Injury prevention and emergency medical services: the "Accidents Aren't" program

Prehosp Emerg Care. Apr-Jun 2002;6(2):204-9. doi: 10.1080/10903120290938553.


This report describes the rationale, purpose, structure, and content of the emergency medical services (EMS) injury prevention program "Accidents Aren't." The program is introduced with a review of injuries' toll professionally, epidemiologically, and economically in terms of the demand on medical care resources and the expense of care. With recognition that most EMS resources are expended on clinical care of non-critical but potentially catastrophic injuries, "Accidents Aren't" was designed to offer a more cost-effective means of care for this population and more efficient utilization of finite resources. The report describes the program's formulation process, its modular design, the instructor guidelines, the core training tool, the STARR mnemonic, and five clinical cases involving a wide array of injury mechanisms to which the mnemonic is applicable. Physician involvement in teaching and implementing the program is discussed. The relationship of the program to the future of EMS concludes the report.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Accident Prevention*
  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Community Health Planning
  • Emergency Medical Services / organization & administration*
  • Female
  • Health Promotion / organization & administration*
  • Humans
  • Infant
  • Interprofessional Relations
  • Male
  • Middle Aged
  • Physician's Role
  • Program Development*
  • Safety
  • United States / epidemiology
  • Wounds and Injuries / epidemiology
  • Wounds and Injuries / prevention & control*