If you ever suffer a major injury in metro Atlanta and are still able to talk, remember to say, "take me to Grady."  This is important because treatment at  a Level 1 trauma center significantly improves prospects of successful outcome. A recent article on "The Effects of Trauma Center Care, Admission Volume, and Surgical Volume on Paralysis After Traumatic Spinal Cord Injury" published in Annals of Surgery  concludes that trauma center care is associated with reduced paralysis after traumatic spinal cord injury, perhaps because of greater use of spinal surgery.  Hospitals that do not have trauma centers follow national guidelines to triage patients to trauma centers less than half the time, keeping patients in their facilities when they should be transported to a Level 1 trauma center.

So, as I said earlier, if you are in a serious accident within a 100 miles radius of Atlanta, remember these four words: "take me to Grady."

In yet another crash that highlights the lack of inadequacy of bus safety standards, two people were killed and two critically injured Saturday evening after a small charter bus hit a median wall and utility poles on I-85 southbound between the Monroe Drive and Buford Highway exits.  Two occupants were thrown from the bus into the northbound HOV lane.  The bus was operated by Greene Classic Limousines, which has a fleet of 46 vehicles.

Reportedly the there was a mechanical failure in the steering of the bus. News reports have not identified the make or model of the bus or why the occupants were ejected. However, this is the second bus crash on Atlanta freeways this year.  The crash on March 2 of a chartered tour bus carrying the Bluffton University baseball team focused attention on peculiar road design and omitted signs,  as well as the lack of seat belts and safety glass in buses in the United States.  (I represent several of the Bluffton players.) 

It is unlikely that any passengers on the Bluffton bus would have been ejected and killed if there had been passenger seat belts and safety glass in side windows, as are required in Europe and Australia.  If the same bus were purchased in virtually any country other than the US, it would have been so equipped.  In that case, a web search located an identical bus for sale in Turkey 3-point seat belts at all passenger positions, but due to federal regulations that give license to unsafe design, passenger seat belts are not standard equipment on buses in the US.  Recently I learned, however, that some tour bus companies have retrofitted full size motor coaches with seat belts for as little as $900 per bus. 

There is no legitimate safety reason for omitting from buses the seat belts and safety glass that would prevent passenger ejection. Similar bus wrecks in other countries, where buses have such safety equipment, have resulted in all passengers emerging with no serious injuries. About the only substantive defense for bus manufacturers in these cases is the preemption defense, by which their lobbying of federal agencies may shield them from accountability to the families of those who are injured and killed.  The federal regulations on bus safety are silent on these points, so lawyers in a pending case in Texas have what should be a good argument against preemption.