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The Cambridge Health Alliance is recommending that truck drivers be tested for obstructive sleep apnea. The condition, which makes individuals prone to exhaustion and falling asleep during the daytime, can be deadly in the trucker line of work.

Drivers are already on the road for hours at a time and may be exhausted from working such long shifts or irregular hours. Compounding their fatigue with a greater chance of dozing off behind the wheel of a semi-truck, a tractor-trailer, or an 18-wheeler truck does not bode well for the truck driver or the motorists or pedestrians around him or her and can result in catastrophic truck collisions.

About 2.4 million to 3.9 million commercial truckers in the United States have OSA. Some experts, however, believe that this estimate may be rather low—especially as many truck drivers don’t even know that they are suffering from sleep apnea.

A trucker afflicted with sleep apnea has a seven fold greater chance of becoming involved in a traffic accident. According to the Divided Attention Driving Test, a person who has sleep apnea may exhibit driving behaviors similar to someone who is driving drunk—meaning that their ability to drive responsibly and safely can become severely impaired.

The Cambridge Health Alliance is also reporting a noticeable connection between obesity and obstructive sleep apnea. Findings of their study, which confirms that obesity-driven test strategies can help identify the truck drivers that are at risk of having OSA, can be found in the March 2009 issue of the Journal of Occupational and Environmental Medicine.

The study recommends making OSA screenings mandatory for commercially licensed truck drivers. Meantime, the Federal Motor Carrier Safety Administration is considering whether to require all obese truckers to undergo sleep apnea screenings.

In 2006, an article in the American Journal of Respiratory and Critical Care Medicine reported that many of the approximately 5,600 commercial truck crash-related deaths that occur in the US every year happen because a trucker fell asleep behind the wheel. Identifying the truck drivers that are more prone to drift off behind the wheel because they have OSA could save lives.

Obesity Linked To Dangerous Sleep Apnea In Truck Drivers, Science Daily, March 12, 2009
Many Commercial Drivers Have Impaired Performance Due To Lack Of Sleep, Science Daily, August 16, 2006
A Study of Prevalence of Sleep Apnea Among Commercial Truck Drivers, FMCSA
Related Web Resources:
Obstructive Sleep Apnea, Sleep Disorder Channel
Sleep Apnea, National Institute of Health

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Natasha Richardson, who died this month from a traumatic brain injury, was just 45-years-old. The movie star was young, talented, had a loving husband and two young boys, and no one expected her to die so suddenly and unexpectedly—after a fall on a beginner’s ski slope.

Richardson struck her head, and although there are reports that she initially turned down an offer for medical attention—it wouldn’t be until a second ambulance arrived at the ski resort that she was finally whisked away—one can’t help but wonder how her life’s story would have turned out if she or someone else had known enough to insist that she receive medical care immediately.

Autopsy reports indicate that the movie star died because of a blunt impact to the head that resulted in an epidural hematoma. This kind traumatic brain injury can cause the brain to swell and bleeding to occur. It can also take awhile for symptoms of this TBI to appear, and if too much time passes, this injury can prove fatal.

Common causes of an epidural hematoma include fall accidents, assault incidents, motor vehicle crashes, motorcycle accidents, and slip accidents. Of course, there are other kinds of traumatic brain injuries that can also occur from these kinds of accidents.

The sooner someone with a TBI or another kind of head injury gets medical attention—even if the injury appears mild or minor—the faster any potentially serious condition can be diagnosed and the more time there will be to prevent the injury from becoming catastrophic or fatal.

A person who survives an accident with a serious brain injury could end up permanently impaired and debilitated and, depending on the seriousness of the TBI, require ongoing, costly medical care. The financial and emotional toll on the TBI patient and his or her family can be tragically life changing, which is why, if someone you love sustained a traumatic brain injury in an Oregon accident that occurred because another party was negligent, you should speak to a Portland personal injury lawyer as soon as possible.

Richardson died during Brain Injury Awareness month.

911 Calls Show Urgency Of Richardson Fall, CBS News, March 31, 2009
Actress Natasha Richardson buried in Upstate New York, Chicago Tribune, March 23, 2009
Related Web Resources:
Brain Injury Awareness Month 2009

Brain Injury Association of America

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In Albany, Oregon, five people were hurt in a Linn County multi-vehicle crash on Friday when a driver in a stolen Jeep Cherokee ran a red light while fleeing from police. The suspect, 22-year-old Portland resident Kyle Holder, ran a red light before colliding with an Eagle Summit, a Toyota pickup, and a Nissan Sentra. Holder then fled the scene on foot but was later apprehended by police.

Oregon car crash victims who were injured include John Dinnis, 63, and Candice Dinnis, 56, who are both from Monmouth, John Carreira, 46, Robert Foss 49, and Scott Foss, 19, who are all from Albany.

Holder faces five counts of third-degree assault charges in Linn County and he is wanted in Multnomah County for assault, robbery, attempted strangulation, harassment, theft, burglary, and interfering with the making of a police report.

Running a Red Light
According to the Insurance Institute for Highway Safety, about 260,000 motor vehicles accidents occur every year because a driver ran a red light. For example, 206,000 US traffic accidents occurred because of red light running in 2003—934 people died and 176,000 got hurt as a result.

A few common reasons why people run red lights:
• To avoid having to wait for the light to turn green again.
• To avoid law enforcement officers who might be pursuing them.
• Driver distraction causes them to not realize they are about to run a red light.

Running a red light can lead to serious auto injury accidents. The driver responsible for causing a traffic accident because he or she ran a red light can also be held liable for Oregon personal injury or wrongful death.

For motorists wishing to protect themselves against red light runners, the Allstate Web site recommends:
• Make sure that when the light at the intersection in front of you turns green that you check to make sure there are no vehicles on all sides of you that are about to run a red light.
• Drive carefully into an intersection in case a motorist decides to run a red light.
• Pay extra attention when turning at intersections.

Man caught in Albany chases faces more charges in Portland, OregonLive.com, March 24, 2009
5 injured in 4-car crash as driver flees police, KVAL.com, March 23, 2009
Running red lights, Allstate
Related Web Resources:
Oregon DMV

State Traffic and Speed Laws, MIT.edu

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In Oregon, the family of Tracey Sparling is suing a cement truck driver and his employer for her wrongful death. Sparling, 19, sustained fatal crush injuries on October 11, 2007 after her bicycle was struck by the large truck. The deadly Portland truck accident occurred at the intersection of Burnside and Southwest 14th Avenue.

Both Sparling and truck driver Timothy Wiles were stopped at a red light. Sparling was stopped in a bike lane located on the right side of the road in an area that Wiles couldn’t see.

When the light turned green, the trucker turned right. Sparling was crushed under the truck’s back wheels. The cement truck, which weighed 40,000 pounds, belonged to Rinker Materials, which was purchased by Cemex Corp.

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In Oregon, lawmakers are considering revising the current state drunk driving laws so that they include all substances that could impair someone’s ability to safely drive a motor vehicle. The current Oregon DUI laws cover alcohol and controlled drugs. A person apprehended or who causes an Oregon motor vehicle accident because he or she was abusing medication or overmedicated, however, cannot currently be prosecuted for drunk driving because state law regarding driving under the influence of intoxicants does not define these substances as intoxicants.

Those who oppose changing the law, however, say adding prescription drugs and over-the-counter drugs to the list of intoxicants under Oregon’s drunk driving laws would place motorists who actually need to take the medication for their health at a huge disadvantage.

Impaired Driving Caused by Medication
Catastrophic Oregon motor vehicle crashes have been known to occur because a motorist was under the influence of strong medication. For example, one teen driver drank two bottles of Robitussin cough medicine right before becoming involved in an Oregon rollover accident. Although Portland police charged him with Oregon DUI, the criminal charge was eventually dropped.

Medication and Driving
Medication, depending on the kind of drug and the dose taken, can lead to drowsiness, dizziness, difficulties focusing, nausea, vision difficulties, delayed reflexes, and unconsciousness. These are not the kind of side effects you want to have when operating a motor vehicle anywhere in the United States.

While many medications are prescribed by doctors to maintain a patient’s health, especially someone who is suffering from depression, heart problems, diabetes, Parkinson’s disease, high blood pressure, schizophrenia, and other conditions, it is the responsibility of the person taking the drugs to make sure that he or she doesn’t drive while under the influence of such medicines.

Any kind of impaired driving is dangerous driving. Too many lives are lost every day in drunk driving accidents because someone was driving under the influence of alcohol, drugs, or medication.

Oregon ponders new drunken driving law, SeattlePINews.com, March 9, 2009
Related Web Resources:
Impaired Driving, CDC
Driving Under the Influence of Intoxicants, Oregon State Legslature

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A new study published in the new issue of Otolaryngology — Head and Neck Surgery is reporting that children have a greater chance of getting bitten by a dog and sustaining a serious injury to the neck or head areas in the summer time. This finding is based on an analysis of 84 dog bite cases involving child victims.

The reason for why this happens is not clear, but two possibilities are that the hot weather may put dogs in a worse mood, while kids tend to spend more time outside the house playing with pets.

According to the study:
• Family pets caused 27% of dog bite injuries.
• 34% of dog bite wounds occurred on children’s cheeks.
• 21% were lip injuries.
• 8% were ear injuries.
• 8% were nose injuries.
• The average wound size was 7.15 centimeters.
• 64% of children who sustained dog bite wounds had injuries on more than one part of the body.
• The pit bull is the breed most likely to attack or maul a child victim.

Children and Dog Bites
Dog bites can cause serious harm to a child. A dog that mauls a child can cause serious bodily harm and/or facial disfigurement. Sometimes, it may take years until a child is fully-grown before he or she can undergo all the necessary reconstructive surgeries. This can lead to ongoing physical suffering, as well as mental and emotional trauma. Serious scarring from dog bite wounds can also deprive a boy or girl from experiencing a normal childhood.

In the US, about 44,000 dog attacks each year result in facial injuries. 1% of all emergency room visits involve a patient who was injured in a dog attack or a dog mauling. The Centers for Disease Control and Prevention says about 800,000 dog bite victims a year will require medical treatment. Nearly 50% of people injured in dog attacks are younger than age 12.

Dog bite risk for kids greatest in summer

Otolaryngology — Head and Neck Surgery

Related Web Resources:
Dog Bite Prevention, Centers for Disease Control and Prevention
Most dog bites are avoidable, Post-Gazette.com, January 26, 2009

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In Portland, a 16-year-old boy is in critical condition after he was struck by two cars on Interstate 5 on Sunday. The teen pedestrian had just left the Rose Garden where he had been watching the Portland Trail Blazers play against the San Antonio Spurs.

The boy is being treated at Legacy Emanuel Hospital. Portland police are investigating the cause of the fatal Oregon pedestrian accident. They think he may have been trying to cross the freeway. One vehicle reportedly hit the boy before he was hit by another car.

Both motorists stopped at the Portland, Oregon traffic accident scene and spoke to local authorities. One woman who had also been watching the basketball game says the boy is not the only one that had been trying to cross Interstate 5.

Oregon Pedestrian Accidents
It is important that pedestrians, bicyclists, and motorists take steps to prevent pedestrian accidents from happening. Whenever there is a traffic accident involving a pedestrian, he or she is the one most prone to serious injuries.

The Web site PedestrianSafety.com talks about a list of scenarios on the road that can lead to Portland traffic accidents and resulting pedestrian injuries and deaths:

• A motor vehicle turns into a pedestrian’s path.
• A pedestrian runs onto the street.
• A pedestrian crosses the street in the middle of the road.
• A bus may be obstructing another motorist’s view, making it difficult to see that there is a pedestrian behind a large vehicle unless the driver or motorcyclist is paying close attention.

To prevent pedestrian accidents, a Safety and Consumer Protection Web site advises:
• Yield the right of way to pedestrians whether or not there is a walk signal or pedestrian lane if they have already started crossing the street.
• Do not overtake or try to pass a vehicle that is stopped at an intersection.

Teen Struck By Car After Leaving Rose Garden, Fox 12 Oregon, March 1, 2009
Rules and pointers for pedestrians and drivers, Safety & Consumer Protection
Pedestrian Safety

Related Web Resources:
Bicycle & Pedestrian Program, Oregon.gov
National Highway Traffic Safety Administration

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The Oregon Senate passed Senate Bill 311 this week to increase the liability lawsuit limits that a government agency can be made to pay plaintiffs. Whereas the old limits, set in 1987, placed a cap of $100,000 on noneconomic and economic damages, $50,000 for property damage, and $500,000 for all claims from one incident, the new bill proposes raising the state government’s liability lawsuit limit maximums to $1.5 million for one claim and $3 million for all claims stemming from a single incident. The distinctions between the damages would be eliminated, and the Oregon Supreme Court would deal with any challenges to the new limits.

Caps would increase $100,000 a over a five-year period. After 2015, amounts would be indexed according to inflation. All other governments in Oregon would have caps that are one-third of the state’s caps. Individual workers would also be covered against civil claims for accidents that occur while he or she is on the job. The bill now goes to the House.

In 2007, the family of young Jordan Michael Clarke sued Oregon Health & Science University and seven of its employees for medical malpractice after he suffered permanent brain damage following surgery to repair a congenital heart defect. Using the state’s liability shield, however, OHSU replaced the individual defendants named in the complaint with itself to limit liability at $200,000.

While the Oregon State Supreme Court ruled that OHSU was legally entitled to do this, it also found that the existing government caps were too low that they prevented the boy’s family from receiving an appropriate legal remedy for his injuries. A $9.3 million personal injury settlement was eventually reached between OHSU and Clarke’s family.

Senate approves increase in liability lawsuit limits, Statesman Journal, February 24, 2009
Oregon may welcome higher lawsuit caps, SeattlePI.com, February 12, 2009
Related Web Resources:
Oregon Health and Science University

General information about the Oregon Tort Claims Act, OHSU.edu

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In Multnomah County, the family of Ruth Reimann has filed an Oregon wrongful death lawsuit. Reimann, of Portland, was fatally injured on August 4, 2008 when a small plane crashed into the vacation home they were staying at in the coastal town of Gearhart. Her children – Chris, 13, Sarah, 11, and Julia, 10 – were injured in, but survived, the tragedy.

Early that morning, the Cessna 172 dove through the house and burst into flames. Following the airplane accident, Ruth spent weeks in Portland at the Oregon Burn Center at Legacy Emanuel Hospital & Health for treatment of their burn injuries before she died.

Also killed in the Oregon airplane accident were pilot Jason Ketcheson, passenger Frank Toohey, and siblings 12-year-old Hesam Farrar Masoudi and 8-year-old Grace Masoudi. The children were at the home of the Reimanns when the deadly aviation accident happened.

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The family of Jakobi Mulgrave, the 10-year-old boy who survived a Eugene drunk driving accident that killed his mother and three other people last month, is suing several plaintiffs on his behalf for personal injury. According to the Oregon car accident lawsuit, which is seeking approximately $13 million, Jakobi sustained a brain injury, a fractured skull, a fractured pelvis, as well as damage to his kidney, spleen, and liver. Mulgrave is being treated at a Portland hospital.

The catastrophic motor vehicle accident took place on the night of January 21 when an Isuzu Rodeo, driven by Matthew Ellmers and the Toyota Highlander carrying Jakobi, his mother Yvonne, Connie Marie Vermilyea, 34, Jaziah Vermilyea, 10, and Nima Gibba, 11, collided, causing the Highlander to turn in the air and hit a utility pole. Ellmers, who is the only other person to survive the crash, also sustained serious injuries. Police say the 24-year-old Eugene driver was driving drunk.

The Mulgrave family’s Oregon personal injury lawsuit involving injuries to minors contends that Jakobi should receive $10 million for noneconomic damages, $2.8 million for lost wages throughout his lifetime, medical expenses, and other costs.

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