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.

Power of Photos and Video in Education

Konferenssiesitelmä: PHOTOGRAPHY NEXT International Conference at Moderna museet and Nordiska Museet, Stockholm, 4-5 February, 2010

Photograph - Three photos of a Dog

Three photographs of a dog. In one photo he is sitting on a stone wall, in another, in front of a porch, and finally on top of a patio table.

Andy Vowles library photos 2009

Photos of the library by Andy Vowles

Maps, figures and photos for theses

This PowerPoint outlines the main points that you need to consider when adding figures to your thesis, including resolution, file format and copyright.

Time lapse sea-bed photos (benthos) with associated current meter data from ROBIO lander deployments during Discovery cruise D297

A baited imaging lander was deployed six times in the Nazare Canyon at depths from 909 to 4361 m during August 2005 to investigate the demersal scavenging fishes. Species observed and lander-derived abundance estimates were similar to previous data from the Porcupine Seabight and abyssal plain, north-east Atlantic Ocean.

Table 1: Glacier measurements from air photos 1969 and landsat images 1972 and 1973

The extent of snow cover at the end of the ablation season on glaciers in the Tyrolean Alps in 1972 and 1973 was determined from Landsat-1 Multispectral Scanner (MSS) images. For snovv mapping the MSS-images with a ground resolution of 80 meters were enlarged to a scale of 1: 100.000 by photographic methods. Different appearance of snow cover in the 4 MSS-channels is discussed in connection with ground truth control. The accuracy of snow and ice mapping from Landsat images was checked on 15 glaciers with an area from 1 to 10 km2 by aerial photography and/or ground truth control. These comparisons imply the usefulness of Landsat images for snow mapping on glaciers of a few square kilometers. The altitude of the equilibrium line was determined from Landsat images for 53 glaciers in the Tyrolean Alps. The regional differences in the equilibrium line altitude correspond to the regional precipitation patterns. The equilibrium line was identical with the snow line at the end of the budget year 1971/1972; therefore it was possible to determine the equilibrium line from satellite images. For 1968/69 the equilibrium line was mapped from aerial photographs for several glaciers. In 1972/73 mass balance was strongly negative and the equilibrimn line was within the firn area of the glaciers. Therefore it was not possible to distinguish between accumulation and ablation areas from the Landsat images of September 1973; however, snow and ice areas could be olearly differentiated. The ratios of accumulation area 01' snow area to the total area of the glaciers were determineel from satellite images and aerial photography separately for aelvancing anel for retreating glaciers and were relateel to the mass balance. In the budget years 1968/69 and 1972/73 with negative mass balance the accumulation area ratios of the advancing glacien; were olearly different from the ratios of the retreating glaciers, in 1971/72 with positive 01' balanced mass budget the differences between advancing and retreating glaciers were not significant.