The future of road safety: A worldwide perspective

Wegman, Fred

doi:10.1016/j.iatssr.2016.05.003

Cited by 160 publications

(95 citation statements)

References 4 publications

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“…Traumatic indications increased with age, but were not as high as seen in overseas data . This may reflect a lower rate of penetrating trauma, higher helmet use and safer roads in Australasia than overseas. One in four children in the data set who required intubation had seizure as their indication for airway management.…”

Section: Discussionmentioning

confidence: 69%

Paediatric intubation in Australasian emergency departments: A report from the ANZEDAR

Ghedina

Alkhouri

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et al. 2019

Emerg Medicine Australasia

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Objectives: To describe the epidemiology, clinical practice and outcomes of paediatric ED intubation in Australia and New Zealand. Method: Prospectively collected airway management audit data from 43 EDs in Australia and New Zealand that was submitted to the Australia and New Zealand Emergency Department Airway Registry between 2010 and 2015. Results: Paediatric cases accounted for 4.94% (270/5463) of cases (median age = 3, interquartile range [IQR] = 2-9). A median of 5 (IQR = 2-9) intubations were reported per department per year. Most intubations were performed for medical indications (72.2%), including seizure (25.2%) and respiratory failure (15.2%). Patients were physiologically compromised prior to intubation with 69.5% comatose, 50.9% outside of the normal ageadjusted range for respiratory rate, 15.9% hypoxic and 12.6% hypotensive. Complication rate was 33.3% and desaturation was the most common (18.5%). The ED mortality rate was 3.8%. First pass success (FPS) was 80% (95% CI 75.2-84.8). Infants less than 1 year of age had lower FPS, higher rates of difficult laryngoscopy and higher rates of desaturation than other age groups. Conclusion: Paediatric intubation in Australasian EDs is rare from a departmental and individual provider viewpoint. Success rates are similar to contemporary international registries. Complications are common and ongoing collaborative multicentre audit with resultant quality improvement is desirable to facilitate improved success and reduced complications.

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Section: Discussionmentioning

confidence: 69%

Paediatric intubation in Australasian emergency departments: A report from the ANZEDAR

Ghedina

Alkhouri

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et al. 2019

Emerg Medicine Australasia

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“…The Vision Zero model is about the coexistence of vehicles with high NCAP (New Car Assessment Programme) scores, four star roads at a minimum (according to the EuroRAP programme) [28] and educated drivers complying with traffic regulations [29]. A competitive vision was formed in the Netherlands with its Sustainable Safety approach [18,19]. The idea is to eliminate or at least significantly reduce serious injury in road accidents by applying a systemic approach to designing and adapting the road transport system.…”

Section: Overview Of Road Safety Conceptsmentioning

confidence: 99%

Experiences and Challenges in Fatality Reduction on Polish Roads

et al. 2019

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According to the UN, road safety is the key to achieving sustainable development goals, yet the complexity of how road accidents happen makes this a difficult challenge leaving many countries struggling with the problem. For years, Poland has infamously been one of the EU’s top countries for road-accident fatality rates. Despite that, it has made significant progress in the last thirty years with a fatality reduction of more than 60%. A number of factors have contributed to this result: improving the socioeconomic situation, improving road safety measures, changing road user behaviour and changing national road safety programmes. This article presents Poland’s approach to road safety and, in particular, Vision Zero, adopted in 2005. Poland’s road safety changed over the years as the country learned from its successes and failures. Tools for forecasting fatalities were developed and used to identify the main factors that have helped to reduce deaths. An assessment was conducted on how Poland could implement Vision Zero until 2050 under different road safety scenarios. It was found that in order to achieve the EU’s goal for 2030, Poland must reduce fatalities to 1200. While it is an ambitious goal, it is also an important step towards zero fatalities in 2050.

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“…outcome of fatality. The fragility of the human body makes it unlikely to survive an uncushioned impact at a speed of more than 30 km/h, with lower speeds resulting in either death or serious injury [3,4]. The objective of the SS approach is that the three model elements should be designed and monitored to proactively prevent deadly speeds from happening and allow for a reduced emergency response time in the event of an accident.…”

Section: Safe Vehicle Safe Road Safe Road Usermentioning

confidence: 99%

“…While the worldwide figures have plateaued, the Global Status Report does indicate higher road fatalities and injuries in lowincome countries. Such disparity, as noted in [3], signals a barring-limitation in low-income countries to improve roadsafety by adopting solutions implemented in high-income countries.…”

Section: Introductionmentioning

confidence: 99%

An IoT Architecture for Assessing Road Safety in Smart Cities

Taha

2018

Wireless Communications and Mobile Computing

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The Safe System (SS) approach to road safety emphasizes safety-by-design through ensuring safe vehicles, road networks, and road users. With a strong motivation from the World Health Organization (WHO), this approach is increasingly adopted worldwide. Considerations in SS, however, are made for the medium-to-long term. Our interest in this work is to complement the approach with a short-to-medium term dynamic assessment of road safety. Toward this end, we introduce a novel, cost-effective Internet of Things (IoT) architecture that facilitates the realization of a robust and dynamic computational core in assessing the safety of a road network and its elements. In doing so, we introduce a new, meaningful, and scalable metric for assessing road safety. We also showcase the use of machine learning in the design of the metric computation core through a novel application of Hidden Markov Models (HMMs). Finally, the impact of the proposed architecture is demonstrated through an application to safety-based route planning.

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The future of road safety: A worldwide perspective

Cited by 160 publications

References 4 publications

Paediatric intubation in Australasian emergency departments: A report from the ANZEDAR

Paediatric intubation in Australasian emergency departments: A report from the ANZEDAR

Experiences and Challenges in Fatality Reduction on Polish Roads

An IoT Architecture for Assessing Road Safety in Smart Cities

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