A Guide to Applying the Safe System Approach to Transportation Planning, Design, and Operations (2025) / Chapter Skim
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7 Safe System Post-Crash Response
7 Safe System Post-Crash Response
Pages 57-64
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From page 57... ...
This shift will require greater investment in reliable crash notification and communications, a major strengthening of various pre-hospital care functions, and improvements to safety investments (including post-crash rehabilitative care and crash data collection and storage) made possible through linked road safety and trauma data and research.
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From page 58... ...
As Mohan and colleagues (2020) argue, post-crash, pre-hospital care requires strengthening of the following emergency service elements: • Extrication capabilities -- the ability to safely and swiftly remove occupants who have been trapped in crash-involved vehicles • Vehicle capabilities -- the ability for ambulance and emergency vehicles to safely convey injured parties to hospitals and trauma centers in emergency cases • EMS professionals' and first responders' capabilities -- medical training for stabilizing acute trauma cases on scene, for example, being able to recognize opioid overdoses and appropri ately administer opioid antagonists (e.g., naloxone)
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From page 59... ...
The example practices outlined in Table 12 align with the strategies of Safe System post-crash response in that they are designed to strengthen crash notification systems and pre-hospital care functions and enhance safety interventions via research and the cross-sectoral sharing of trauma and road safety data. The research team identified 11 Safe System–aligned post-crash response practices from the literature review phase of the research and presented them to safety practitioners via an online survey (see Appendix F)
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From page 60... ...
to on the network create a faster, more resilient system that facilitates public reporting to the 911 network Placing serious Encourages the crashes in a time- public to perceive or place-based the transportation − − − Low context when system as needing engaging news addressing rather media partners than the people involved in crashes
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From page 61... ...
1 IRA = injury risk assessment, PCC = professional and community coordination, CD = crash diagnoses. 2 Costs correspond to the total financial cost associated with a policy or practice, including labor, equipment, and infrastructure (Low ≤ $100k; Medium = $100k−$1 million; and High ≥ $1 million in total or per year)
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From page 62... ...
◾ Invest in crash notification and communications ◾ Strengthen pre-hospital care functions ◾ Enhance safety investments via research and the sharing of trauma and road safety data – To what extent does a proposed practice address the following? ◾ Users' exposure to serious crashes ◾ The likelihood of serious crashes ◾ The severity of crashes when they occur ◾ Improvements to injury risk assessment, professional and community coordination, or crash diagnoses For example, in step 1, if a safety team identifies and prioritizes responding more rapidly to severe intersection crashes, they might pursue developing joint action plans with emergency services part ners to integrate operational planning with emergency services given the disproportionate harm endured by some community members by the problem and the availability of resources to address the problem.
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From page 63... ...
, grants available to maintain automated traffic operations and asset condition reporting or to train emergency responders on prehospital care provision, hiring of leaders who perceive the value of cross disciplinary training and of goal and action alignment, and more. Monitor indicators of performance • Indicators of practice performance would likely involve the level and in relation to practice objectives, quality of coordination between traffic operations and emergency service key factor indicators and thresholds planning professionals, the degree of performance measure integration for adjusting the practice, and between the two functions, the observed capabilities of traffic operations interested party feedback on the and emergency services personnel to upgrade or maintain traffic practice.
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From page 64... ...
These professionals would also benefit from a strength ening of prehospital care functions, such as roadside and in-vehicle care provision. Moreover, post-crash response would be enhanced via research and the sharing of trauma registry data among EMS professionals, law enforcement, and transportation professionals to inform the devel opment of serious crash preventive policies, as well as proactive planning and design practices.
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