol
fun – just don’t overdo it. iday-heart-ne
Dangers w-years-eve/
• Don’t binge drink How to avoid
• Avoid too much caffeine holiday heart
• Watch your salt intake this New
• Exercise Year’s Eve
Everyone should be mindful of alcohol consumption and
general overindulgence during the holidays, whether or
not they have a pre-existing heart condition or a family
history of heart disease.
 BEWARE of HEART SYNDROME / ATTACK
Beware of
New Year Eve’s
Health
Dangers
 Prevention of firecracker injuries in the
Beware of Philippines
New Year Eve’s
Health
Dangers
 Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn In the Philippines, December has been declared
as Firecracker Injury Prevention Month since time
Injuries
immemorial.
Every December, there is an anti-
firecracker campaign to reduce injuries
caused by the use of firecrackers and
other pyrotechnic devices during the
holiday celebration.
 Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn ROJoson Advocacy Against Unnecessary
Firecracker Injuries
Injuries
As a surgical resident in the Philippine
General Hospital from 1976 to 1981, I
had this gruesome experience of seeing
and treating patients with firecracker
injuries every year-end. I always ask
myself out of frustration: when will they
ever learn?
 Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn ROJoson Advocacy Against Unnecessary
Firecracker Injuries
Injuries
In 2004, when I was the chairperson of
the Department of Surgery in Ospital ng
Maynila Medical Center, I launched a
campaign to prevent unnecessary
firecracker injuries in the City of Manila.
 Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn ROJoson Advocacy Against Unnecessary
Firecracker Injuries
Injuries
I wrote a letter (dated October 22, 2004)
to then Mayor Joselito Atienza,
requesting for help to have an ordinance
promulgated by the City of Manila
Council banning the use of firecrackers
by the public in the territory of the City
of Manila during every new year
celebration starting 2004.
 Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn ROJoson Advocacy Against Unnecessary
Firecracker Injuries
Injuries
I thought such kind of an ordinance was
the most effective way of reducing, if not
totally eliminating, the incidence of
firecracker-related injuries in the City of
Manila.
At this time, Davao City has an ordinance ban on
firecrackers and this was effective.
Unfortunately, there was no response from the
Manila City Hall.
 Prevention of firecracker injuries in the
Philippines
Firecracker
ROJoson Advocacy Against Unnecessary
and Burn
Firecracker Injuries
Injuries
December 2010 to first week of January 2011, I
decided to put up a website, entitled: “Unwanted
Firecracker Injuries” (
https://sites.google.com/site/unwantedfirecrack
ersinjuries
) to maintain my advocacy against unnecessary
firecrackers injuries.
The only thing I can do is to keep on reminding
people on the risk of firecracker injuries and
 Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn Fortunately, as years go by, more cities have
passed ordinances on firecracker ban – examples,
Injuries
aside from Davao, Zamboanga, Baguio and
Muntinlupa as of 2013 (my last tracking).
Again, fortunately, in 2017, President Rodrigo
Duterte issued Executive Order No. 28 providing
for the regulation and control for the use of
firecrackers and other pyrotechnic devices.
 Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn EO 28 limits use of firecrackers to community
displays.
Injuries
“To minimize the risk of injuries and casualties,
the use of firecrackers shall henceforth be
confined to community fireworks displays.”
The EO has reduced significantly the number of
firecracker injuries in the Philippines. But there
are still casualties, NOT yet achieving ZERO
incidence.
 Prevention of firecracker injuries in the
Philippines
Firecracker
ROJoson Advocacy Against Unnecessary
and Burn
Firecracker Injuries
Injuries
Firecrackers and fireworks, no doubt, will be
present in our midst because of tradition.
They will never be completely eliminated as they
will continue to be used for celebrating
milestones and occasions.
 Prevention of firecracker injuries in the
Philippines
Firecracker
ROJoson Advocacy Against Unnecessary
and Burn
Firecracker Injuries
Injuries
To avoid unnecessary firecracker injuries, my
recommendation is that firecrackers be sold to
and used only by people trained and authorized
to do the fireworks during special occasions and
in safe places.

The rest of the citizenry should just watch and

enjoy the fireworks at a safe place and be
protected from firecracker injuries.
 Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn
Injuries
 First-aid management of firecracker injuries

Firecracker
and Burn
Injuries
 First-aid management of firecracker injuries

Firecracker • Wash copiously with soap and water right

and Burn away. (applicable to all parts of body injured)
• Control profuse bleeding if present by applying
Injuries pressure either by a clean hand or bandages.
• If firecracker injuries are severe, seek
consultation with physicians right away.
• Take pain medications as needed such as
paracetamol or NSAIDs (sample: mefenamic
acid).
• Antibiotics may be prescribed by physicians as
indicated.
 Prevention of burn injuries

Firecracker
and Burn
Injuries
 Prevention of burn injuries Focus of discussion:
Burns caused by
Firecracker Four common causes of burn injuries: thermal contact:
and Burn • Fire
Injuries • Smoke inhalation • Hot liquids
• Thermal contact • Contact with hot
• Electrical equipment surfaces
• Chemicals
 Prevention of burn injuries Focus of discussion:
Burns caused by
Firecracker Prevention is basically avoidance of thermal contact:
and Burn contact with • Fire
Injuries • Hot liquids
• Fire • Contact with hot
• Hot liquids surfaces
• Hot surfaces

Be mindful and vigilant against these risks.

 First-aid management of burn injuries

Firecracker
and Burn
Injuries
 First-aid management of burn injuries

Firecracker Burn Classification

and Burn
Injuries
 First-aid management of burn injuries

Firecracker Burn Classification

and Burn
Injuries
 First-aid management of burn injuries

Firecracker Burn Classification

and Burn
Injuries
 First-aid management of burn injuries

Firecracker
and Burn
Injuries
 First-aid management of burn injuries

Firecracker Burn Percentage (Rule of Nine)

Total body surface areas Any patient
and Burn
(2nd degree burns and deeper) with greater than 15
Injuries
percent total body
surface area (TBSA)
nonsuperficial
burns should receive
formal fluid
resuscitation.
 First-aid management of burn injuries

Firecracker Burn Percentage (Palmar Method)

and Burn Total body surface areas Any patient
(2nd degree burns and deeper) with greater than 15
Injuries
percent total body
surface area (TBSA)
nonsuperficial
burns should receive
formal fluid
resuscitation.
 First-aid management of burn injuries

Firecracker
and Burn
Injuries
 First-aid management of burn injuries

Firecracker
and Burn
Injuries
 First-aid management of burn injuries Antibiotics -Topical
OTC
Firecracker Use and non-use of antibiotics in burns • Bacitracin
and Burn • Polysporin
For 1st degree burns – antibiotics are not
Injuries • Neosporin
indicated.
Prescription
For 2 degree burns (superficial) – no antibiotics.
nd

Give antibiotics only when there are signs of • Mupirocin

infection.
• Silver Sulfadiazine
For 2 degree burns (deep) and 3 degree burns -
nd rd

antibiotics are indicated.

 First-aid management of burn injuries

Firecracker
and Burn
Injuries
 First-aid management of burn injuries

Firecracker Use and non-use of analgesics in burns

and Burn
As needed.
Injuries
Tolerable pain – no need.
Intolerable pain – take oral analgesics

Options (depending on degree of pain)

Mild to stronger analgesics
Paracetamol / NSAIDs / narcotics
 First-aid management of burn injuries

Firecracker
and Burn
Injuries
 Contents of PEP Talk: Summary
Beware of - Definition of New Year’s Eve
- Common health dangers during New Year Eve’s Take Away
New Year Eve’s
celebration
Health - Prevention of common health dangers during New Year
Dangers Eve’s celebration
- Prevention of vehicular accidents (related to alcohol
intoxication)
- Prevention of physical injuries from quarrels and
disagreements (related to alcohol intoxication)
- Prevention of heart syndrome
• Prevention of firecracker injuries in the Philippines
• First-aid management of firecracker injuries
• Prevention of burn injuries
• First-aid management of burn injuries
 Be always in touch with reliable medical Take Away in
Beware of information on New Year Eve’s Health Dangers! relation to
New Year Eve’s Patient
Health Empowerment
Knowledge is power; it gives power.
Dangers
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions /
make better decisions on New Year Eve’s
Health Dangers in your health
management.
 Empowerment
objective - for
laypeople to have an
Beware of essential
New Year Eve’s understanding of the
Health New Year Eve’s
Dangers Health Dangers in
their health
management.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 Empowerment ROJOSON’S REQUEST:
objective - for
FEEDBACK TO THIS
laypeople to have an PEP TALK!
Beware of essential
New Year Eve’s understanding of the Pls. type in your
Health New Year Eve’s feedback in the chat
Dangers Health Dangers in box during the open
their health forum and before we
adjourn!
management.
Thank you!
 Welcome all!
Empowerment Mabuhay!
objective - for
laypeople to have an LET’S NOW HAVE A
essential GROUP PICTURE
Beware of TAKING BEFORE WE
New Year Eve’s understanding of the START Q&A AND
Health New Year Eve’s INTERACTIONS!
Dangers Health Dangers in
their health Pls. turn on your
management. video!
Show your face!