Program Director, Injury Prevention Bridget Gardner RN Program Director, Injury Prevention UMC Trauma Program

American College of Surgeons “Because as many as 50% of all patients who die of injury never reach a hospital or trauma center, improvements in the delivery and technology of trauma care cannot have an effect on these immediate deaths. A major impact on these lethal injuries can be realized only through the implementation of effective trauma prevention programs.”

What does the data show?

Each year, 413,206 people are treated in hospital emergency departments from motor vehicle crashes.

Teen Data Louisiana

Trauma is sudden and a young person’s illness Trauma Happens in Fractions of a Second Trauma is sudden and a young person’s illness Objective: Increase awareness of the severity of injuries sustained in motor vehicle crashes. To identify the internal collision. By looking at the split screen, you can appreciate how fast trauma occurs. In a matter of seconds, Ashlee’s life changed. When she arrived, she had a GCS (Glascow Coma Scale) of 3, which is the lowest possible score Explain GCS. Imagine what her parents were thinking and how they felt when they were at the bedside. The parents simply wanted answers: when is she going to get better or wake up? Unfortunately, we simply cannot answer that question. At this point, we don’t know if she will survive or improve. Every second mattered, as the family sat and waited for some type of response. Explain the difficulty of addressing brain injuries with parents and siblings. Trauma is a young person’s disease, where medical conditions attack an older population. Think of who has heart attacks, cancer, stroke, diabetes, verses who is killed in motor vehicle crashes. Trauma is a time sensitive disease and seconds matter. GCS 3

Objective: To increase the knowledge of the severity of injuries resulting from being unrestrained and the complications associated with the injuries. Use the skull for demonstration and have the students compare the number of broken bones on the 3D CT scan. Every line that you see in the top 3 pictures is a broken bone from the human crash – the head hitting the windshield. This will compromise your airway and require multiple operations to lift the eye orbits and cheek bones. The jaws will need to be realigned and fixed together for healing. The picture at the bottom shows white plates inserted to close the bones together for healing. A seat belt would have prevented this entire situation. The white bar across the top of the head in the bottom picture is part of a halo to fix the broken vertebrae in the neck. In order for surgeons to place the white metal plates, the skin has to be cut at the hairline and peeled back in order to fix the fractures. Plastic surgeons are very good at what they do, however facial deformities are possible if you are ejected from a vehicle. Your image will never be the same.

Real experience happens over time Permit = Only the first step Real experience happens over time At 15 years old, your teen is eligible for a Learner’s License. Review card (requirements and restrictions) Remember, this is only the beginning. Real experience happens over time. Make sure that your teen has mastered a skill before moving to the next.

How many hours do you plan to continue to coach? At 16 years old, your teen is eligible for an intermediate license. Review the requirements and the restrictions. Ask the audience: If 50 hours of supervised driving are required, how many do you plan to do? Ask the audience: What will those 50 hours look like and will you offer your teen the most benefit to his experience. Teens show the biggest improvement within the first 1,000-1,500 miles of driving.

You have complete the MINIMUM state required practice hours License= You have complete the MINIMUM state required practice hours You can deal with minimal traffic situations You know enough to pass a test At 17 years old, your teen can qualify for the privilege of driving. This does not mean that your work is done. Your teen has completed the minimal requirements, has been exposed to the minimal traffic situations and passed the test. Don’t take a step back. Shift from comments to an overall advanced driving, like anticipating events.

From 1 to 17

What does the data show?

outcomes Upon arrival, students are asked about the benefits of a seatbelt while travelling in a vehicle. The question requires the student to identify how a seatbelt works to minimize serious injury or a fatal outcome. The question tests the participants’ knowledge base. 93% 73%

Upon arrival, students are asked about seat belt behaviors while travelling in a vehicle. The question requires the student to identify how a seatbelt works to minimize serious injury or a fatal outcome. The question tests the participants’ behavior. Rear Seat 95% 69% 53%

When presented with a variety of people and scenarios, students are asked to identify a person who is impaired by a substance other than alcohol (prescription medication, marijuana, legal and illegal drugs). This is a 36% change from pretest to post test. This is a knowledge based question. Impressive! 88% 52%

Does the program have the ability to change behavior Does the program have the ability to change behavior? Students are asked if they have driven impaired. The post test validates the impending change in behavior. This underscores the power of the presentation. 98% 62%

Mock Crashes

Mock Trials

National Teen Driver Safety Week October 15-21, 2017 

Thank you Bridget.gardner@lcmchealth.org