Proper assessment of catastrophic auto injuries.

July 25th, 2006

C.A.I.R. Foundation, Inc. A Non-Profit (pending 501c(3)An organization creating awareness, education, research and support for the increased understanding and training regarding the “human physics” of a catastrophic auto injury.

What many of you already may have realized if you are an accident/injury challenged individual is that there is no research that is presently taking place regarding the physics of

“how to properly assess, diagnose, and treat” catastrophic auto injuries.

 

If you are not aware of it the only research facilities that do exist now that are making great progress is mainly in improving CAR safety, which has ONLY existed since 1998!
Which is extemely important but does not solve the problem of which why C.A.I.R. was created.

There are approximately 6 CIREN centers around the country all sponsored by the car companies. (CIREN is Crash Injury Research and Engineering Network). They assess and research crash data from ONLY these 6 centers in order to, mainly, improve the safety of the vehicles. This is crucial and necessary but does not address the physics that cause the people, who are catastrophically injured, to be assessed and taken care of thoroughly.

As a result of my own experiences I have created the C.A.I.R foundation in hopes of not just raising awareness and creating education in this area but also in changing the way people are “processed” after a catastrophic accident.

Please read the article on the “Autmotive Black Boxes” and you will see first hand what is taking place today in order to increase the communication to the hospital and ER teams.
This is only the beginning. 

 All suggestions and volunteers are welcomed.

NHTSA / The EMS System - Guide to Interfacility transfer

July 18th, 2006

The EMS System

Guide to Interfacility

Patient TransferThe transfer of patients from one medical facility to another has become an ongoing issue for EMS. Patient transfers between facilities or between facilities and a specialty care resource have increased as a result of regionalization, specialization, and facility designation by payers. The emergence of specialty centers (e.g., cardiac centers, stroke centers) often determines the ultimate destination of patients rather than proximity of facility. Transfer may be necessary if payers provide reimbursement only for specific facilities within their own plans.

Interfacility transfer (IFT) is provided by a variety of levels and types of personnel and agencies. Key issues include the IFT infrastructure, including the qualifications of those delivering the care. Meeting patient needs and maintaining continuity of care are only two of the many issues related to IFT. The national EMS community determined that consensus guidelines for interfacility patient transfer would be very useful to promote consistent high-quality patient care while allowing variation to meet specific local needs. This document is currently near completion and will be posted on the NHTSA EMS Web site in 2006.

For more information please contact Laurie Flaherty.  laurie.flaherty@dot.gov

NHTSA/ Technology & EMS. How it will improve auto accidents

July 17th, 2006

Technology and EMS. 
How it will improve auto accidents.

 

Technology is producing more gadgets and making more information available every day. Some of it could be very useful in EMS; some are just gadgets. How can you tell the difference?

More important, how can you tell if new technology makes a difference? Many new technologies have great potential for their application to emergency medicine and the improvement of emergency care.

But there is no coordinated method for determining the clinical utility or the effectiveness of new technologies before they are deployed in EMS – at least not today. But the National Association of EMS Physicians (NAEMSP), through an agreement with NHTSA EMS, is looking to increase national medical and emergency care community involvement in the planning and implementation of technology in EMS.

Through a multi-disciplinary oversight committee, the NAEMSP is managing a project designed to develop a template and a process fo assessing the medical utility of various forms of technology and their potential for improving patient care.

This two-year project will provide a focal point and sounding board for future national technological issues and for helping to assure medical community involvement before technology is deployed in EMS. For more information on the Technology and EMS project, contact Laurie Flaherty.
laurie.flaherty@dot.gov

Please if you have an idea, project or know of any technology out there that would or could possibly help especially in a catastrophic auto accident contact the email address above or the person who posted this article.

THANK YOU!

First There First Care, NHTSA Program. Supporting Auto Injuries

July 15th, 2006

Helping to improve the quality of “C.A.I.R.” when an auto accident happens

NHTSA -“First There, First Care” Program

Have you ever had friends or family members ask you what to do if they witness a car crash or a motorcycle crash? Many people want to help but have reservations about knowing exactly how to help. Ordinary people who are trained to use simple actions can save lives. The challenge is to overcome the fear of “not doing it right” and the attitude of “not wanting to get involved.” The First There, First Care program is designed to give simple but life-saving information to the public, build awareness, and empower people to take action. The goal of First There, First Care is to give motorists information, training, and confidence to provide life-saving bystander care at the scene of a crash, increasing the chance of survival for crash victims.

What can you do to get started? If you are an EMS provider and would like to teach First There, First Care, you need the First There, First Care Instructor Preparation Package (item # 3P0116). This kit contains all the materials necessary to complete a one-hour self-paced lesson which prepares medical professionals for teaching First There, First Care to lay motorists. The package includes the First There, First Care for the Injured Awareness Kit, the First There, First Care Train-the-Trainer CD-ROM, the First There, First Care training video, and the First There, First Care Instructor Guide.

Once you’ve completed First There, First Care instructor preparation, and need materials to conduct to conduct First There, First Care training, you need the First There, First Care Student Materials (English-language kit - item # 3P0124, Spanish-language kit - item # 3P0125). This kit contains all the necessary pamphlets and brochures for up to 30 students participating in a First There, First Care training. All materials are FREE and can be obtained by visiting the NHTSA Web site at www.nhtsa.dot.gov and clicking on “Traffic Safety Materials & Publications” on the “Quick Links” drop-down menu, or faxing an order to 301-386-2194. For more information on the First There, First Care program, contact Laurie Flaherty

If you are a health care worker, doctor, or any medical affilation PLEASE find out if your company or organization would be interested in offering this free program to the local community? Thank you for your interest!

Engineers join push for automotive black boxes. Analyze Auto Injuries

July 11th, 2006
Charles J. Murray      
EE Times Electronic Engineers
(04/19/2002 2:47 PM EDT)

Investigators in protective gear pick through a pile of smoking, twisted metal for clues to the crash. One reaches down, pries back some steel and pulls the black box from the wreckage.

Another plane down? No. This time, it’s a multicar pileup on the interstate.

It’s a postcrash scenario that auto makers, insurance companies and authorities hope will emerge from a groundswell movement to put “black boxes” into automobiles. The effort gained momentum this past week, as standards work shifted into high gear and three companies accelerated their alliance to deliver crash information electronically to a managed database.

The Institute of Electrical and Electronics Engineers said it has begun work on a universal standard for vehicle-based data recorders that would capture crash information for analysis. The IEEE standard, due out in 2003, is expected to help manufacturers develop such devices for autos, trucks, buses, ambulances, fire trucks and other vehicles.

At the same time, a three-company alliance that includes IBM Corp. announced the formation of an entity, Global Safety Data LLC, that will manage a global database of crash information. The partners — IBM, Insurance Services Office Inc. (Jersey City, N.J.) and Safety Intelligence Systems Corp. (Lindenhurst, N.Y.) will pursue a system for electronically collecting, transmitting and depositing crash information over the Internet to a database known as the Global Safety Data Vault. The hope is that, by enabling vehicles to transmit crash data instantly and by creating a central repository for the collection of that data, the system can improve experts’ understanding of auto crashes and reduce accident-related fatalities.

“We’re trying to build an end-to-end network to capture crash information and create knowledge with it,” said Dr. Ricardo Martinez, president and chief executive officer of Safety Intelligence Systems, who is also an emergency room physician and a former head of the National Highway Traffic Safety Administration (NHTSA). “We see a tremendous number of unresolved crash issues that could be resolved by getting better information.”

Proponents of the black-box concept believe the standards effort and the new alliance are a necessary means of dealing with the enormous public-health problem posed by automobile accidents. According to National Safety Council statistics, a death is caused by a motor vehicle accident every 12 minutes; a disabling injury occurs every 14 seconds. There are already more than 6,000 crashes per day in the United States, the statistics say, and the number of registered vehicles in this country is expected to double over the next 20 years from today’s 217 million.

Proponents of the black-box technology want to change the way accident data is collected. Today’s methods, they say, are primitive and typically rely on hand measurements of skid marks and crumple zones. “Most of the crash data today is essentially junk,” Martinez said. “And it’s what we use to form our policies and vehicle designs.”

Martinez has petitioned NHTSA to mandate the inclusion of a black box, or at least a dedicated data chip, on every vehicle sold in the United States. That way, he said, the information gleaned by wheel speed sensors, airbag sensors, crankshaft sensors, yaw sensors and seat belt sensors could be collected and stored on board vehicles. It could then be analyzed by experts to determine a vehicle’s “delta V,” or change in velocity, in the moments before impact. And it could tell researchers whether airbags fired properly, whether seat belts were buckled and whether brakes failed.

Flintstones to Jetsons

“As an emergency room physician, it’s hard for me to understand how we can put all this electronic technology into the car, but when the crash is over, we go back to this primitive method of investigation,” Martinez said. “Now that we have the ability to capture a lot of knowledge, we should move ourselves from the Flintstonian era to the Jetsonian era.”

Eleven of the 45 companies that build passenger cars worldwide already use some kind of black-box technology, according to representatives of the IEEE. The best-known of those is General Motors Corp., which said three years ago that it includes the device, known as a sensing and diagnostics module, as part of its airbag sensing systems on most GM vehicles. The module can store such information as engine speed, vehicle speed, airbag deployment, seat belt deployment and the state of the brakes before and during an accident.

Similarly, Delphi Corp. (formerly Delphi Automotive Systems; Troy, Mich.) has been providing black boxes for racing applications for about six years. The boxes, which measure about 4 x 4 x 2 inches, use a special “crash-hardened” design to enable them to survive accidents. The box incorporates 2 Mbytes of logging RAM to store data that is written 1,000 times per second. It is bolted beneath the dashboard in racing vehicles.

This year, Delphi has also announced that it will place accelerometers (force sensors) in the ears of three Indy-circuit race drivers. The sensors will be wired directly to the black boxes, which will collect data on forces applied to drivers’ heads.

But there is still no standard way to collect automotive black-box data. Neither is there a single repository to store it.

NHTSA’s Fatal Analysis Record System is currently said to be the world’s best collection, but it holds data from only about 50,000 accidents of the roughly 6 million that occur in the United States every year, experts say.

Input requested

That’s why backers of the technology want to see the application of standards, such as the IEEE’s nascent “Motor Vehicle Event Data Recorders” (IEEE P1616). IEEE said it has been working on the standard since November and has already been in touch with 104 automotive companies and vendors for input. The standard will define what should be captured, including such data as the date, time, location, velocity, heading, number of occupants and seat belt usage. IEEE is encouraging engineers with expertise in automotive electronics, embedded systems, telematics, GPS, solid-state recorders and automotive software to help with the standard

“The IEEE effort falls right in line with the idea of getting better, more accurate data, more quickly,” said Jim Ruthven, program director of IBM Automotive Solutions (Southfield, Mich.).

IBM and its allies, meanwhile, want to take the concept a step further. The computing giant is working to provide the software architecture to enable black boxes to gather crash data and electronically transfer it to a computing infrastructure for analysis.

Automated data collection

IBM engineers say the data from a black box could be collected in one of two ways. The first would be via data extraction technologies — from companies like Vetronix Corp. (Santa Barbara, Calif.) — that let users draw the data off black-box recorders and transfer it elsewhere for further study.

In the long run, however, they hope to use automated techniques to transmit data from the black boxes to the Internet via an automotive telematics system. “The real power of this plan will emerge when you’re able to combine it with telematics,” Ruthven said. “Nothing is so compelling as the ability to pull the crash data off and upload it to a remote system.”

IBM also hopes the alliance will tap its Intelligent Data Miner software tool suite for analyzing the crash data in the Global Safety Data Vault. IBM has demonstrated the technology on a Chrysler Concorde concept vehicle equipped with a black box and the software architecture. Such efforts show that the technology is easily within engineers’ grasp, but it must clear the inevitable social hurdles. Several consumer groups have expressed qualms about potential privacy violations, particularly if the technology is associated with global positioning systems that could track a driver’s whereabouts.

But the alliance says the system would contain only vehicle information. “Police reports have a lot more personal information in them,” said Martinez.

See ya soon!
We know you CAIR!

See ya soon!We know you CAIR! 

 

 

 

Catastrophic Auto Injury Research Foundation, Inc.

July 10th, 2006

A non-profit organization creating awareness, education, research and support for the increased understanding and training regarding the “human physics” of a catastrophic auto injury. (c) 2005

Do you drive a car, truck or motorcycle or a vehicle of ANY kind?  If so you need to be aware and support C.A.I.R.!

The primary goals of this foundation is to help increase communications when an auto accident occurs, in order to help properly diagnose injuries, and help prevent reinjuries and long-term dissability.  In doing this we hope to create more awareness and support of all the different people involved in rescuing, assessing and treating you or someone you love when the unthinkable happens! 

 While this is a new blog it is our goal to help you become more aware and understand the accident process’ that exist today in order for you to help us make a difference tomorow. So keep coming back!  Hey better yet if you really want to help out, if you can, get involved and/or donate to show your support!  The Catastrophic Auto Injury Research Foundation, Inc. was started as a result from over 10 years of experiences and extensive research regarding the process that follows immediately after a catastophic accident happens.  It was created by someone who had the “unthinkable” happen and like many, many other people had no real assessment of what happened in the accident or what were the specific causes of the injuries. Therefore many of the serious injuries were never diagnosed.Thank you for stopping by see ya soon!
Antinea
antinea@cairfoundationinc.com