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Trauma management (TM) covers two types of medical treatment: the initial one provided by Emergency Medical Services (EMS) and a further one provided by permanent medical facilities. There is a consensus in the professional literature that to reduce the severity and the number of road crash victims, the TM system should provide rapid and adequate initial care of injury, combined with sufficient further treatment at a hospital or trauma centre. Recognizing the important role of TM for reducing road crash injury outcome, it was decided, within the EU funded SafetyNet project, to develop road safety performance indicators (SPIs) which would characterize the level of TM systems" performance in European countries and enable country comparisons. The concept of TM SPIs was developed based on a literature study of performance indicators in TM, a survey of available practices in Europe and data availability examinations. A set of TM SPIs was introduced including 14 indicators which characterize five issues such as: availability of EMS stations; availability and composition of EMS medical staff; availability and composition of EMS transportation units; characteristics of the EMS response time, and availability of trauma beds in permanent medical facilities. Basic information on the TM systems was collected in close cooperation with the national expert group. A dataset with TM SPIs for 21 countries was created. It was demonstrated that the countries can be compared using selected TM SPIs. Moreover, a more general comparison of the TM systems' performance in the countries is possible, using multiple ranking and statistical weighting techniques. By both methods, final estimates were received enabling the recognition of groups of countries with similar levels of the TM system's performance. The results of various trials were consistent as to the recognition of countries with high or low level of the TM systems" performance, where in grouping countries with intermediate levels of the TM system's performance some differences were observed. The SafetyNet project's practice demonstrated that data collection for estimating TM SPIs is not an easy task but is realizable for the majority of countries. The TM SPIs" message is currently limited to the availability of trauma care services. Further development of the TM SPIs should focus on characteristics of actual treatment supplied, based on combined police and medical road crash related databases.
The Joint Transport Research Centre of the Organisation for Economic Co-operation and Development and the International Transport Forum recently conducted a benchmarking study of the safety and productivity of typical highway transport trucks from various countries. This paper focuses on vehicle productivity and efficiency in regard to the movement of freight. Forty vehicles from 10 countries were examined. The vehicles were designed for longer-haul applications and were classified in three separate categories: workhorse vehicles, which are the most common and can travel on most roads; high-capacity vehicles, which may be restricted to a certain class of road; and very high-capacity vehicles, which may be restricted to specific highways or routes. The metrics used in the analysis include maximum cargo mass and volume capacity, optimum cargo density, fuel consumption, and carbon dioxide output as a function of the freight task. The study found that size and weight regulations have a significant effect on the productivity and efficiency of heavy vehicles, including fuel consumption and vehicle emissions per unit of cargo transported. Significant variations were found among the vehicles from participating countries as well as within vehicle classes. It was also apparent that, in general, higher-productivity vehicles are correlated more strongly with increased cargo volume than with increased cargo mass and that larger trucks are better suited to lower-density freight than are workhorse vehicles. The study also found that it is important to consider the freight task when evaluating vehicle fuel consumption and emissions.