Predictive Modeling of Injury Severity Utilizing Predictive Modeling of Injury Severity Utilizing Pre

58 Pages·2011·4.37 MB·English

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Pre-hospital Trauma Triage and Mechanism of
Injury Criteria for Advanced Automatic Crash
Notification (AACN) Systems"
SSeattttlle CCIIRREENN
University of Washington
Harborview Medical Center
EEiilleen BBullger, CChhriis MMackk,
Rob Kaufman, Giana Davidson
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• Advanced Automatic Collision Notification
(AACN)
• Description: AACN provides early contact with
emergency personnell andd GGPPSS posiitiion whhen a
severe crash occurs. Examine potential benefits
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connection to get serious injuries to a Level
1 trauma hospital. Determine whether a
rullemakkiing iis warranttedd.
Research conducted at
Harborview Injjuryy
Prevention and
Research Center
If you are severely injured, care at a Level I
trauma center lowers the risk of death by
2255%%.
McKenzie,, Rivara,, Jurkovich…
NEJM, 2006
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Getting from Crash to
TTrauma CCenter
• FFiinnddiinngg tthhee ccaarr
• Notifying 9-1-1
• AApppprroopprriiaattee EEMMSS rreessppoonnssee
– Getting the right people there
• TTrriiaaggee
– Getting the right patient to the right hospital
• CCaarree aanndd ttrraannssppoorrtt
• Designated trauma centers
• CCoonnssiisstteenntt ccoommmmuunniiccaattiioonn eesssseennttiiaall
Current Need for Crash Notification Systems and
GGPPSS llooccaattiioonnss – CCIIRREENN ccaassee ssttuuddiieess
-Driver found after 8 days, departed roadway down into roadside ravine
-Survived with critical injuries after very long treatment at the trauma
center
-Would have benefited greatly from initial EMS response
Need for Crash Notification Systems for Notification
aanndd GGPPSS llooccaattiioonnss – CCIIRREENN ccaassee ssttuuddiieess
- Couple not found until next
morning and passenger had
died and driver was criticallyy
injured
An elderly couple struck a
tree late evening and
-Injuries appeared survivable if
rotated into ditch out of site
EMS response was initiated
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Field Triagge Decision Scheme
“Vehicle
telematics
consistent with
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injury”
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