Tag Archives: Traffic collision

Straight, No Chaser: How to Survive a Motor Vehicle Collision

 
As you drive the expressways of some cities, you can now see signs displaying how many traffic deaths have occurred during the year. I’m sure the purpose of these announcements is to keep drivers alert to the real dangers of driving and to remind us to drive safely. We discussed the magnitude of motor vehicles crashes (they’re not accidents) in the last Straight, No Chaser. However, when prevention hasn’t kept you out of harm’s way, what you do next can make a world of difference. Here are 10 quick tips to keep you upright.
If you see an accident happening in front of you …
Whitetail deer jumping a fence into a roadway.
1) Move away from the steering wheel/dashboard. That airbag will be coming at you at approximately 200 MPH. It can cause burns and other injuries on its own. You want both hands on the wheel as loose as possible during impact.
2) If possible, angle the car for a glancing blow. Try to avoid the head-on collision, especially with the bigger object. Similarly, the ‘T-bone’ side impact collision is especially dangerous, as the car is structurally weaker on the side, and the side is closer to passengers.
3) Slow down as best you can, but also try to control your deceleration. The faster the impact, the worse the damage will be.
4) If there’s time and you haven’t already, get that seat belt on.
5) If there’s time, get any potential projectile from where it may strike you. That’s off the seat, dashboard and cup holders. Hot coffee in your face or being slashed by your phone won’t feel good.
After the crash …

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6) Call emergency medical services as your first move after a crash.
7) If you have any neck pain, as best you can, do not move. Period.
8) If you are pregnant, get onto your left side while you wait.
9) After a crash, switch off your engine, do not smoke, and stop anyone else from smoking. You will not be in a position to put out any fire you start and if flammables are in either car, you could be setting up an explosion.
10) Do not attempt to remove injured people from a vehicle yourself; leave that to the paramedics. You could be aggravating a neck (spinal) injury that is not obvious at that point.
It bears repeating: the best way to survive car crashes is not to be involved in one.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
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Straight, No Chaser: The Drama of Motor Vehicle Trauma

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‘Tis not my task to preach but to inform.   Maybe you think you’ve heard it all before, but let me lay it all out for you so you can truly be an informed consumer.  Forewarned is forearmed.  There’s a reason you hear so much about drinking or texting and driving, wearing seat belts/helmets and speeding.  We have to kick off Human Shark Week with the biggest and baddest predator in the Trauma World: motor vehicle crashes.
Motor vehicle collisons are the single leading cause of death among those between ages 5-34 in the US.  More than 2.3 million adult drivers and passengers were treated in ERs as the result of being injured in motor vehicle crashes in 2009.   Let’s lay this out simply and review the risks, the consequences and preventative efforts you should be taking.
Risky Behavior: Danger is enhanced by various distractions and inadequate protection.  The mistake people make is not understanding that much of the danger is outside of your control – other drivers.  If you’re impaired or distracted, you can’t respond effectively.  I’ve seen it all.

  1. Drinking while driving – Stop it with the “I can handle my liquor” nonsense.  Someone dies every hour from drinking while driving.  It’s not just drunk driving, it’s impaired driving.  Your senses are altered and ability to respond diminished at any level of alcohol consumption and is incrementally more so with more consumption.
  2. Texting while driving
  3. Eating while driving
  4. Reading while driving
  5. Doing your hair/shaving/makeup while driving
  6. Kissing and other sexual activities while driving
  7. Motorcycle driving/riding without a helmet
  8. Letting your children drive without a license and/or formal training: it’s all too true.  Teens are most at risk for accidents and being impaired/distracted/drunk while driving.
  9. Letting your children ride in the front of the car
  10. Not wearing seat belts (the biggest mistake of them all)

Injuries:
I’ve seen nearly every conceivable injury from motor vehicle collisions.  It doesn’t take as much effort as you’d think to have a very bad life after a crash.  Consider the following possible going head to toe (and yes, the list is abbreviated)…

  • Traumatic Brain Injury, including intracranial bleeds, strokes, seizures, concussions, herniation and death…
  • Neck Injury, including fractures, strains, pinched nerves, temporary and permanent loss of motion/sensation in your extremities…
  • Chest wall bruising, heart and lung bruising, collapsed lungs, stab wounds to the heart and lungs, ruptured heart vessels…
  • Abdominal injuries, including contusions to and rupture of the liver, spleen, pancreas, diaphragm and intestines…
  • Genital, urinary and pelvic injuries, including the kidneys and multiple fractures…
  • Nervous, psychologic and musculoskeletal system injuries, including contusions, life-threatening fractures and dislocations, paralysis, facial disfigurement and other scarring, post-traumatic stress syndrome and long term pain syndromes.

Prevention:

  1. Seat belt use reduces serious injuries and deaths in crashes by 50%.  Air bags provide added protection but are not a substitute for seat belts in a crash.
  2. Wear a seat belt every time, every trip.
  3. Seat all kids under 12 in the back seat.
  4. Seat backseat passengers in the middle (it’s the safest spot in the car)
  5. Regarding any function on a smartphone, if you can’t be hands free, it can wait.  If you must use your hands, pull over.
  6. Remember designated drivers?  Yes, that’s still a thing.
  7. If you’re on a motorcycle, wear a helmet, every time, every trip.
  8. Protect your teen.  No license, no vehicle.  Consider driving school.

Impaired and distracted driving will cause you harm; it’s not an ‘if it’ll happen’ situation, it’s ‘when it happens’. Please consider the points I’ve mentioned and the lives of passengers/other drivers when deciding how you handle your vehicle.  Good luck.