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1. Assessment of abdominal trauma

, and assaults. MVAs are the most common cause of blunt abdominal trauma, causing about 75% of such injuries. In the US in 2016 there were 37,461 fatalities from 34,439 fatal MVAs, 5286 fatalities related to MCCs, and 5987 pedestrians struck. National Highway Traffic Safety Administration. Fatality analysis reporting system (FARS): 2016. September 2017 [internet publication]. http://www-fars.nhtsa.dot.gov/Main/index.aspx In about one third of these deaths, alcohol was involved. National Highway Traffic (...) Safety Administration. Traffic safety facts: 2016 data. October 2017 [internet publication]. https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/812450 Prevention strategies, such as campaigns against driving while intoxicated and encouragement of seatbelt use, have been shown to be effective in decreasing blunt abdominal trauma-related morbidity and mortality. American College of Emergency Physicians. Motor vehicle safety. Ann Emerg Med. 2009 May;53(5):698. http://www.ncbi.nlm.nih.gov/pubmed

2018 BMJ Best Practice

2. Physiologic Predictors of Severe Injury: Systematic Review

Highway Traffic Safety Administration requested this report from the EPC Program at AHRQ to support revision of the Field Triage Guidelines. AHRQ assigned this report to the Pacific Northwest Evidence-based Practice Center (Contract No. 290-2015-00009-I). The reports and assessments provide organizations with comprehensive, evidence-based information on common medical conditions and new health care technologies and strategies. They also identify research gaps in the selected scientific area, identify (...) for Healthcare Research and Quality; April 2018. Posted final reports are located on the Effective Health Care Program search page. DOI: https://doi.org/10.23970/AHRQEPCCER205 iv Preface The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public- and private-sector organizations in their efforts to improve the quality of health care in the United States. The National

2018 Effective Health Care Program (AHRQ)

3. All-Terrain Vehicle Injuries, Prevention of

and mortality in motorcycle crashes: EAST practice management guidelines. J Trauma . 2010;69(5):1101–1111. Center UoNCHSR. Countermeasures That Work: A Highway Safety Countermeasure Guide for State Highway Safety Offices . 6th ed. Washington, DC: National Highway Traffic Safety Administration; 2011. Lee LK, Monuteaux MC, Burghardt LC, Fleegler EW, Nigrovic LE, Meehan WP, Schutzman SA, Mannix R. Motor vehicle crash fatalities in states with primary versus secondary seat belt laws: a time-series analysis. Ann (...) Intern Med . 2015;163(3):184–190. Shults RA, Nichols JL, Dinh-Zarr TB, Sleet DA, Elder RW. Effectiveness of primary enforcement safety belt laws and enhanced enforcement of safety belt laws: a summary of the Guide to Community Preventive Services systematic reviews. J Safety Res . 2004;35(2):189–196. Ulmer RG, Preusser DF. Evaluation of the Repeal of Motorcycle Helmet Laws in Kentucky and Louisiana . Washington, DC: National Highway Traffic Safety Administration; 2003. Gilbert H, Chaudhary NK

2018 Eastern Association for the Surgery of Trauma

4. Methamphetamine (Canadian Drug Summary)

Nations Information Governance Centre. (2018). National Report of the First Nations Regional Health Survey Phase 3: Volume 1. Ottawa: Author. 16 United Nations Office on Drugs and Crime. (2018). World Drug Report 2018. Vienna: Author. 17 Kelley-Baker, T., Berning, A., Ramirez, A., Lacey, J.H., Carr, K., Waehrer, G., & Compton, R. (2017). 2013 –14 National roadside study of alcohol and drug use by drivers: drug results (Report no. DOT HS 812 411). Washington, D.C.: National Highway Traffic Safety (...) to 25 total in 2016. 18 The total decreased to 17 in 2017. ? In Quebec, the proportion of fatally injured drivers with positive test results for methamphetamine rose from 2.5% in 2002 to 8.8% in 2013, corresponding to a statistically significant average annual increase of over 12.9%. 22 Access to Treatment Services The number of individuals accessing treatment or harm reduction services for methamphetamine use has increased recently in jurisdictions where data is available: ? A survey from

2018 Canadian Centre on Substance Abuse

5. Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review

of health care in the United States. The National Highway Traffic Safety Administration (NHTSA) requested and provided funding for this report. The reports and assessments provide organizations with comprehensive, evidence-based information on common medical conditions and new health care technologies and strategies. They also identify research gaps in the selected scientific area, identify methodological and scientific weaknesses, suggest research needs, and move the field forward through an unbiased (...) . David W. Niebuhr, M.D., M.P.H., M.Sc. Director Task Order Officer Evidence-based Practice Center Program Center for Evidence and Practice Improvement Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality Cathy Gotschall, Sc.D. Senior Health Scientist National Highway Traffic Safety Administration U.S. Department of Transportation iii Acknowledgments The authors acknowledge Andrew Hamilton, M.L.S., M.S., for conducting

2017 Effective Health Care Program (AHRQ)

6. Clearing the Smoke on Cannabis: Cannabis Use and Driving ? An Update

(Report No. DOT HS 812 355). Washington, D.C.: National Highway Traffic Safety Administration. Laumon, B., Gadegbeku, B., Martin, J.L., Biecheler, M.B., & the SAM Group. (2005). Cannabis intoxication and fatal road crashes in France: population based case-control study. British Medical Journal, 331, 1371–1377. Longo, M., Hunter, C.E., Lokan, R., White, J., & White, M. (2000). The prevalence of alcohol, cannabinoids, benzodiazepines and stimulants amongst injured drivers and their role in driver (...) Psychopharmacology, 15, 551–558. Smiley, A.M. (1986). Marijuana: on road and driving simulator studies. Alcohol, Drugs and Driving, 2, 121–134. Statistics Canada. (2015). Canadian Tobacco, Alcohol and Drugs Survey: Summary of results for 2013. Ottawa: Author. Stoduto, G., Vingilis, E., Kapur, B.M., Sheu, W.J., McLellan, B.A., & Liban, C.B. (1993). Alcohol and drug use among motor vehicle collision victims admitted to a regional trauma unit: demographic, injury, and crash characteristic. Accident Analysis

2017 Canadian Centre on Substance Abuse

7. Is a driver’s license age waiver worth a teen’s life? (PubMed)

) determine the prevalence of age waivers issued in Arkansas and (2) determine motor vehicle crash risks associated with 14 and 15 year old drivers.This is a brief report on an informative query exploring risk factors related to age waivers. Publicly available databases were utilized for across state comparisons. The Web-based Injury Statistics Query and Reporting Systems (WISQARS) was utilized to calculate motor vehicle crash crude death rates. National Highway Traffic Safety Administration data were (...) utilized to identify seat belt use rates. The Fatal Analysis Reporting System (FARS) was utilized to identify crash fatality risks for 14 and 15 year old drivers in Arkansas (N = 24). Age waiver data were obtained from the Arkansas Driver Control Administration. De-identified data on fatal crashes and rates of age waiver issuance in Arkansas for 14 and 15 year olds from 2004 through 2016 were calculated.We reviewed crash data for 14 and 15 year old drivers in Arkansas between 2004 and 2014 to determine

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2018 Injury epidemiology

8. American Heart Association Response to the 2015 Institute of Medicine Report on Strategies to Improve Cardiac Arrest Survival

defibrillation currently ongoing in some communities provide near-term opportunity for many other communities to improve. These communities of excellence provide a potential roadmap to achieve better care in these critical early links. , , EMS System Performance IOM Recommendation 3. Enhance the Capabilities and Performance of Emergency Medical Services (EMS) Systems. As the informal agency for EMS, the National Highway Traffic Safety Administration should coordinate with other federal agencies (...) have served as the foundation for a broad range of advocacy initiatives and programs that serve as a foundation for advancing the AHA and IOM goal of improving cardiac arrest outcomes. In response to the call to action in the IOM report, the AHA is announcing 4 new commitments to increase cardiac arrest survival: (1) The AHA will provide up to $5 million in funding over 5 years to incentivize resuscitation data interoperability; (2) the AHA will actively pursue philanthropic support for local

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2015 American Heart Association

9. Distracted Driver: An Evidenced-Based Review

: 2570–2579. Cellular Telephone Industry Association. Wireless quick facts. Available at: . Accessed July 14, 2012. Department of Transportation. State laws. Available at: . Accessed on July 14, 2012. National Highway Traffic Safety Administration. Analysis of driver inattention using a case-crossover approach on 100-car data: final report. May 2010. Available at: . Accessed date December 15, 2010. Atchley P, Atwood S, Boulton A. The choice to text and drive in younger drivers: behavior may shape (...) , total use steadily rose. However, not until the marriage of this technology and ubiquitous social adoption did a dramatic increase of overall texting occur. Pew Research Center studies reveal that the median number of teen texts per day is 50, and a third of teens text more than 100 times per day. In comparison with cell phone use while driving, 47% of adults and more than 50% of teens admit to texting while driving. [ ] According to the National Highway Traffic Safety Administration, motor vehicle

2015 Eastern Association for the Surgery of Trauma

10. Aggressive Driving and Road Rage: A Driving Simulation Experiment.

Sponsor: Ohio State University Information provided by (Responsible Party): Brad Bushman, Ohio State University Study Details Study Description Go to Brief Summary: Driving a car is the most dangerous behavior most people engage in every day. According to the World Health Organization, about 1.25 million people die each year as a result of road traffic crashes, and they are the leading cause of death among 15 to 29 year olds. According to the National Highway Traffic Safety Administration, 37,461 (...) University ClinicalTrials.gov Identifier: Other Study ID Numbers: 2014B0200 First Posted: February 13, 2018 Last Update Posted: November 5, 2018 Last Verified: February 2018 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Yes Plan Description: Data set and syntax will be posted to figshare.com Supporting Materials: Analytic Code Time Frame: After an experiment is accepted for publication, the data will be uploaded with no time limit. Access Criteria: The data will be posted

2018 Clinical Trials

11. A Survey of Restraint Methods for the Safe Transport of Children in Ground Ambulances. (PubMed)

A Survey of Restraint Methods for the Safe Transport of Children in Ground Ambulances. The National Highway Traffic Safety Administration (NHTSA) released draft recommendations in 2010 on the safe transport of children in ground ambulances. The purpose of this study was to assess awareness of these guidelines among emergency medical service (EMS) agencies and to identify implementation barriers.We conducted a cross-sectional, anonymous online survey of 911-responding, ground transport EMS (...) agencies in Texas. Demographics, modes of transport based on case scenarios, and barriers to implementation were assessed.Of 62 eligible EMS agencies that took the survey, 35.7% were aware of the NHTSA guidelines, 62.5% agreed they would improve safety, and 41.1% planned to implement them. Seventy-five percent of EMS agencies used the ideal or acceptable alternative to transport children requiring continuous monitoring, and 69.5% chose ideal or acceptable alternatives for children requiring spinal

2018 Pediatric Emergency Care

12. Project MADD

this important public health problem. Condition or disease Intervention/treatment Phase Underage Drinking Driving Under the Influence Drinking, Teen Behavioral: MADD Materials Behavioral: Surgeon General Materials Phase 2 Detailed Description: Drunk driving is a major public health problem. The National Highway Traffic Safety Administration reported nearly 10,000 people died in alcohol-related crashes in the U.S. in 2014. The problem is further magnified when one considers that each year over 1.3 million (...) drivers in the U.S. are arrested for alcohol-impaired driving. As alarming as these statistics are they pale by comparison to estimates indicating that they only represent 1% of the 121 million self-reported episodes of alcohol-impaired driving among U.S. drivers each year. The proposed research will attempt to curb these alarming trends and move the field forward by conducting a randomized controlled trial testing a brief parent intervention's ability to change adolescents' drinking, impaired driving

2018 Clinical Trials

13. Why should health care professionals care about gun control?

year into the National Highway Traffic Safety Administration to study highway traffic injury prevention. The research resulted in safer roads, enhanced automobile safety features, more effective law enforcement and graduated licensing systems for young drivers. Those measures have saved more than 350,000 lives. Similarly, in the 1950s, American scientists called on lawmakers to act in response to increasing rates of lung cancer in Americans after identifying, through research, a link between lung (...) to arming regular citizens in public spaces, including our kindergarten classrooms. The discussion that ensues and the legislative reforms our elected officials propose simply address the last event without any real data or empirical understanding of the scope of the problem. If the most recent shooter was on a no-fly list, our politicians react by proposing laws banning access to firearms for anyone on that list. If the latest shooter used a semi-automatic weapon, the discussion focuses narrowly

2018 KevinMD blog

14. Epidemiology of Pedestrian-Motor Vehicle Fatalities and Injuries, 2006-2015. (PubMed)

the National Highway Traffic Safety Administration's Fatality Analysis Reporting System and National Automotive Sampling System General Estimates System. Frequencies of fatalities, injuries, and associated characteristics were calculated. Multivariable logistic regression was performed for risk of fatality, controlling for demographic and crash-related factors.There were 47,789 pedestrian fatalities and 674,414 injuries during the 10-year study period. Fatality rates were highest among the elderly aged 85 (...) Epidemiology of Pedestrian-Motor Vehicle Fatalities and Injuries, 2006-2015. Pedestrian road safety remains a public health priority. The objective of this study is to describe trends in fatalities and injuries after pedestrian-motor vehicle collisions in the U.S. and identify associated risk factors for pedestrian fatalities.This is a cross-sectional study of U.S. pedestrian-motor vehicle collisions from 2006 to 2015 (performed in 2017). Pedestrian fatality and injury data were obtained from

2018 American journal of preventive medicine

15. The association between seatbelt use and trauma outcomes: Does body mass index matter? (PubMed)

The association between seatbelt use and trauma outcomes: Does body mass index matter? National Highway Traffic Safety Administration (NHTSA) reports that seat belt use results in a significant decrease in MVC mortality. The rate of obesity is currently extensive. There is limited data on the impact of seat belt use and body mass index (BMI) on mortality and trauma outcomes following MVCs. This study aimed to evaluate the impact of seat belt use and BMI on outcomes in adult trauma patients.A

2018 American Journal of Emergency Medicine

16. Barriers to Implementation of Recommendations for Transport of Children in Ground Ambulances. (PubMed)

Barriers to Implementation of Recommendations for Transport of Children in Ground Ambulances. The National Highway Traffic Safety Administration (NHTSA) released draft recommendations in 2010 on the safe transport of children in ground ambulances. The purpose of this study was to assess awareness of these guidelines among emergency medical service (EMS) agencies and to identify implementation barriers.We conducted a cross-sectional, anonymous online survey of 911-responding, ground transport (...) EMS agencies in Texas. Demographics, modes of transport based on case scenarios, and barriers to implementation were assessed.Of 62 eligible EMS agencies that took the survey, 35.7% were aware of the NHTSA guidelines, 62.5% agreed they would improve safety, and 41.1% planned to implement them. Seventy-five percent of EMS agencies used the ideal or acceptable alternative to transport children requiring continuous monitoring, and 69.5% chose ideal or acceptable alternatives for children requiring

2017 Pediatric Emergency Care

17. Occupational Injuries and Exposures among Emergency Medical Services Workers. (PubMed)

Occupational Injuries and Exposures among Emergency Medical Services Workers. Emergency medical services (EMS) workers incur occupational injuries at a higher rate than the general worker population. This study describes the circumstances of occupational injuries and exposures among EMS workers to guide injury prevention efforts.The National Institute for Occupational Safety and Health collaborated with the National Highway Traffic Safety Administration to conduct a follow-back survey (...) of injured EMS workers identified from a national sample of hospital emergency departments (EDs) from July 2010 through June 2014. The interviews captured demographic, employment, and injury event characteristics. The telephone interview data were weighted and are presented in the results as national estimates and rates.Telephone interviews were completed by 572 EMS workers treated in EDs, resulting in a 74% cooperation rate among all EMS workers who were identified and successfully contacted. Study

2017 Prehospital emergency care

18. When Will We Know Self-Driving Cars Are Safe?

About RAND Research The Pardee RAND Graduate School ( ) is the largest public policy Ph.D. program in the nation and the only program based at an independent public policy research organization—the RAND Corporation. Overview: Pardee RAND Graduate School Student Spotlight Assistant Policy Researcher; Ph.D. Candidate, Pardee RAND Graduate School Assistant Policy Researcher; Ph.D. Candidate, Pardee RAND Graduate School Site-wide Search Search The National Highway Traffic Safety Administration (...) to most people because they have different expectations for human versus robot drivers. It is also infeasible to ask developers to test-drive them to prove they are safe. We recently showed that autonomous vehicles would have to be with statistical confidence. This would take decades, time during which human drivers would be causing fatalities at an alarming rate. And human drivers aren't getting safer: 2015 saw the largest increase in fatalities in the United States in over 50 years, partly because

2016 The RAND blog

19. Examine the Feasibility of a Standardized Field Test for Marijuana Impairment: Laboratory Evaluations

Status : Recruiting First Posted : June 19, 2017 Last Update Posted : January 25, 2019 See Sponsor: Yale University Collaborators: National Highway Traffic Safety Administration Hartford Hospital Montana State University Maastricht University The Mind Research Network National Institute on Drug Abuse (NIDA) Information provided by (Responsible Party): Godfrey Pearlson, Yale University Study Details Study Description Go to Brief Summary: Marijuana is one of the most widely used substances. This study (...) Sponsors and Collaborators Yale University National Highway Traffic Safety Administration Hartford Hospital Montana State University Maastricht University The Mind Research Network National Institute on Drug Abuse (NIDA) More Information Go to Layout table for additonal information Responsible Party: Godfrey Pearlson, Principal Investigator, Yale University ClinicalTrials.gov Identifier: Other Study ID Numbers: HHC-2016-0261 First Posted: June 19, 2017 Last Update Posted: January 25, 2019 Last Verified

2017 Clinical Trials

20. Repealing motorcycle helmet laws: Making motorcycles even more into donorcycles

Safety Administration [NHTSA], 1980, National Highway Traffic Safety Administration [NHTSA], 2002 and Sass and Zimmerman, 2000). Empirical justification for treating a partial coverage law as indistinct from no law is supported by the simple correlational study by Sosin et al. (1990) and a small difference in observed helmet use between partial and no law states (NHTSA, 2004). Whatever the reason, at the very least, partial coverage laws are not as effective as universal coverage and may (...) are associated with a among motorcyclists 15-20 years of age. The reasons why this might be true are not fully known, but some have suggested that in states with partial coverage statutes, enforcement is virtually impossible: While an unhelmeted rider is very conspicuous in a state with universal coverage, enforcement is far more problematic under partial coverage, leading researchers to assume that a partial coverage statute is virtually unenforceable (Branas and Knudson, 2001, National Highway Traffic

2016 Respectful Insolence

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