TraumaHawk: Improving Treatment for Crash Victims Using Photos and a Smartphone App

Photographic documentation of crashed vehicles at the scene can be used to improve triage of crash victims. A U.S. expert panel developed field triage rules to determine the likelihood of occupants sustaining serious injuries based on vehicle damage that would require transport to a trauma center (Sasser et al., 2011). The use of photographs for assessing vehicle damage and occupant compartment intrusion as it correlates to increased injury severity has been validated (Davidson et al., 2014). Providing trauma staff with crash scene photos remotely could assist them in predicting injuries. This would allow trauma care providers to assess the appropriate transport, as well as develop mental models of treatment options prior to patient arrival at the emergency department (ED). Crash-scene medical response has improved tremendously in the past 20-30 years. This is in part due to the increasing number of paramedics who now have advanced life support (ALS) training that allows independence in the field. However, while this advanced training provides a more streamlined field treatment protocol, it also means that paramedics focused on treating crash victims may not have time to communicate with trauma centers regarding crash injury mechanisms. As a result, trauma centers may not learn about severe trauma patients until just a few minutes before they arrive. The information transmitted by the TraumaHawk app allows interpretation of injury mechanisms from crash scene photos at the trauma center, providing clues about the type and severity of injury. With strategic crash scene photo documentation, trained trauma professionals can assess the severity and patterns of injury based on exterior crush and occupant intrusion. Intrusion increases the force experienced by vehicle occupants, which translates into a higher level of injury severity (Tencer et al., 2005; Assal et al., 2002; Mandell et al., 2010). First responders have the unique opportunity to assess the damaged vehicle at the crash scene, but often the mechanism of injury is limited or not even relayed to ED trauma staff. To integrate photographic and scene information, an app called TraumaHawk was created to capture images of crash vehicles and send them electronically to the trauma center. If efficiently implemented, it provides the potential advantage of increasing lead-time for preparation at the trauma center through the crash scene photos. Ideally, the result is better treatment outcomes for crash victims. The objective of this analysis was to examine if the extra lead-time granted by the TraumaHawk app could improve trauma team activation time over the current conventional communication method.

Welfare Impacts of Cross-Country Spillovers in Agricultural Research, 2007

The welfare implications of intellectual property protection (IPP) for private sector agricultural research are analyzed, focusing on the realistic cases in which countries provide different IPP levels, technology spills over across countries, and the public sector is involved in research. A model is developed to determine who benefits from, and who should pay for, the associated research. The paper contains some interesting results on the implications of a harmonization of IPP policies through multilateral agreements or via technology that allows research firms to prevent the copying of plants and animals that express traits that have emerged from their research.

State Librarians of Iowa 1837-2008

This list of State Librarians, along with their photos or portraits, and brief biographies was prepared for the March 2008 celebration of the 100th Anniversary of the State Library’s move from the 2nd floor of the State Capitol into the east wing of the State Historical Memorial and Art Building on March 1908 (now the Miller Building, since 2002).

Rebuild Iowa Office Quarterly Report, April 2009

The 70-page report provides an overview of the disaster assistance programs that have been implemented to help impacted Iowans; outreach to communities to assist with long-term planning; flood mitigation efforts; charts detailing the flow of disaster-related funding to impacted citizens; disaster recovery activities undertaken by various state departments; and photos taken of disaster-stricken areas. Long-term recovery challenges and goals remaining for Iowa are also addressed.

Iowa Workforce Monthly, November 2010, Issue 19

Highlights: * New Iowan Center 10th Anniversary Open House........................................pg. 2 * New ICAP Workforce Services Center Held Open House.............................pg. 2 * Cedar Rapids IowaWORKS Hosts Career Fair...............................................pg. 3 * New Hours for Washington IowaWORKS office.............................pg. 3 * Regional Update.................................pg. 4 * Regional Veteran’s Day Events & Photos ...............................................pg. 5

Dolliver Memorial State Park, Webster County, Iowa, 1925.

This document contains detailed information on Dolliver Memorial State Park, a publication of Park Booklet Series No. 3. It describes in detail the history, location, landscape, rivers, photos, terrain, vegetation, wildlife and maps of the park and nearby ares in Webster County.

Industrial-economic survey of Clinton, Iowa, and the surrounding area,1960.

This is an "Industrial-Economic Survey" of Clinton, Iowa and the surrounding area that was compiled and assembled for the use of any manufacturing of commercial organization which has in interest in setting up operations in the general Clinton area. Facts and statistics are shown to use for location analysis. Numerous photos and maps are included.

Iowa and The U.S. Bicentennial, 1776-1976:The Final Report/Iowa American Revolution Bicentennial Commission, December 1976.

This report contains information on the Iowa American Revolution Bicentennial Commission. It includes the history, member information and their duties, activities performed, photos and a report from each Iowa county on what they accomplished for the celebration of the U.S. Bicentennial.

Report:Ansel Briggs Project, May 1975.

In June of 1974 Governor Robert Ray approved Senate File 1325, an Act passed by the Sixty-fifth General Assembly which directed the State Historical Society of Iowa to utilize the sum of $2,500 "For the planning and study of a memorial to Ansel Briggs, the first governor of Iowa." This is the final report on all of the information that was compiled during the intense research done on the Governor. This report includes information on his ancestry and personal life, photos, governorship, correspondence, documents, monuments and much more.

Inviting Iowa, Beautiful Land Between Two Great Rivers,1968

Contains colorful photos with descriptive captions on major tourist attractions in Iowa. A centerfold map is included and many other interesting places in Iowa are listed on the back page.

Iowa Welcomes You To The Hospitality and Beauties of the "Hawkeye State.",1957

Contains a forward by the Governor of Iowa, Herschel C. Loveless and photos of the current Lieutenant Governor and other state officials and Supreme Court Justices of Iowa. Includes Iowa facts, trivia, historical information along with photos, with detailed captions, of scenic Iowa, tourist destinations and native plants and wildlife. Lists many other points of interest in Iowa with map legends of state parks in the back of the book.

Iowa Welcomes You to the Hospitality and Beauties of the "Hawkeye State.",1953

Contains a forward by the Governor of Iowa, William S. Beardsley and photos of the current Lieutenant Governor and other state officials and Supreme Court Justices of Iowa. The brochure also includes Iowa facts, trivia, historical information along with photos, with detailed captions, of scenic Iowa, tourist destinations and native plants and wildlife. Lists many other points of interest in Iowa with map legends of state parks in the back of the book.

Dedication of monuments erected by the state of Iowa,commemorating the death, suffering and valor of her soldiers on the battlefields of Vickburg, Lookout Mountain, Missionary Ridge, Shiloh, and in the Confederate prison at Andersonville,November twelfth to twenty-sixth, nineteen hundred and six,1908.

This book contains information on the dedication ceremony of Iowa monuments on the southern battlefields from the civil war and their final transfer made to the care of the general government. It includes history of the battles, photos and maps.

Pilot Knob State Park, Merrick State Park, Eagle Lake State Park, Rice Lake State Park and Crystal, East and West Twin, and Duck Lakes,1925.

Provides information on Pilot Knob State Park, Merrick State Park, Eagle Lake State Park, Rice Lake State Park and Crystal, East and West Twin, and Duck Lakes including history, maps, location, terrain, photos, vegetation and wildlife.

Construction and Evaluation of Submerged Vanes for Stream Control, HR-274, 1988

The objective of this study was to determine the practicality and effectiveness of using submerged vanes ("Iowa Vanes") to control bank erosion in a bend of East Nishnabotna River, Iowa. The vane system was constructed during the summer of 1985. It functions by eliminating, or reducing, the centrifugally induced helical motion of the flow in the bend, which is the root cause of bank undermining. The system was monitored over a 2-year period, from September 1985 to October 1987. Two surveys were conducted in the spring of 1986 in which data were taken of depths and velocities throughout the bend and of water-surface slope. The movement of the bank was determined from aerial photos and from repeated measurements of the vane-to-bank distance. The bankfull scour depths and velocities along the bank have been reduced significantly; and the movement of the bank has been stopped or considerably reduced. The improvements were obtained without changing the energy slope of the channel. Areas of design improvements were identified.