Introduction Vehicle submersions account for up to 10% of all drownings in high-income countries. Reports indicate that occupants may be conscious and functional, but possibly making incorrect decisions for self-rescue leading to drowning. This study investigated current public knowledge, attitudes and practices regarding vehicle submersion incidents and to determine if individuals, who are aware of educational efforts regarding vehicle submersions, indicated better responses. Method A knowledge, attitude and practice (KAP) survey was developed based on previous findings and guidelines from Operation ALIVE (Automobile submersion: Lessons In Vehicle Escape) for vehicle submersion incidents. Results The majority of respondents (87%) had knowledge of vehicle submersions from the media, but they were not aware (94%) of an effective self-rescue protocol. Respondents felt they had low risk of involvement in a vehicle submersion, and that the chance of survival was likely. Most respondents selected a “successful” initial action for escape; however, other responses indicate the chances of completing a successful self-rescue sequence was less likely. Only 45% of respondents were “aware” of Operation ALIVE educational initiatives, and this awareness did not generally produce better responses. Conclusions Public understanding of vehicle submersion incidents is low and current public education efforts have not increased awareness in the severity or the urgency for performing self-rescue in this scenario. Simply increasing public knowledge of “SWOC” (“SEATBELTS” off, “WINDOWS” open, “OUT” immediately, “CHILDREN” first) would help to decrease the high fatality rate associated with this type of road traffic accident.

13 Background: Interspecialty learning between trainees from different postgraduate training programs is unusual in Canada. Primary care providers (PCPs) have an increasing role in the provision of survivorship care in collaboration with cancer specialists (ONC), but coordination of care is often lacking and avenues for joint learning and interaction among these physicians are limited during residency. We are piloting a learning suite (LS) for PCP and ONC trainees in MB, ON & BC as part of a pan-Canadian study on integration of care between primary and cancer specialty care. Methods: Using Kern’s Six-Step Approach to Curriculum Design, a national team of experts conducted surveys and focus groups with postgraduate program directors, cancer survivors, and trainees. We set learning objectives as informed by the needs assessment and used constructive alignment to build the curriculum in a blended learning format: online, workshop and clinical. We are assessing inter-disciplinary learning outcomes comparing pre and post results on a modified Readiness for Interprofessional Learning Scale (M-RIPLS) in three pilot sites in 2015 with about 40 family medicine and oncology trainees. Results: Learning materials have been developed for a mixed audience of trainees. The interactive, one hour online session addresses cancer epidemiology, the domains of survivorship care, and specific issues in follow-up care for three cancer types, as well as province-specific survivorship initiatives. This is followed by a two hour, case-based learning workshop that focuses on collaboration and shared care. A clinical experience in cancer follow-up clinics concludes the LS. In PCP training sites without a nearby cancer centre, trainees are able to review videos of actual transitional appointments and follow-up clinics and of the cancer centre/oncologist perspective on shared care. Pilots are ongoing in 2015 with national rollout in 2016. Conclusions: We expect that learning together in residency will impact on attitudes towards interspecialty collaboration in the care of cancer survivors. This interspecialty, blended learning curriculum will enhance the place of survivorship training in the postgraduate education of Canadian physicians.

PurposeVehicle submersion has one of the highest fatality rates for any type of single-vehicle incidents, accounting for up to 10% of drownings in industrialized nations. A survey was conducted to determine current public Knowledge, Attitudes and Practice regarding vehicle submersion accidents, escape strategies and protocols.MethodEighty-two respondents were surveyed at a public event in Winnipeg, Canada.ResultsAlthough most respondents (87%) had knowledge of vehicle submersion events, most (86.6%) felt there was minimal risk of being involved in a vehicle submersion personally, and most (82%) thought that they would likely survive such an event. Most respondents (90%) selected a ‘successful’ initial action (e.g., SEATBELTS off, or WINDOWS open) that could lead to escape and survival during vehicle submersion. However, other responses indicated the chances of completing an entire self-rescue sequence (SEATBELTS off, WINDOWS open, OUT, CHILDREN first; SWOC) is less likely. In the event that a window needs to be broken, the chances of success decrease. Only 70% of respondents appropriately chose a side window to break if necessary (front and rear windshields are laminated and cannot be broken). Even less (57%) identified objects to use, that could likely break a side window. Only 13 (16%) respondents had a proper window breaking tool in their vehicle, and none had their tool installed in the best location that is visible and reachable (hanging from the rearview mirror).ConclusionsMost people were aware of vehicle submersions. Few respondents felt this scenario posed a significant risk to themselves, and there was limited knowledge related to vehicle sinking characteristics and the SWOC escape strategy. Thus, more work is required for further research and public education initiatives to prevent vehicle submersion incidents, and to teach the ‘SEATBELTS off, WINDOWS open, OUT, CHILDREN first’ protocol, to prevent vehicle submersion deaths.FundingNSERC, Canada.