Automatic Crash Notification and Intelligent Transportation Systems: Implications for the Emergency Physician
This policy resource education white paper examined how Automatic Crash Notification (ACN) technologies can improve the "chain of survival" and reduce the impact of injury accidents in rural and remote areas. Although most ITS applications focus on metropolitan areas, rural areas account for approximately 40 percent of the vehicle-miles driven in the United States. Access to medical care in these areas can be limited and decisions regarding emergency response actions, transport options, and delivery routes to appropriate medical facilities must be made quickly with limited communications between crash victims, emergency responders, and medical facilities. ACN technologies that improve these communications can help direct medical resources and emergency responders to the scene of an incident faster and improve the prompt transport of crash victims to the nearest appropriate medical facility. In trauma care, seriously injured patients that arrive at an operating room of a trauma center with an experienced team of appropriately specialized trauma surgeons within the first 60 minutes (the golden hour) after a crash have a much greater chance of survivability compared to those that arrive within 90 minutes.
Synthesis data in this source report indicated that ACN systems can reduce road traffic deaths by 1.5 to 15 percent.