Motor Vehicle Collisions: Medical, Psychosocial, and Legal Consequences
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Motor Vehicle Collisions: Medical, Psychosocial, and Legal Consequences
Dispatched from the UK in 2 business days When will my order arrive? Elaine DuCharme Ph D. Bessel van der Kolk. Home Contact Us Help Free delivery worldwide. Description Motor Vehicle Collisions: Medical, Psychosocial, and Legal Consequences is a comprehensive review of the motor vehicle collision MVC experience and includes chapters relevant to the assessment and treatment of multiple consequences of MVC involvement, including medical, psychosocial, and legal difficulties. The book is designed to be accessible to both clinicians and researchers interested in the study of MVCs and in the management of MVC-related problems.
The aim of this book is to capture the MVC experience from a multidisciplinary perspective, This book will serve as a necessary reference for physicians, rehabilitation specialists, allied medical professionals, psychologists, and lawyers. Product details Format Hardback pages Dimensions x x 30mm 1, Bestsellers in Clinical Psychology. Thinking, Fast and Slow Daniel Kahneman. Act Made Simple Russ Harris. The Upward Spiral Alex Korb.
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The Mindful Way Workbook J. Demographic characteristics of study participants are shown in Table 1. All study participants had a maximum AIS score of 2 or less. Collision characteristics reported via study participant report and police report are shown in Table 2.
These results are intended to provide information about the frequency of outcomes. Because they do not include information about agreement or disagreement for individual cases, the numbers in Table 2 are not intended as evidence of agreement. Most participants reported traveling on roads with 2 or more lanes in dry weather. Most reported being drivers and using seat belts. Of the 93 patients who reported using a seat belt, 1 reported using just a lap belt and 1 reported using just a shoulder belt.
The remaining 91 patients reported using both a lap and a shoulder belt.
About a third of participants reported airbag deployment and around half came to the ED via ambulance transport. Percentage agreement between study participant and police ratings of MVC characteristics was generally excellent Table 3. Substantial agreement was present for vehicle type, road condition, and speed limit. There were no cases in which both the patient and the police reported that the patient was not wearing a seat belt Table 4.
Correlation was almost perfect 0. Most of the discrepancies between patient and police reports of the extent of vehicle damage were cases in which the patient described the accident as severe but the police did not. Our results demonstrate that patient-reported characterizations of an MVC are accurate for most of the characteristics commonly used in MVC-related research studies and support the use of patient-reported MVC information in the conduct of research studies.
Correlation was also only moderate for extent of damage to the vehicle. Specifically, if we consider the police report as the reference standard, patients tended to overreport accident severity. While patients very rarely described a moderate or severely damaged vehicle as mildly damaged, almost half of patients called a mildly damaged vehicle moderate or severely damaged.
It is perhaps not surprising that patients might overreport the severity of vehicle damage, and these results suggest that some caution should be used in interpreting this variable when obtained from patients. Percentage agreement may not be informative about agreement occurring by chance.
In this case, using either source of information, almost all patients reported using their seat belt. We studied only alert and oriented adult patients involved in MVC not resulting in significant injury but for whom a police crash report was available. It is possible that the accuracy of information obtained from other patient groups such as minors, heavily intoxicated patients, individuals experiencing very minor MVCs not resulting in police reports, or those experiencing life-threatening injuries would differ from the results reported here.
Although our analyses compare patient and police reports without identification of a reference standard, in order to draw conclusions about the accuracy of patient reports it is necessary to assume that the police report provides a correct characterization of the MVC. We think this is a reasonable assumption because a previous study comparing ED, emergency medical services, and police reports found that police reports were the most accurate of the 3 sources of information in describing characteristics of MVCs when compared to a crash investigator's report.
However, police reports may be inaccurate for some characteristics because the information may not be readily apparent when the police officer arrivers eg, seat belt use , and this is a limitation of the study. In our sample, most crash characteristics obtained from ED patients participating in a research study agreed closely with information obtained from police reports. These results extend findings from earlier studies comparing ED medical records with crash investigator reports and support the use of information obtained from patients during research interviews as accurate descriptors of MVCs.
Reprints available through open access at http: By the West JEM article submission agreement, all authors are required to disclose all affiliations, funding, sources, and financial or management relationships that could be perceived as potential sources of bias. National Center for Biotechnology Information , U. West J Emerg Med.
This article has been cited by other articles in PMC.
Motor Vehicle Collisions: Medical, Psychosocial, and Legal Consequences is a comprehensive review of the motor vehicle collision (MVC) experience and. Request Book PDF | Motor Vehicle Collisions: Medical, Psychosocial, and Legal Consequences | Citations: 10 | This book is a comprehensive review of the.
Abstract Introduction We examined the accuracy of research participant characterizations of motor vehicle collisions MVC. Methods We conducted an emergency department-based prospective study of adults presenting for care after experiencing an MVC. Results There were 97 study participants for whom emergency department interviews and Michigan State Police Report information were available.
Conclusion For most MVC characteristics, information reported by research participants was consistent with police-reported data. Selection of Participants Patients were eligible for the study if they were 18 years of age or older, alert and oriented, English speaking, and presented to the ED for evaluation of injuries incurred during an MVC that had occurred within the past 24 hours.
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Data Collection Following patient consent, a structured clinical interview was used to collect data regarding MVC characteristics. Measures Collision characteristics assessed during the ED interview included responses for number of lanes on the road, patient's vehicle type, road conditions, speed limit, seat belt use, airbag deployment, seat position of the patient, extent of damage to the vehicle 0—4 numeric rating scale , method of patient transport to the ED, and time of collision. Data Analysis Descriptive statistics are reported as mean and standard deviation for continuous variables and frequency and proportion for categorical variables.
Open in a separate window. Footnotes Supervising Section Editor: Richmond TS, Jacoby S. The immediate aftermath of motor vehicle collisions.
Motor Vehicle Collisions
Medical, Psychosocial, and Legal Consequences. The effect of socio-demographic and crash-related factors on the prognosis of whiplash. A review and methodologic critique of the literature refuting whiplash syndrome. Spine Phila Pa ; Whiplash injury is more than neck pain: J Occup Environ Med.
The prevalence of chronic cervical zygapophysial joint pain after whiplash.