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Emergency Medical &
Trauma Care:
The Crash Victim’s
Last Chance
DIA GAINOR, NASEMSO
2019 VIRGINIA HIGHWAY SAFETY SUMMIT
“…the
understanding
and prevention
of…injury should
be the first strategy
of medicine and
that treatment, no
matter how
necessary, is not
the logical first line
of attack."
The WHO Emergency Care
System Framework
The Golden Hour in the USA
43% of fatal
motor vehicle
crash victims
reach a
hospital aliveNHTSA, 2016
Next Door to TRB @ NASEM
Level I adult and pediatric
Level 1 adult center
Burn Center
Level 2 adult center
Level 1 pediatric center
And in the future…
And in the future…
And in the future…
And in the future…
Every middle school grad knows what to do
“Don’t Die” kit in every vehicle, motorcycle and bicycle
Multisource deterministic contemporaneous records linkage
NTSB focus always includes the post-crash phase
Robert
Until prevention is 100% successful:
Improve incident detection, 911
access, and Next Generation
911 system capabilities
On-scene medical care, trauma
triage, and transport decisions
(destination and mode)
Access to trauma centers.
