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May 21-24, 2018
Providence, RI


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Feb. 2018
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Toward Zero Deaths

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Toward Zero Deaths, National Strategy on Highway Safety

The National Strategy on Highway Safety provides a long term platform of consistency for state agencies, private industry, national organizations and others to develop safety plans that prioritize traffic safety culture and promote the national TZD vision. As an active participant on the TZD Steering Committee, NASEMSO played a key role in shaping the National Strategy. Emergency Medical Services is one of six key areas in the document.

The six key focus areas are:

  1. Safer Drivers and Passengers
  2. Safer Vulnerable Users
  3. Safer Vehicles
  4. Safer Infrastructure
  5. Enhanced Emergency Medical Services*
  6. Improved Safety Management

*The Key Strategies for Enhancing Emergency Medical Services are:

Implementation Timeframe

1) Fully implement enhanced 911 centers


2) Participate in Next Generation 911 planning and implementation


3) Implement pairing of Advanced Automated Collision Notification (AACN) data with algorithms to predict probability of severe injury


4) Develop AACN-based predictors to alert responders to the need for vehicle extraction


5) Improve and sustain excellent communications technologies for emergency medical responders


6) Implement the National EMS Education Agenda for the Future, including National EMS Education Standards


7) Implement field triage scheme: the Guidelines for Field Triage of of Injured Patient


8) Develop, implement, and enforce safety engineering and design standards for ambulances, including removing Federal Motor Vehicle Safety Standards crashworthiness exemption


9) Improve ambulance access to intelligent transportation systems


10) Implement air medical transport (helicopter) use criteria


11) Provide telemedicine applications for EMS


12) Improve emergency medical response in rural locations and especially for mass casualty incidents


13) Implement comprehensive and state-regulated trauma systems to improve access to crash victims


14) Include EMS agencies in traffic incident management planning and training


The EMS response is the last chance to reduce death and disability from roadway crashes after prevention efforts have not been successful. The capacity and capabilities of responders to provide emergency care vary widely depending on where the crash occurs. This variance can make a significant difference in the outcome of each crash victim. The strategies discussed in this section support providing a high quality response to crashes. Widespread development of technologies and programs to support implementation of these strategies will be a key factor in achieving the TZD vision.