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ROBIN MEADE, ACCENTHEALTH CO-HOST: ACCORDING TO THE NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION, MORE THAN 10, 000 DEATHS HAPPEN EVERY YEAR AS A RESULT OF VEHICLE ROLLOVER CRASHES. CNN'S GREG HUNTER EXPLAINS HOW TECHNOLOGY MAY BE ABLE TO SAVE LIVES. GREG HUNTER, ACCENTHEALTH REPORTER: IT'S CALLED ELECTRONIC STABILITY CONTROL OR E-S-C AND THE GOVERNMENT WILL REQUIRE EVERY NEW 2012 VEHICLE TO HAVE IT. E-S-C USES THE CAR'S ANTI-LOCK BRAKES AND THROTTLE TO KEEP THE CAR FROM ROLLING OVER. DAVID CHAMPION, CONSUMER REPORTS: The car is going down the road. starts to make a maneuver and the car starts to slide, it applies a brake to the front wheel and brings it back into line. If the car is going down the road and steering and just plowing straight ahead it will apply a brake to rear wheel, forcing the vehicle to turn. HUNTER: CONSUMER REPORTS AUTO TEST CENTER DIRECTOR DAVID CHAMPION TOOK US ON A TEST DRIVE ON A RAINY DAY. FIRST HE SHOWED US HOW THIS CAR WOULD HANDLE EMERGENCY TURNING CONDITIONS WITH THE E-S-C SYSTEM OFF. TO CHAMPION ; AND YOU'RE A PROFESSIONAL DRIVER! CHAMPION: And that's working very hard to try and keep it within the lane. So if there were cars around you, you'd be banging off all over the place. HUNTER: EVEN AN EXPERIENCED DRIVER LIKE CHAMPION, REPEATEDLY LOST CONTROL. TO DEMONSTRATE THE DIFFERENCE, WE TOOK THE SAME CAR, UNDER THE SAME CONDITIONS, AT THE SAME SPEED ON ANOTHER RIDE. THIS TIME WITH THE E-S-C TURNED ON. CHAMPION: Did you feel it sort of jack-up? HUNTER: SORT OF, ONE WHEEL LOCKING. CHAMPION: Yup, stops your sliding. HUNTER: NOT ALL ACCIDENTS RESULT IN ROLLOVER, LIKE THIS ONE. BUT A THIRD OF ALL OCCUPANT DEATHS HAPPEN IN SUCH CRASHES. THE WOMAN WHO WAS DRIVING THIS SUV AMAZINGLY SURVIVED. THE GOVERNMENT, THE EXPERTS, THE INSURANCE COMPANIES AND CONSUMER ADVOCATES ALL AGREE THAT ELECTRONIC STABILITY CONTROL IS ONE OF THE MOST IMPORTANT SAFETY FEATURES TO BE INTRODUCED IN YEARS. CHAMPION: It has the possibility to save many more lives than air bags. HUNTER: IT CAN HELP PREVENT ACCIDENTS BEFORE THEY HAPPEN. GREG HUNTER, CNN. MEADE: SOME CAR MAKERS HAVE STARTED INSTALLING ELECTRONIC STABILITY CONTROL OR E-S-C ON THEIR VEHICLES VOLUNTARILY. ALMOST ONE THIRD OF ALL 2006 MODELS HAVE E-S-C AS STANDARD EQUIPMENT. TO SEE A LIST OF VEHICLES CURRENTLY EQUIPPED WITH E-S-C, LOG ONTO THE NHTSA'S safercar.gov.
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Abbreviations: NA, no interaction is known; NSAIDs, nonsteroidal anti-inflammatory drugs. * T hiazide-type diuretics may worsen hyperglycemia, but effect thought to be small and not associated with increased incidence of cardiovascular events. T his interaction is noted to be particularly relevant for individuals with diabetes; no recommendation for treatment is given.
Although it is gratifying that there has been a reduction in the number of cases of haemorrhage ascribed to this Chapter, there were six other cases in which haemorrhage played a significant part. The recent survey of severe maternal morbidity1 suggests that severe, possibly life-threatening, haemorrhage may occur in 6.7 per 1000 deliveries, which means there could be around 1400 cases of severe haemorrhage in the United Kingdom every year. Therefore, despite the continuing reduction in deaths from haemorrhage, important lessons remain to be learned from the cases described in this Report. Obstetric haemorrhage is a life-threatening condition and can occur extremely rapidly. Therefore the following recommendations are made: A multidisciplinary massive haemorrhage protocol should be available in all units and updated and rehearsed regularly in conjunction with the blood bank. It should also be included in life-support training. Women at known higher risk of haemorrhage should be delivered in a consultant unit with an on-site blood bank. The CEMD suggested guidelines for the management of such women are summarised in Table 4.3.
