October 26, 2011

Chinese Toddler Dies and Creates Storm of Controversy

Last week staff at Guangzhou Military District Hospital announced that Wang Yue had died of the injuries she suffered when she was run down in a hit and run collision in China.

The collision, which was caught on video by a security camera, has raised a storm of controversy around the world because while she lay bleeding in the street almost 20 people walk or drive by the little girl and ignore her.

The video has raised questions about cultural differences between China and North America, legal issues about so-called Good Samaritan laws and moral questions about personal autonomy and our obligations to others.

I have discussed these issues in detail in an article published on my Atlantic Canada Personal Injury Lawyer blog. Please take a look and tell me what you think.

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August 18, 2011

Baby Dragged By Car Highlights Dangers of Unattended Children: Kids and Cars Canada

Baby Dragged By Car

The Ottawa Citizen reported that a 6 month old boy suffered head injuries after being dragged 12 meters by the family car when it rolled backwards down their driveway after being knocked into gear by his 3 year old sister.

The infant's 14 year old sister was helping her mom get the family ready for a trip. The baby had been buckled into a car seat and the car seat was placed on the driveway beside the family car. The family’s 3 year old daughter was playing in the front seat of the car and managed to knock the car into gear. The car started rolling backwards and dragged the infant in his car seat for almost 12 meters. Media reports list the baby as being in stable but serious condition.

Unattended Children in Cars = Danger

This incident highlights all the many dangers that KidsandCars.org Canada have been trying to prevent. Leaving children unattended in a vehicle, even for a short period of time, can have unintended, and often tragic consequences.

And that’s why I have agreed to chair KidsandCars.org Canada! To help educate the public about the dangers automobiles can pose to our children and to lobby for better safety features in automotive vehicles.

Could it Happen to You?

Do you know if your car has the safety features that will prevent it from shifting into gear by mistake?

Here's how you can check to see if your vehicle can be shifted into gear accidentally. You want to make sure your vehicle has a “brake transmission shift interlock” (BTSI) that works in all shift positions.

6 Simple Steps:

1. Make sure your vehicle is parked on a flat surface;

2. Get in your car and put the emergency brake on;

3. Make sure no one is in front of or behind your vehicle;

4. Put the keys in the ignition in the off position;

5. Turn the key one click forward ;

6. Try to shift your vehicle into gear without putting your foot on the brake.

What Happened?

If your vehicle shifts into gear, then you do not have brake transmission shift interlock in that position. You should be aware that your vehicle can roll if it is accidently shifted into gear.

Try the same test in all key positions. If your vehicle shifts into gear without putting your foot on the brake, then your vehicle does not have BTSI at all!

Most vehicles manufactured today have BTSI in some positions but not all. The old saying goes, “an ounce of prevention is worth a pound of cure”. Simply knowing that your vehicle can accidently roll should make you more aware of the potential dangers to you and your children.

More Information

Formal Agreement Reached on Brake Transmission System Interlock

Automatic transmission cars can kill your child

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August 11, 2011

Child ATV Injuries in N.S. Down (or Maybe Not)

A pediatric surgeon at the IWK Health Center, Dr. Natalie Yanchar recently completed a study comparing ATV related hospitalizations in the province for three years before Nova Scotia introduced restrictions on children driving ATVs and the three years since the legislation was put into place.

According to Dr. Yanchar’s study, ATV related hospitalizations dropped 38% since the new legislation was put in place and severe ATV related injuries dropped 75%.

In 2005 Nova Scotia enacted legislation requiring mandatory safety training for children. The legislation also prohibits children under the age of 14 from riding ATVs unless they are on closed courses. 14 and 15 year olds are able to ride ATVs while under parental supervision.

However, according to a report by CBC News, the ATV industry claims that the rate of injury has actually increased. The ATV industry claims that the number of ATV users has declined since the legislation was introduced. Therefore, the rate of injury has increased. However, the industry has not presented any statistics to back up their claims.

I have seen firsthand the debilitating injuries caused to young children as a result of ATV accidents. I supported Nova Scotia’s ATV legislation (and still do).

I think Dr. Yanchar’s study confirms what common sense says. The more training and supervision children receive in the use of ATVs the fewer injuries to children.

More Information

ATV's Pose Serious Risks to Children: Premier does a U-Turn

Concerned Familes for ATV Safety

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July 8, 2011

Kids in Hot Cars: Criminal Charges or Better Education?

Today I was interviewed as Chair of Kids and Cars Canada. The issue: The dangers of leaving children in hot cars and what can be done to prevent it. Should the conduct be criminalized or will better public education help?

You can listen to the interview and the calers comments by going to 570 News website and clicking on the link to the audio clip of the interview.

Leaving Kids in Hot Cars

The interview runs from 1:43 to 10:50 and the call in discussion runs until 20:55.

So what do you think? If a parent leaves their child in a hot car should they face criminal charges? Should car manufacturers be installing monitor - warning lights to alert drivers that there is someone in the back seat? Is public education the answer?

Please let me know what you think by posting a comment.

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July 8, 2011

Child Safety: Passerby Rescues Toddler in Sun Baked Car - Kids and Cars Canada

Yesterday I was interviewed as Chair of Kidsandcars.org - Canada, about the dangers of leaving children in cars during the hot summer months: A Hot Weekend Reminder for Parents

I have posted before about the dangers posed to children when they are left in cars. See for example: Child Safety: Sunny Days and Kids in Cars

On a sunny 25 degree day the temperature inside a locked car can rise to more than 100 degress in less than 5 minutes.

One of the safety tips that Kidsandcars.org Canada is a recommendation for bystanders:

If you see a child alone in a vehicle, get involved. If they are hot or seem sick, get them out as quickly as possible. Call 911 or your local emergency number immediately.

But sometimes that's easier to say than do. So that's why I wanted to post a link to this news story and to publically congratulate the passerby in British Columbia who decided to "get involved" when he saw a toddler locked inside a car on a hot day.

Passerby alerts police after spotting distressed toddler inside sun-baked SUV

This man didn't have to get involved. In fact, it probably would have been easier for him to carry on with his day. But by calling 911 to rescue this little girl he may have prevented a tragic death.

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July 7, 2011

Child Injuries Due to Car Rollovers: "Freak Accident" or Predictable Danger? - Kids and Cars Canada

As part of my volunteer work with Kidsandcars.org - Canada I came across two recent media reports of children being injured due to car roll overs.

Child Hurt in Freak Accident

Father in Lumby Runs Over his Young Son Accidentally

A toddler was injured after being hit by a family vehicle in their driveway. Police say the father unhooked a trailer and pulled the truck forward at the same time the young child walked in front of the truck. The father did not know the child was there.

Worst Nightmare

Stories like these are every parents worst nightmare. But what struck me is the headline of the first story that referred to the incident as a "Freak Accident". But that implies that this type of injury is rare and unforseen.

frontover-main-pic2.jpgUnfortunately that isn't the case. Every year, thousands of children are hurt or die because a driver moving forward didn't see them. The majority of these incidents take place, like the incident in Vancouver, in residential driveways or parking lots and are referred to as ‘frontovers.’

A "backover" injury usually takes place when a parent (or other driver) is backing out of a residential driveway or parking lot.

For example, in the U.S. at least fifty children are being backed over by vehicles EVERY week. Forty-eight (48) are treated in hospital emergency rooms and at least two (2) children are fatality injured every WEEK. The predominant age of victims is one year olds. (12‐23 months)
Over 60% of backing up incidents involved a larger size vehicle. Tragically, in over 70% of these incidents, a parent or close relative is behind the wheel.

Unfortunately I have seen for myself the catastrophic injuries that can be caused by inattention and lack of awareness. I represented the family of a toddler who suffered serious injuries after being hit by a car backing out of a parking spot: Boy pinned between cars awarded $1.4M

Kidsandcars.org - Canada

There are no reliable Canadian statistics for these types of incidents in Canada. That's because, until now, no one was paying attention! That's one of the reasons why I have agreed to Chair Kidsandcars.org - Canada . To help educate the public about these dangers and to try to help prevent these types of injuries in the future.

Want More Information?

If you want more information about Kidsandcars.org - Canada or how you can help, you can contact me through this blog or go to the website at kidsandcars.org.

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June 9, 2011

Child Safety: Sunny Days and Kids in Cars

Yesterday was the first sunny day we have had in what seems like months. I actually had to roll the windows down in my car driving home it was so hot.

By coincidence, Kids and Cars sent me a public service announcement yesterday reminding car owners of the dangers of leaving children unattended in cars.

So that's probably why this story Child in car on hot day: What was mom thinking? caught my attention today. Fortunately the child in this story wasn't hurt. But things could easily have turned out differently. Tragically so.

Through May 31 this year 8 children had already died in the United States from heat stroke in vehicles – close to the record-setting pace of 2010 when 49 infants and children died. Unfortunately there are no comparable statistics here in Canada because there is no one tracking this sort of vital information.

“It’s a record no one wants to see broken,” says Janette Fennell, founder and president of KidsAndCars.org, a nonprofit child safety organization working to prevent injuries and deaths of children in and around motor vehicles.



Heat More Dangerous to Children

A child’s body temperature climbs three to five times faster than an adult’s, especially in a hot car. In less than 30 minutes, the temperature inside a car can increase 35 degrees. An infant can die in as little as 15 minutes even on a pleasant 20 - degree day.

To prevent heat stroke deaths, Kids And Cars.org recommends learning the following mnemonic to help prevent heat stroke deaths: Be Safe


Back seat – Put something in the back seat so you have to open the door when leaving the vehicle – cell phone, employee badge, handbag, etc.

Every child should be correctly restrained in the back seat.


Stuffed animal – Move it from the car seat to the front seat to remind you when your baby is in the back seat.

Ask your child-care provider to call you within 10 minutes if your child hasn’t arrived on time.

Focus on driving – Avoid cell phone calls and texting while driving.

Every time you park your vehicle open the back door to make sure no one has been left behind.

I have met Janette and she is a passionate advocate for child safety. In fact, I was so impressed with the work, she and her organization have done that Arnold Pizzo McKiggan has partnered with Kids and Cars to create Kids and Cars Canada. If you would like more information, or want to know how you can help, feel free to contact us.

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June 1, 2011

New Cycling Safety Rules in Effect Today Designed to Reduce Nova Scotia Bicycle Accidents

Today new legislation comes into effect to promote the safety of cyclists in Nova Scotia.

The law includes specific requirements for both drivers and cyclists including:
one_metre_logo_sm.jpg


Car drivers must leave at least one metre of space when passing a cyclist;

Motorists are allowed to cross a solid yellow line when necessary to pass a cyclist, as long as it is safe to do so.

Cyclists must ride single file, except when passing another cyclist.

Cyclists must ride on the right side of the road.


Here is a link to the provinces summary of the new safety rules.

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June 1, 2011

Child Safety: N.S. to reduce speed limits in school zones - Kids and Cars Canada

The Department of Transportation has announced plans to introduce legislation this fall to reduce speed limits in school zones from 50 km/h to 30 km/h.

The goal of the new limits is to protect students and make roads safer.

Bill Estabrooks, Minister of Transportation and Infrastructure Renewal stated:

"As a former teacher and principal, I know first hand that road safety is not always at the top of a student's mind...This reduction in speed could give a driver the extra split second needed to save a life."

Alberta, British Columbia, and New Brunswick already have a 30 km/h limit in school zones as do many U.S. states.

Three years ago I posted Slow Down and Save a Childs Life! where I called for a reduction in the speed limit in school zones. As a personal injury lawyer I have represented many injured children who have suffered serious injuries as a result of car - pedestrian accidents. I congratulate the government on this move to help improve child safety in our province.

"Speed matters," said Pamela Fuselli, executive director at Safe Kids Canada. "It's estimated that a pedestrian struck by a car travelling at 50 kilometres an hour is eight times more likely to be killed than someone hit at 30 kilometres an hour."

A press relase from the Department of Transportation indicates the legislation is expected to be ready this fall.


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May 31, 2011

Child Safety: Preventing Burn Injuries at Home

75% of burns and scalding injuries happen in the home. Water doesn't have to be boiling (100 degrees C) to be a serious danger. At a temperature of 68 degrees Celsius water can cause third degree burns in less than one second!

"What's a Third Degree Burn?"

Third degree burns happen when all three layers of the skin are destroyed. Third degree burns require immediate medical attention. Treatment and recuperation requires skin grafts and can require months of painful rehabilitation.

According to the Journal of Burn Care and Research more than 1,000 children are treated in emergency rooms across Canada every year for burn injuries. Children aged 1 to 5 years were at the highest risk of death.

Don't Understand the Danger

Children are more prone to burn injuries because they do not understand the danger associated with boiling water, hot stoves etc.

They also have thinner skin which gives them less protection against burn injuries. In fact, non-fire related burns are the leading cause of death for children age 4 and younger.

Dangerous Places

Most people assume that the kitchen is where most injuries happen. Few realize that bathrooms and radiators can be just as dangerous. Emergency departments frequently see cases where children have been placed into bath tubs without the parents checking the temperature of the water, resulting in serious scalding injuries. Scalding injuries represent 50% of all hospital admissions due to burns.

Burn Prevention

The easiest way to ensure that you are not scalded by tap, bath or shower water is to make sure that it does not get hot enough to injure yourself or family in the first place.

Make sure your hot water heater isn't set any higher than 48 degrees Celsius. This will greatly reduce the chances of being burned if someone happens to flush the toilet when you or your child is in the shower.

If you are a tenant and don’t have access to your hot water heater, notify your landlord by letter and ask that they turn down the temperature on the hot water heater. It’s unlikely that your landlord will object since turning down the temperature on the hot water heater will save the landlord money.

In the winter some people use space heaters to heat their homes. You can read more about the dangers of space heaters here:Space Heaters: Safety Tips to Prevent Burns Injuries and Fires

Kitchen Injuries
boiling%20water.bmp Cooking temperatures are frequently close to boiling which can cause third degree burns in less than a second. Most burn injuries in the kitchen result from hot water or oil spills.

Prevention Tips

• Use back burners whenever possible.
• Keep handles of pots facing in.
• Never leave children alone in the kitchen while you are cooking.

Burn Treatment

If you suffer a burn there are a few simple steps you can take to reduce the chances of suffering long term injuries.

• If the burn is serious call 911 and ask for an ambulance.

• Immediately pour cool (not cold) water on the burned area for 3-5 minutes or until the ambulance arrives.

• Cover the area with clean gauze or bandages. Do not apply aloe or other ointments because impurities can cause infections.

• Do not break any blisters. This can also result in an infection.

• Wear loose clothing while the burns are healing.

Further Resources

Burnsurgery.org

Sick Kids Hospital Burn Prevention Team

Burn Prevention for Families With Children With Special Needs: Video

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May 13, 2011

Head Injuries in Children: CT Scans Not Always Necessary For Diagnosis - Nova Scotia Brain Injury Claims

A study of children with minor head trauma at Boston Children’s Hospital suggests CT scans may not be necessary when diagnosing children who have suffered head trauma.

The study indicates that the use of a CT scan can be reduced by up to 50% without compromising care simply by observing children. This is a positive finding because reducing CT Scans reduces children’s exposure to unnecessary radiation.

The June issue of Pediatrics Journal contains the results of a study lead by Boston Children’s Hospital and the Department of Emergency Medicine at UC Davis. One of the co-authors of the study Lise Nigrovic stated:

“Only a small percentage of children with blunt head trauma really have something serious going on. If you can be watched in the ED for a few hours, you may not need a CT”.
The study reviewed the results of more than 40,000 children who had been admitted to emergency departments with blunt head trauma. Some of the children had CT scans ordered immediately. Others were observed before a decision was made about the use of a CT scan.

More Observation = Fewer CT Scans

The authors of the report found the children who were observed had a lower rate of CT Scans then those who were not observed.

The authors found the allowing for an observation period did not compromise the safety of the children. Significant brain injury or injuries requiring surgical intervention was almost equal in both the observed and non-observed groups.

The findings are significant because CT Scans present a risk to children. A child’s growing brain tissue is more sensitive to radiation then adults. Therefore, any exposure to radiation increases the risk of developing a radiation induced cancer later in life.

Guidelines for Parents

Nigrovic suggested the following guidelines for parents to be aware of if their children have suffered a head injury:

1. Check with your family doctor before taking your child to the emergency department;

2. If your child has a headache, vomiting and or confusion, take them to the emergency department immediately;

3. An emergency department physician may choose to observe your child before making a decision about whether to order a CT Scan;

4. Changing symptoms over time (either increasing severity or decreasing severity) is an important factor in deciding whether to order a head CT Scan.

Continue reading "Head Injuries in Children: CT Scans Not Always Necessary For Diagnosis - Nova Scotia Brain Injury Claims" »

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May 5, 2011

Infant Safety: Babies Being Given Dangerous Herbal Remedies

The latest edition of Pediatrics Journal contained a study published by the University Hospital Medical Centre in Cleveland Ohio which shows that 9% of babies are being given a wide variety of herbal supplements. The study states that this is a concern because some of the herbs may pose health risks to babies.

Unregulated

The problem arises because herbal supplements are not regulated the same way as drugs and pharmaceuticals. The herbal remedies may cause adverse drug reactions and may be contaminated.

For example, in 2007 Baby's Bliss brand of Gripe Water, which is used to calm colicky babies, was recalled because it contained a parasite that can cause intestinal infections.

Milk or Formula

Pediatric experts recommend that infants receive only human milk or infant formula for the first 4-6 months of their life.

The milk or formula can be supplemented with vitamins or medicine as recommended by your doctor.

More Resources

Infant/Child Product Recalls (not including toys)strong>

Infant Safety Hazards

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April 15, 2011

Do Helmets Increase Risk of Head Injury?

If there is one thing that everyone knows it's that wearing a helmet reduces the risk of head injury. Or does it?

Risky Business?

New research published by Mikael Colvill-Andersen suggests that people who wear helmets are more likely to engage in the type of risky behavior that results in head injuries.

Colvill-Anderson claims:

“There are actually scientific studies that show your risk of brain injuries is higher when you’re wearing a helmet, and that you have a 14% greater chance of getting into an accident with a helmet on…”

Controversial...or Just Dangerous?

Needless to say, Colvill-Anderson's statements have raised a storm of controversy among doctors, brain injury organizations and sports organizations.

Helmet Laws Reduce Injuries

Most provinces have laws requiring people to wear helmets when they ride bicycles. Ontario’s helmet law was passed in 1995 and a test conducted by Toronto’s Hospital for Sick Children found that bicycle fatalities among children dropped after the legislation was introduced. However, bicycle fatalities among adults (who were not covered by the helmet law) remained the same.

Colville-Andersen’s research is based on the “risk homeostasis” theory that everyone has a "preset" level of risk tolerance. The theory suggests that when you do something to decrease your risk of injury you compensate by engaging in more risky behavior.

For example, the risk homeostasis theory states that if someone decreases their risk by wearing a seat belt they may unconsciously drive faster.

It appears that the weight of scientific evidence is critical of the risk homeostasis theory.

Helmets or No Helmets?

While some sports require helmets as a condition of playing (hockey and football are obvious examples) other sports that some might consider equally violent actually ban helmets, rugby and lacrosse for example.

What Do You Think?

If you wear a helmet are you more likely to engage in risk taking behavior? Or are helmets just a common sense way of preventing concussions and brain injury?

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March 29, 2011

ThinkFirst Brain Injury Awareness Video

ThinkFirst Canada is a nonprofit organization dedicated to preventing brain and spinal cord injuries.

They have released a new educational video about concussions in hockey. But the medical issues apply to all sports.

This video should be required watching for ANY parent that has children playing minor sports.

It tells you what the signs and symptoms of a concussion - brain injury are and what to do when you see them.

Please share this with anyone you know who has children playing minor hockey!

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March 22, 2011

Children Should Stay in Rear Facing Seats Longer: Child Safety Experts

Car accidents are the leading cause of death for children age 4 and up. Child car seats have been shown to lower the chances of death in a car accident by 28 per cent compared with seatbelts. They have also been found to reduce the severity of car crash injuries.

Most child car seat manufactures recommend that children stay in rear facing seats until they are 1 year old or 9 kilos as a guideline, before being placed in forward facing seats.

Rear Facing Seats Safer
But after reviewing data from injuries due to car crashes over several years that shows that children in rear-facing car seats are more likely to surivive, the American Academy of Pediatrics and U.S. traffic safety officials have teamed up to release new guidelines that recommend toddlers should sit in rear-facing car seats until age two. If a child under the age of two outgrows the weight limits for their infant car seat, they should be moved to a rear-facing convertible car seat and kept in that position until age two.

The U.S. National Highway Traffic Safety Administration has issued similar recommendations.

Canadian Guidelines Not Clear

In Canada the Canadian Paediatric Society's Injury Prevention Committee Guidelines recommend that parents should only move their children into the next phase of car seat when a car seat's weight or height limits have been exceeded.

"Parents should be encouraged to continue to use a rear-facing seat as long as the height and weight limitations allow..."

Unfortunately this "encouragement" doesn't really provide parents with clear directions as to the safest choice for their child's safety.

Dr. Claude Cyr a member of the CPS committee told CTV News that the re-wording of the AAP guidelines could compel a review of the Canadian guidelines to see if they could be made clearer.

Further Reading:

Car Seat Recall a Reminder to Parents About Possible Dangers to Children

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March 17, 2011

Brain Injuries: Minor Hockey Players 10x More Likely to Suffer Brain Injuries

Body Checking Increases Risk of Bain Injury

Perhaps this new research should have been published in the Journal of Common Sense (if there was such a thing they probably wouldn't have enough subscribers).

A new study of minor hockey players has found that the incidents of brain injury in 9 and 10 year olds has increased ten times since Hockey Canada decided to allow body checking at a younger age in minor hockey.

I have posted many times about the problems with brain injury due to concussion in minor sports such as hockey, football and basketball. See for example:

Hockey Nova Scotia Recommends New Concussion Policy to Prevent Brain Injury

25% of Junior Hockey Players Suffer Brain Injuries: Ontario Medical Study

Another Study Linking Football and Brain Injury

Ignoring the Problem?

However, it seems that players, fans and officials were turning a blind eye to the problem until recently.

No doubt the high profile given to the injuries suffered by Sydney Crosby has played a part in recent public interest.

Professional Sports Starting to Pay Attention

For example, the NHL has announced details of a new concussion protocol that will require players showing symptoms of concussion to be tested by a doctor before returning the play. Until now, sports trainers would conduct player examinations on the bench during a game.

Last week the National Football League announced that this coming season every team will be required to use the same standard test: “the NFL sidelines concussion exam” to evaluate whether a player has sustained a concussion (or more serious brain injury). [Thanks to my colleague Bruce Stern at the Brain Injury Law Blog.]

What About Our Children?

While the "powers that be" in professional sports appear to be taking steps to protect the athletes that work so hard to entertain us, I have to ask: "Who is looking out for our children?"

Decade Long Study

Dr. Michael Cusimano of St. Michael’s Hospital in Toronto reviewed the records of more than 8,500 boys aged 6 to17 who attended Ontario area emergency departments for hockey related injuries during a 10 year period.

Dr. Cusimano is the volunteer Vice President of Think First Foundation of Canada, a non-profit organization dedicated to the prevention of brain and spinal cord injury.

More than half of the reported injuries (4,460) were the result of body checking!

But the scariest finding was that the risk of a head or neck injury, including concussions increased significantly across all minor hockey divisions.

It is simply common sense that we shouldn’t do anything to unnecessarily increase the risk of injury to our children.

The rule change that allowed body checking for 9 and 10 year olds in the Atom hockey division is simply wrong. It does not increase children’s skill levels. It does not teach them how to “take a hit”. It simply increases the risk of injury and exposes children to serious, potentially life threatening, brain injuries.

Want to do something about it?
Email Sean Kelly who is in charge of Regulations and Legal Affairs for Hockey Canada. Tell him you oppose body checking for 9 and 10 year olds.

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December 1, 2010

Space Heaters: Safety Tips to Prevent Burns Injuries and Fires

The temperature is dropping and more and more Canadians are using space heaters to keep warm.

The first house that my wife and I bought was so poorly insulated that we had an electric space heater in the bathroom so we wouldn’t freeze to death getting ready for work in the morning.
Thinking back it probably wasn't a great idea to have an electrical appliance like that around so much water.

Since then I have seen many people who have been injured because of faulty space heaters. Or children injured because heaters were not used properly. So I thought it might be a good idea to post these safety tips.

space-heater.jpgDifferent Heaters - Different Risks

There are two different types of space heaters: electric heaters and heaters that burn fuel (usually oil or kerosene).

Large Space or Small Space?

There are convection space heaters that can be used to heat a large area. They usually come with a fan or blower to circulate heat.

Radiant heaters are designed to be used in smaller areas.

But any type of space heater; electric, fuel, convection or radiant can cause serious injury or loss due to burns or house fires if not designed or used properly.

Safety Tips

1. Not a Substitute. Space heaters are designed to temporarily heat small areas. They are not a substitute for heating an entire home or apartment.

2. Children and space heaters don’t mix. The heating elements in space heaters tend to glow and create a sometimes irresistible attraction to babies and toddlers. Never leave children alone in a room where a space heater is being used.

3. Don’t leave heaters unattended. Most house fires that are caused by space heaters happen because the person that turned on the heater forgets to turn it off before they leave the room or fall asleep.

4. Space heaters can cause fires. This may sound obvious but space heaters should be kept far away from flammable materials. Most space heater fires happen when curtains, blankets or clothes are placed to close to the space heater. Manufacturing guidelines usually recommend that space heaters not be placed within 3 feet of any flammable materials. That includes the floor so don’t place you space heater on a rug!

5. Extension cords are dangerous. Most electric space heaters specifically state that they are not to be used with extension cords. Extension cords in general pose a danger especially when they are placed under carpets or rugs.

6. Fuel based space heaters should not be used indoors. Kerosene or oil based space heaters give off carbon monoxide. When used inside a room they can give off poisonous fumes that can kill the occupant while they sleep.

More information:

Canadian Standards Association

Consumer Product Safety Association

Harvard University Space Heater Safety Fact Sheet

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November 18, 2010

Teenagers with ADHD at Higher Risk of Car Accidents

A research study conducted by the University of Toronto over 7 years has found that teenage boys with Attention Deficit Hyperactive Disorder (ADHD) have a 35% higher risk of being hurt in car accidents, whether they are the driver or just a pedestrian.

The lead author of this study, Dr. Donald Redelmeier said that teenagers with ADHD:

“Should wear seatbelts, avoid excessive speed, restrict the use of alcohol and avoid distractions such as having a lot of passengers in the car and using a cell phone.”

Well duh!

At the risk of stating the obvious, all of the actions recommended by Dr. Redelmeier are things any reasonable, careful, and prudent person should do in order to reduce their risk of injury or accidents.

The problem, of course, is that teenagers, especially teenages with ADHD, are not always reasonable or prudent.

Medical Restrictions?

The question is whether persons with ADHD should have restrictions placed on their driver’s license. Just like people with reduced vision have restrictions placed on their driving privileges that require them to wear glasses when they drive.

Redelmeier told the Montreal Gazette:

"Maybe ADHD ought to be considered just like diabetes, epilepsy . . . or narcolepsy — that is the patient must show they are in good medical condition if they wish to maintain their driver's licence..."

The study points out that the increased risk to teenagers with ADHD is the same as for people with epilepsy. Every province in Canada has legislation that places some limits on the driving privileges of persons with epilepsy.

So what do you think? Should persons with ADHD have their driving privileges restricted?

What about senior citizens if age effects their sight or reflexes?

Let me know what you think.


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November 12, 2010

Hockey Nova Scotia Recommends New Concussion Policy to Prevent Brain Injury

Darren Cossar, Executive Director of Hockey Nova Scotia, has announced that the organization has approved a new policy to address concussions in children playing minor hockey.

The Globe & Mail reported Cossar as saying: “We’ve finalized concussion policy for return to play…the onus is on the coach that any player who is suspected of having a concussion has to be examined by a doctor before returning to play.”
hockey_concussion.jpg
Hockey Canada recently released the results of the Hockey Concussion Education Project which revealed a frequency of concussion in minor hockey that was 7x higher then previously thought. The authors of the report called concussions an “epidemic”.

It looks like amateur sports are finally starting to get the message. Concussions are serious injuries that can have permanent and lasting consequences.

More Information

What is a Mild Traumatic Brain Injury?

Concussions: Causes, Symptoms, Diagnosis and Treatment

8 Myths of Traumatic Brain Injury

Sports Concussions: Bryant Gumbel

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November 9, 2010

Blind Spots a Big Danger for Young Children: Child Injury Prevention

Everyone who has learned to drive knows that all vehicles have “blind spots” in the back, sides and corners where the vehicles rear view or side view mirrors don’t provide adequate visibility.

Children Injured Every Day

Everyday, young children are injured when they are backed over by a motor vehicle. More than 70% of children injured in “backing up” accidents are hit by a driver who’s related to them, usually their parent.

Young children are particularly at risk. Toddlers up to 2 years of age represent 70% of all backing up victims. Young children simply don’t understand the danger posed by moving vehicles.

blind_spots_500.jpgBlind Spot Increases with Vehicle Size

As the popularity of passenger vans, SUVs and pickup trucks has grown in North America, vehicles have gotten longer, higher and larger and the blind spots for these vehicles have gotten bigger.

Drivers are often to blame because they don’t understand, or underestimate, the risk presented by blind spots.

Edmunds.com conducted tests that showed for the average driver in a sedan the blind spot extends up to 10 feet behind the vehicle. For SUVs the blind spot is more than 20 feet and for a pickup truck is more than 30 feet! The shorter the driver is the larger the blind spot.

Completely Preventable

Fortunately, backings up accidents are preventable. Newer vehicles can be purchased with video cameras or rear sensor systems. After market products can be purchased so that older vehicles can have these systems installed.

Safety Doesn’t Have to Cost

Drivers don’t have to spend money to protect the safety of their children. There are a number of simple things that drivers can do to reduce the risk of backing up accidents.

Here is a list of safety tips to prevent or reduce backing up accidents. Although some of the tips may seem like common sense, as the old saying goes: “common sense is not all that common”.

1. Take a look behind your car before backing up.

2. Be aware of where your children are!

3. Tell children to move away from your vehicle before you move it.

4. Teach them! Teach your children that parked vehicles can move suddenly. Tell them that even though they can see the car, the driver may not be able to see them.

5. Know that steep hills and larger vehicles increase the size of the blind spot behind the vehicle.

6. Keep bicycles, toys and sports equipment out of your driveway.

7. Most Important. Pay attention!

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November 3, 2010

25% of Junior Hockey Players Suffer Brain Injuries: Ontario Medical Study

According to a medical study released in Toronto on Monday, 25% of junior hockey players on the two teams that were the subject of the study suffered concussions (minor traumatic brain injuries) last year.

One of the co-authors of this study, Dr. Paul Echlin called the results “alarming”.

Multiple Injuries

Echlin said that 29% of the players studied who had a concussion ended up suffering from multiple concussions.

The authors point to the United States where 9 states have passed laws making concussion education mandatory for players, coaches and parents. Those states also require players to have a doctor’s letter before they can return to play.

More Leadership Needed

One of the co-authors of the study, Dr. Michael Cusimano wants to see Hockey Canada, the NHL and minor hockey leagues around the country to show more leadership regarding the issue of concussion prevention:

“This is a time we need real leadership because this season there is going to be at least 15,000 to 20,000 kids who suffer concussions needlessly … giving a two minute penalty or one game suspension is going to do nothing.”

The Canadian medical study, called The Hockey Education Concussion Project determined that athletes were suffering concussions at a rate 3 times higher than previously thought.

The study highlights the need for greater education to help athletes, coaches and parents identify the symptoms of mild traumatic brain injury.

Epidemic

Dr. Echlin suggested that concussions are: “occurring at epidemic proportions”.

Tip of the Iceberg

Echlin pointed out that the number of concussions being diagnosed is likely just the tip of the iceberg. He said:

“Those are conservative numbers because of those who have not come forward or those undiagnosed”.

Does Peer Pressure Play a Part?

There is a tremendous culture in sports to “shake it off” and return to play. Athletes are afraid to admit they are hurt because they don’t want to loose playing time. Coaches don’t want to lose star players and parents don’t realize the risks that their children are facing.

What Do You Think?

Are parents, players and coaches ignoring the problem or do they just not realize the risk they are running?

What do you think needs to be done? Let me know in the comments.

Continue reading "25% of Junior Hockey Players Suffer Brain Injuries: Ontario Medical Study" »

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October 30, 2010

Brain Injury Myth: Mild Traumatic Brain Injury is not Disabling

Perhaps the biggest myth of brain injury is that mild traumatic brain injuries are not disabling.

They Look Okay

Since persons with traumatic brain injuries do not look obviously injured and many can function reasonable well in society, there is a common misperception that a traumatic brain injury is not as disabling as more obvious physical injuries.

But They're Not Okay

However, the National Institute of Health concluded that the consequences of traumatic brain injury can include a dramatic change in the patient’s life course, profound disruption of the family, enormous loss of income or earning potential and significant expenses over a life time.

Consequences Can be Devastating

The social consequences of mild, moderate and sever brain injury are significant and serious and include increased risk of suicide, divorce, chronic unemployment, economic strain and substance abuse.


Continue reading "Brain Injury Myth: Mild Traumatic Brain Injury is not Disabling" »

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October 25, 2010

Safety Tips to Prevent Halloween Injuries

I have to admit it, Halloween is one of my favorite holidays. I love seeing all the cute and scary costumes, and decorating our house so it looks like a haunted mansion.

But Halloween can also present dangers to children that parents need to be aware of. Here is a simple list of Halloween Safety Tips for parents to consider.

Halloween Safety Tips

• Look for the words “flame resistant” on all costumes, masks, beards and wigs. Remember, many of those scary jack-o-lanterns have burning candles inside them. Meaning your child may be exposed to a lot of open flames. Keep in mind, flame resistant doesn’t mean the costume can’t burn. But it does mean that the costume should be easy to extinguish if the unthinkable happens and they do catch fire.

• Choose bright, visible costumes. Decorate or trim costumes with reflective tape that will glow in the beam of a car’s headlights. Reflective tape is cheap and can be purchased at hardware or sporting goods stores.

• All children should carry flashlights.

• Use the buddy rule. Children should never trick or treat alone. Young children should trick or treat with an adult.

• Children should never go inside a house to get treats. Even if they know the person who lives in the house.

• Costumes should be short to prevent children from tripping over them.

• Do not obstruct children’s vision. Make sure masks and other costume pieces are on securely.

• Remind your children to use sidewalks, not to cut across lawns (hoses, rakes, Halloween decorations and lawn ornaments can present a danger for trip and fall injuries in the dark).

Have Fun

Halloween should be a safe and fun time for everyone. By following a few of these safety tips you and your children can have a safe and happy Halloween.

Pumpkin.jpg
BOO!

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October 19, 2010

Car Seat Recall a Reminder to Parents About Possible Dangers to Children

This week Evenflo, one of the largest manufactures of infant car and booster seats, announced it is recalling more than 18,000 child car seats in Canada and the U.S. after Consumer Reports crash-tested the seat and found that it can crack and fail in a simulated 48 km/h frontal collision.

The recall affects the Evenflo Maestro Combination Booster Seat. Canadians who own the seats should call 1-800-265-0749 for more information.

The news made me think of some of the claims I have had in the past where children were injured in car accidents even though they were secured in car seats. The fact is that many parents are not aware of some of the issues that need to be considered when buying and using infant car seats.

Transport Canada statistics show that as many as 30% of children are not properly restrained in vehicles (either in a car seat or with a seat belt).

Child%20car%20seat.jpgCar Seats Mandatory

Every province in Canada has laws requiring children to be placed in proper car safety seats or booster seats.

Unfortunately, every year infants, toddles and young children are injured because the seats have not been properly installed or are not used.

Selecting a Child Safety Seat

Canada has standards for child safety seats that are published by the Canadian Standards Association (CSA). The proper seat for your child will depend on his or her size (which is usually estimated by age). Safety seats usually have a sticker on the side of the seat indicating the proper age range for children that can safely use the seat.

Which Seat is Right for Your Child?

There are four main types of child car seats and each has certain risks and benefits.

Rear Facing Seats

Infants up to 20 pounds should be placed in a rear facing seat. These types of seats provide maximum support and protection for an infant’s body.

However, in order to be properly installed the seat must be placed at the proper angle. Newer infant car seats come equipped with special indicators that allow parents to adjust the angle of the car seat.

Benefits: Statistics indicate that rear facing seats provide children with the best protection in collisions.

Risks: Many infant seats come with hanging toys to amuse the child. These features can be dangerous in a collision because they can hit and injure your child. Some rear facing seats “snap in” to a base unit. If the base unit is not properly secured to the vehicle the safety seat can release during a collision.

Convertible Seats:

Some car safety seats can be used as a rear facing when the child is an infant and then be turned to face forward when the child gets older or larger. These seats are popular because parents can use the seat for a long period of time.

Benefits: According to Consumer Reports convertible seats usually have higher weight capacities which allow parents to use the seat in the rear facing configuration longer (thus providing greater protection to their child).

Risks: Convertible seats are often harder to secure in vehicles and are therefore at greater risk of releasing during a collision.

Forward Facing Seats:

Toddlers up to 40 pounds (4 years of age) must be secured using a front facing car seat.

Benefits: Forward facing car seats come in a variety of shapes, sizes and weights which allows parents to maximize the useful life of the car seat.

Risks: Some forward facing car seats have higher backs that can interfere with the car’s seat belts.

Booster Seats:

In Nova Scotia, for example, children must use a booster seat until they are either 145 cm (4 feet 9 inches) or 9 years old

Booster seats are typically appropriate for children between age 4-9.

Benefits: Booster seats are cheap so that you can buy separate booster seats for each vehicle that your children may ride in. Newer booster seats come with guides showing how to properly position the seat belt over your toddler’s waist.

Risks: Children often quick to want to “grow up” too soon. Children and parents may be too quick to place their children into a booster seat simply because of the added convenience.

However, if a child is too small for a booster seat they run the risk of serious abdominal injuries because the toddler’s seat belt doesn’t go over the child’s pelvis but instead goes over the child’s stomach or abdomen. When children are not properly belted into a vehicle they can run the risk of serious internal injuries in even comparatively minor collisions.

More Information:

Canadian Pediatric Association

Canadian Standards Association

Transport Canada

Consumer Reports

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October 18, 2010

Brain Injury Myth - Mild Traumatic Brain Injury Isn’t Permanent

Concussions Have Long Term Effects

It was once thought that the effects of concussion, (mild traumatic brain injury) were temporary. Doctors assumed patients could recover from the effects of concussion after a few minutes or hours.

However a famous research study published in Neurology, the Journal of the American Academy of Neurologists, found that after one year, 10% to 15% of mild traumatic brain injury patients still had not fully recovered. In fact, the study determined that many patients had more symptoms than immediately after the accident.

Modern medical research has found that mild traumatic brain injury can result in deficits (problems) in the speed of information processing, attention, and short term memory.

Recovery from these deficits can take several weeks or months and a small percentage of patients may never fully recover.

Continue reading "Brain Injury Myth - Mild Traumatic Brain Injury Isn’t Permanent" »

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October 12, 2010

Brain Injury Myth - Children Recover Quickly From Brain Injury

Children Vulnerable to Head Injury
Child%20head%20injury.jpg

Children do not lose consciousness as easily as adults. Because they don't get “knocked out” as often as adults, a myth developed that children did not suffer brain injury as easily or as often adults.

Another myth about children and brain injury is that children are more resilient than adults and that they recover or “bounce back” faster after a traumatic brain injury.

However, Dr. William Singer, a specialist in pediatric brain injury, has been quoted as saying:
“While children are resilient to many things, T.B.I. is not one of them. Children just don’t bounce back after a traumatic brain injury”

Normal I.Q. Doesn't = No Brain Injury

I.Q. scores have sometimes been used to measure the effects of brain injury in children. Unfortunately I.Q. tests are not a reliable indicator of the effects of brain injury. Brain injury does not affect a victims I.Q.

Putting the Puzzle Together
Missing_puzzle.jpg
Brain injury affects the victim’s ability to organize and retain information. I.Q. tests are not a reliable of a child’s learning ability after brain injury because most intelligence tests measure prior learning. But mild brain injury does not affect prior learning.

Brain injury affects the ability to learn, retain and organize new information. In a sense, brain injury prevents the victim from being able to put all the pieces of the puzzle together to make sense out of the information they have; to be able to see the whole picture.

The problems created by brain injury can only be effectively and objectively measured by neuropsychological testing.

Continue reading "Brain Injury Myth - Children Recover Quickly From Brain Injury" »

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October 6, 2010

Brain Injury Myth - Effects of Brain Injury can be Identified Immediately

As a Nova Scotia Brain Injury Lawyer I have had a number of brain injury cases where the defendant’s experts claimed my client did not suffer a brain injury, because their symptoms did not develop until hours after their initial injury.

Symptoms May Take Time to Develop

Modern medical science now recognizes that the effects of traumatic brain injury may not become apparent until 6-12 hours after the initial injury.

Becomes Obvious When Victim Returns to Work
frustrated-worker-at-desk.jpg
The effects of traumatic brain injury can be so subtle that they do not become apparent until the victim of brain injury attempts to return to their normal daily activities or work place demands.

It is only after the brain injured person is exposed to the increased organizational demands of the work place or school that their cognitive deficits, organizational problems or memory difficulties become apparent.

Continue reading "Brain Injury Myth - Effects of Brain Injury can be Identified Immediately" »

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September 29, 2010

Brain Injury Myth - Mild Traumatic Brain Injury Isn’t Serious

Diagnosis Misleading

The term mild or minor traumatic brain injury is extremely misleading. The reference to “mild” or “minor” refers only to the initial physical trauma or impact that causes the brain injury.

Permanent Problems

Brain injuries caused by a comparatively minor physical trauma or blow to the head can result in significant long term impairment or functional disability.

Often Misdiagnosed

As a Nova Scotia Brain Injury lawyer, I have spent the last 20 years representing persons who have been victims of serious personal injuries. I also sit on the Board of the Brain Injury Association of Nova Scotia (Halifax). In my experience, both as a brain injury lawyer, and a BIANS Board member, mild traumatic brain injury is one of the most serious injuries that commonly go undiagnosed.

Careful Examination Necessary

Busy, overworked doctors may not take the time to thoroughly question patients about their symptoms. The symptoms themselves may not develop until hours or days after the injured person has been discharged for the Emergency Room. In fact, the symptoms of mild traumatic brain are so subtle that the victims themselves may not realize they are suffering from a brain injury.

Symptoms to Look For

You can find a helpful checklist of the Symptoms of Minor Traumatic Brain Injury on my website.

Continue reading "Brain Injury Myth - Mild Traumatic Brain Injury Isn’t Serious" »

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September 20, 2010

Sports Related Brain Injuries in Teenagers on the Increase

Head Injuries Increase by 70%

The new school year is well underway and students are signing up for various sport teams. A new study from the Centre for Injury Research and Policy suggests that sports related head injuries among teenagers are increasing.

The study found that the number of young people suffering from head injuries while playing basketball had spiked 70% between 1997 and 2007.

Researchers believe that head injuries are likely caused by collisions between players, ball to head, or a players head hitting the floor.

Know the Symptoms!

As I have pointed out before, it’s important for parents, coaches and student athletes to be aware of the signs and symptoms of concussions.

See for example:

Head Injuries the Result of “Culture” Within the Sports

Traumatic Brain Injury Myth #3: A Normal MRI or CT Scan Means No Brain Injury

Brain Injury Claims: New Guidelines to Diagnose Mild Traumatic Brain Injury

Concussions can cause significant permanent injuries. Since the effects of concussions are cumulative, proper identification in order to prevent lasting disabling effects are vital.

You can find a checklist of the signs and symptoms of Traumatic Brain Injury on my website.

Continue reading "Sports Related Brain Injuries in Teenagers on the Increase " »

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September 17, 2010

NB Doctor Says "Minor Injury" Cap Definition Misleading

Pain Specialist Concerned About Minor Injury Cap

Dr. Richard Dumais is a pain specialist working at the Dr. Georges L Dumont Pain Clinic in Moncton New Brunswick. Today he voiced his concerns on the broadness of New Brunswick's definition of a "minor injury" under the provinces car insurance laws that caps compensation for pain and suffering.

According to Dr. Dumais:

"The label "minor injury" under the cap is misleading and appears to have had no meaningful input from physicians and the medical community,"
"Some people involved in motor vehicle accidents have residual injuries that are severe from a medical standpoint but may be considered minor injuries by the insurance cap",
"From my practice, I have seen patients who were categorized as having 'minor injuries' who are experiencing long-term pain.” I feel the current system has to be modified to make it fair for those who are truly injured beyond what could be called 'minor'."

Consumer's Group Opposes Cap

In August, the newly formed N.B. Consumers for Insurance Fairness Group (NBCIF) launched a campaign to inform the public about the real consequences of the so-called "minor injury" cap.

Frances McConnachie, spokesperson for NBCIF said:

"In 2003, New Brunswickers were told by the government that a cap would be placed on soft tissue injuries which were non-permanent in nature",
"The current regulations are far-reaching and broader than it was intended by the government. People with injuries and conditions such as epilepsy, chronic pain, bulging discs, spasms, broken and crushed bones could all fall under the cap".

Changes Recommended by N.B. Consumer Advocate and Insurance Brokers

The New Brunswick Consumer Advocate for Insurance and the Insurance Brokers Association of New Brunswick have recommended the government change the definition of "minor injury".

Call To Action

The NB Consumers for Insurance Fairness have called upon accident victims to join them via their Facebook Group or through their website: www.fairautonb.ca

Changes Overdue in New Brunswick

In April of this year, the newly elected NDP government increased the so-called "minor injury" cap on compensation. The NDP also made changes to Nova Scotia's insurance act to limit the number of innocent accident victims whose claims will be unfairly capped by the "minor injury" definition.

The changes are a huge step in the right direction and it is time that New Brunswick takes the same steps to protect the rights of innocent accident victims. It's time to "scrap the cap".

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August 11, 2010

Citizens Group says N.B. Insurance Cap Unfair

Consumer's Group Calls For Review of Minor Injury Cap

The CBC has reported that a group of concerned citizens has formed a new consumers action group calling for a review of New Brunswick's "minor injury" cap on car accident insurance claims.

Frances McConnachie is a member of N.B. Consumers for Insurance Fairness. McConnachie was quoted as saying she received $2,500 following an accident in 2004 that has left her with back and neck problems that limit her activities and make her reliant on therapy and pain killers.

Victims Share Stories

The group has started a Facebook page where N.B. accident victims can share their stories, provide support, and get information about the groups effforts to get the N.B. Government to repeal the $2500.00 limit on compensation for so called minor injuries.

I would encourage any readers from New Brunswick to join the fight for fairness!

N.S. Changed Minor Injury Law

After the NDP won the last election here in Nova Scotia, they fullfilled one of their election promises by making improvements to the minor injury cap here in N.S.

The amount of the cap was increased to $7500.00 and the number of people whose claims will be unfairly limited by the cap have been reduced.

Related posts:

Nova Scotia’s Minor Injury Cap: NDP Makes “Minor” Improvements

Court of Appeal Confirms Minor Injury Cap - NDP to Repeal Cap Law

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July 30, 2010

What is a Pecuniary Loss in a Personal Injury Claim?

There are generally two types of losses that your personal injury lawyer will try to recover on your behalf.

Non Pecuniary Losses

Non pecuniary losses are losses or harms that cannot be precisely measured or valued. For example, the most common type of non-pecuniary loss is compensation for “pain and suffering”.

See for example Nova Scotia Personal Injury Claims: How Much Is My “Pain and Suffering” Worth?

Pecuniary Losses

On the other hand pecuniary losses are financial losses that can be precisely measured. They may involve out of pocket expenses for things like medical treatment, travel expenses or funeral expenses.

The largest pecuniary loss that most personal injury victims suffer is their loss of income. If someone is seriously injured as a result of someone's negligence they are entitled to be compensated for their pecuniary losses for their past loss of income to the date of settlement or trial, as well as any ongoing income losses they may continue to suffer in the future.

In wrongful death cases, family members are entitled to recover for the pecuniary loss of income that the deceased family member provided to support the family.

Expert Evidence

Pecuniary losses may be difficult to calculate. Typically this part of the claim requires the services of an expert. See for example, Experts in Personal Injury Claims.

In most cases your personal injury lawyer will hire an economist or an actuary to figure out exactly what your pecuniary losses have been to date and how much your pecuniary losses will be in the future. Economist and actuaries use tables, guidelines and statistics to help determine how much money you would have earned over your lifetime. Obviously, there is no such thing as a crystal ball and future losses can never be determined with absolute certainty.

Your lawyer will take into account what are called negative contingencies. For example, the chance that you may have been fired, that your company would go bankrupt or that you may have been injured in some other way.

On the other hand, the expert will also determine the “positive contingencies” like raises, bonuses and promotions that might have increased your income in the future.

Continue reading "What is a Pecuniary Loss in a Personal Injury Claim?" »

July 28, 2010

Pain and Suffering Awards in Canada: Taxable or not?

"Do I have to pay income tax on my personal injury award?"

I get asked this question a lot. The short answer is, at least until the government changes the Income Tax Act, personal injury awards in Canada are not taxable.

In Canada, compensation for non-pecuniary damages (what is typically referred to as “pain and suffering”) is not considered taxable income. However, if you invest the money that you receive, any interest, profit or gain that you receive from those investments is taxable.

For example, say you receive $100,000.00 in compensation for your “pain and suffering” claim. The entire award is tax free.

However, if you take that $100,000.00 and buy an investment that earns 5% interest per year, the $5,000.00 you earn each year will be considered taxable income.

There are tools that your personal injury lawyer can use to ensure that investments from your injury settlement are tax free.

In certain circumstances your personal injury lawyer may recommend that you place your settlement funds into an investment known as a “structured settlement”.

A structured settlement is a type of investment, known as an annuity, where you purchase an insurance contract that entitles you to receive periodic payments (usually monthly) over a specific time frame (which may be a specific number of years or even your entire life).

All of the payments, including any increase in value of the payments over time, are tax free.

Structured settlements are not right for every personal injury claim. There are advantages and disadvantages that you will need to discuss with your personal injury lawyer.

Structured settlements can be complicated and your lawyer will probably retain the services of an expert to determine whether a structured settlement is right for you and what the appropriate terms of the structured settlement should be.


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July 6, 2010

Bicycle Helmets Save Lives - Prevent Brain Injury

I bought my son Liam a new bike this past weekend. He just couldn't wait to get outside and go riding with his friends. But he had to wait while I made sure that his new bicycle helmet fit him properly.

Summertime is Bicycle Time

With warm weather and summer vacation the number of children on bikes increases dramatically. So do the number of children attending hospital emergency rooms with head injuries.

Last month I read an article about bicycle helmet use by a pediatric neurosurgeon from Winnepeg's Children's Hospital expressing concern about Manitoba's "dismal" rate of helmet use. Only 22% of Manitoba cyclists wear a helmet when they ride.

Almost Half of Canadians Don't Wear Helmets

According to Statistics Canada's Community Health Survey :

Among the 11.4 million people aged 12 and over who reported bicycling in the past year, almost half (46%) never wore a helmet.

Can you believe that there are still people who refuse to wear a helmet when they ride a bike?

Good News Bad News

The good news, at least here in Nova Scotia, is that we have gone from one of the lowest rates of helmet use in the country to the highest (66%) since the province introduced legislation making helmet use mandatory. But even with laws that require helmets more than 4 out of 10 Nova Scotians still insist on risking their lives, and their brains, by riding unprotected.

BikeHelmetSafety.gif

How to Properly Fit a Helmet

So as a public service I have included a link to an article on helmets.org which explains how to properly fit a bicycle helmet.

So have a great summer and please make sure you and your loved ones wear a helmet!

Continue reading "Bicycle Helmets Save Lives - Prevent Brain Injury" »

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March 25, 2010

Brain Injury Lawyer Explains New Rule for Children with Head Injuries

More than 650,000 children are seen every year in hospital emergency rooms across North America suffering from the effects of mild traumatic brain injury.

Important Tool

CT scans are an important tool used in diagnosing the severity of brain injury. The problem is that CT scans expose children to the harmful affects of radiation.

Dramatic Increase

In Canada, the number of CT scans in pediatric emergency departments has increased from 15% in 1995 to over 50% in 2005.

Rule Helps Determine Who Needs Scan

A new study published by the Canadian Medical Association Journal has created a new rule to help doctors determine when a child, who has suffered a head injury, should receive a CT scan. The CATCH rule (Canadian Assessment of Tomography for Childhood Injury) uses findings from the child’s history and a physical exam to help determine which children are in need of further testing including CT scans.

Four Risk Factors

Four high-risk variables were found to be most important: a Glasgow Coma Scale score less than 15 at 2 hours after injury, suspected skull penetration or depressed skull fracture, worsening headache on history, and irritability on examination.

Rules Help Increase Accuracy/Decrease Risk

The new rules will help limit children's exposure to the potentially harmful effects of radiation, while at the same time help increase the accuracy of diagnosing children who have suffered a traumatic brain injury.

Continue reading "Brain Injury Lawyer Explains New Rule for Children with Head Injuries" »

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February 19, 2010

Brain Injury Claims Will Continue Until Helmets Mandatory

Fashion is preventing skiers and snowboarders from wearing helmets...and it's putting them at risk of brain injury according to a Toronto neurosurgeon.

The Journal of the American Medical Association published a commentary this week from Dr. Michael Cusimano, a neurosurgeon at St. Michael’s Hospital:

"Despite compelling evidence that shows wearing a helmet significantly reduces the chance of head and brain injury, there are still those who argue that helmets are not fashionable or part of the ski culture," wrote Cusimano.

There are certain sporting activities that are known to have a higher incidence of traumatic brain injury:

* Bicycling
* Skateboarding
* Rollerblading (Inline Skating)

In most jurisdictions it's now mandatory to wear helmets when doing any of these activities. People accept that it's just common sense.

Skier-carving-a-turn.jpg

Skiers and snowboarders are still resisting mandatory helmet use.

More than 120,000 people suffer head injuries every year in North America while skiing or snowboarding. Recent studies have shown that helmets help reduce the risk of head injuries by up to 60 per cent. Two weeks ago I posted about a similar Canadian study: Brain Injury Leading Cause of Death and Serious Injury for Skiers and Snowboarders

People are going to continue to suffer head injuries and traumatic brain injury claims are going to continue to be filed in the courts. But if the injured person wasn't wearing a helmet, you can expect defence lawyers to be more successful with claims of contributory negligence: that the injured person contributed to their brain injury because they refused to wear a helmet.

What do think? Should helmets be mandatory for skiers and snowboarders?

Continue reading "Brain Injury Claims Will Continue Until Helmets Mandatory" »

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January 22, 2010

NDP Requests Public Input Regarding “Minor Injury” Compensation Cap

Darrel Dexter’s NDP Government pledged to remove the unfair $2,500.00 cap on compensation for motor vehicle accident victims who have suffered a “minor injury”.

Constitutional Challenge Unsuccessful

A constitutional challenge was filed against the legislation arguing that the cap of $2,500.00 for persons who have supposedly suffered a minor injury was contrary to the Charter of Rights and Freedoms. The constitutional challenge failed at both the trial level and the Nova Scotia Court of Appeal. Leave to appeal to the Supreme Court of Canada has been filed.

Requesting Public Feedback

Now the NDP Government has released a position paper requesting input from the public. The minor injury cap was introduced because insurance companies claimed they were losing money on automobile insurance claims.

However, evidence presented to the Nova Scotia Supreme Court and the Nova Scotia Court of Appeal confirms the insurance industry was making record profits at the time the minor injury cap legislation was introduced.

Is the Cap Fair?

So what do you think? Is the cap of $2,500.00 for pain and suffering for persons who have suffered an injury in a motor vehicle accident fair?

Your comments can be sent to:

The Office of the Superintendent of Insurance
PO Box 2271
4th Floor
Provincial Finance Building
1723 Hollis Street
Halifax, NS B3J 3C8

Submissions must be received by February 15, 2010.

Please contact the Premier to voice your support for the government’s plan to repeal the minor injury cap. You can contact his office here or

Telephone: 902-424-6600
Fax: 902-424-7648
Toll-free Message Line: 1-800-267-1993
E-mail Address: premier@gov.ns.ca
Address:
Office of the Premier
PO Box 726
Halifax, Nova Scotia
B3J 2T3.

Further Reading

Court of Appeal Confirms Minor Injury Cap - NDP to Repeal Cap Law

Benefits of “Minor Injury” Cap Legislation does not Justify Discrimination

Nova Scotia Personal Injury Claims: “Minor Injury” Compensation Cap Constitutional

Continue reading "NDP Requests Public Input Regarding “Minor Injury” Compensation Cap" »

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December 18, 2009

Court of Appeal Confirms Minor Injury Cap - NDP to Repeal Cap Law

Whirlwind Week for Auto Accident Victims

It’s been quite a week for anyone interested in Nova Scotia’s automobile insurance minor injury cap.

Court of Appeal Decision

On Tuesday Chief Justice MacDonald released the Court of Appeal’s decision in Hartling v. Nova Scotia.

The Plaintiffs filed a constitutional challenge against Nova Scotia’s automobile insurance law which places a monetary cap of $2,500.00 on the compensation that injured car accident victims are entitled to receive for their pain and suffering.

Recap

During the original hearing, Justice Walter Goodfellow ruled that the legislation was not discriminatory and did not violate the Charter of Rights and Freedoms.

Nova Scotia Personal Injury Claims: “Minor Injury” Compensation Cap Constitutional

Justice Goodfellow released a second part to his decision where he determined that, if the legislation was discriminatory, the benefits of the legislation were not sufficient to justify the discrimination.

Benefits of “Minor Injury” Cap Legislation does not Justify Discrimination

Hope For Accident Victims

The decision offered hope to accident victims who felt that the Court of Appeal might give greater weight to the evidence of the adverse effects of the cap legislation.

Court of Appeal Dismisses Accident Victim’s Appeal

This week the Court of Appeal dashed the hopes of accident victims who have been told that the injuries they have suffered are minor and that compensation for pain is caped at $2500.00

Court of Appeal Agrees Legislation is Discriminatory

Chief Justice Smith agreed with the appellants on several issues:

Injured victims whose claims are capped by the legislation are treated differently from other automobile accident victims. Justice MacDonald ruled that this meets the distinction required by Section 15 of the Charter of Rights and Freedoms to establish discrimination.
The distinction is based on one of the prohibited ground of discrimination listed in the Charter. In this particular case accident victims were being discriminated against on the grounds of physical disability.
Chief Justice MacDonald acknowledged that minor injury victims are disadvantaged by the minor injury cap legislation.
Finally, Chief Justice MacDonald agreed that the court had to consider any evidence of prejudice or stereotype regardless of how limited it might be, in considering whether the legislation violates the Charter.
Balancing Act

However, after conducting an analysis of the evidence for each of these points Chief Justice MacDonald determined that the court had to consider whether the legislation’s purpose (controlling increasing auto insurance premiums) out-weighed the discriminatory effects of the legislation.

Minor Injury Cap Doesn't Eliminate All Right to Recovery

Chief Justice MacDonald distinguished the Supreme Court of Canada’s decision in Martin v. Nova Scotia (Workers Compensation Board) which found that the way in which Nova Scotia’s workers compensation legislation treated victims of chronic pain was discriminatory. Chief Justice MacDonald stated that, in Martin, claimants were denied all right of recovery whereas under the automobile insurance “minor injury” cap, victims’ right to recover compensation was limited rather than eliminated.

Legislation Doesn't Discriminate Against Women

Chief Justice MacDonald also dismissed the appellant’s arguments that the legislation unduly discriminates against female accident victims. While acknowledging that women have been historically disadvantaged in the work place Chief Justice MacDonald feels that the root problem of the discrimination and reduction in women’s wages were caused by unrelated social issues, not the minor injury insurance cap.

Minor Injury Cap Upheld

The Court of Appeal has decided that the minor injury cap legislation is discriminatory. However the discrimination is not sufficient to trigger the equality provisions of Section 15 of The Charter of Rights and Freedoms. In other words, the legislation discriminates. It just doesn’t discriminate enough to violate Canada’s constitution.

So there you have it, in Nova Scotia the minor injury compensation cap is constitutional and all of the limits and restrictions that the legislation places on innocent automobile accident victims are justified in pursuit of lower automobile insurance rates.

Supreme Court Denies Alberta Leave to Appeal

Accident victims in Alberta have been waiting for leave (permission) from the Supreme Court of Canada to appeal the decision of Morrow v. Zhang which upheld to constitutionality of Alberta’s minor injury automobile cap.

Minor Injury Cap Reinstated in Alberta

On Thursday morning the Supreme Court of Canada denied the accident victims’ leave to appeal. In other words, the Court wouldn’t even hear the victim’s appeal, let alone consider their arguments.

That means an appeal from Nova Scotia over the Hartling decision is also likely to be denied leave, since the Supreme Court only hears matters that have a national interest.

NDP to Repeal Minor Injury Cap

But not all hope is lost for accident victims.

Yesterday afternoon Premier Darrell Dexter confirmed the NDP government’s commitment to “scrap” the minor injury cap.

Premier Dexter was quoted as saying:

"The $2,500 cap is not fair to people who have suffered serious injury," he said.>"Insurance is a product designed to protect people. If you exclude people from protection through a $2,500 cap, then by definition you're not delivering the product that has been paid for."

Contact the Premier

Please contact the Premier to voice your support for the government’s plan to repeal the minor injury cap. You can contact his office here or

Telephone: 902-424-6600
Fax: 902-424-7648
Toll-free Message Line: 1-800-267-1993
E-mail Address: premier@gov.ns.ca
Address:
Office of the Premier
PO Box 726
Halifax, Nova Scotia
B3J 2T3.

Further Reading

My colleague David Brannen has posted a more thorough analysis of the hartling decision on his Nova Scotia Car Accident Law Blog. Take a look.

Continue reading "Court of Appeal Confirms Minor Injury Cap - NDP to Repeal Cap Law" »

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December 16, 2009

Head Injuries the Result of “Culture” Within the Sports

Head Injury Seminar

Hockey Canada is conducting its 2009 concussion seminar in Regina this week. The seminar, being staged jointly by Hockey Canada and the Dr. Tom Pashby Sports Safety Fund invites hockey player, parents, team managers, therapists, coaches and trainers, physicians and other medical professionals to receive up to date information on the diagnosis, treatment and return to play protocol for players who suffer from a concussion.

Concussions a Problem in Hockey

Former NHL defenseman Jammie Heward was attending the seminar. Heward estimates that he may have had more than 20 concussions during his amateur and professional hockey career.

But:

“The pressure to get back on the ice as quick as you possibly can is so incredible. I don’t mean its pressure from management and trainers; I mean its pressure from the players themselves.”

Players Lie to Play

Heward actually admits that some players will even lie to their trainers and team physicians because they don’t want to be taken out of the lineup.

NFL Acknowleges Brain Injury a Problem

The National Football League is also beginning to recognize the huge problems that concussions pose to professional football players.

Pittsburg Stealers receiver, Hines Ward created a uproar recently when he slagged quarterback, Ben Roethlisberger, for sitting out after suffering a concussion which resulted in Pittsburg loosing in overtime to the Ravens.

Public Service Announcements

My colleague Bruce Stern has posted on the Traumatic Brain Injury Law blog that the NFL in now conducting public service announcements on the danger of concussions and how to recognize the signs and symptoms of concussion.

Dangers in Amateur Sport
I have posted before about the dangers of a concussion in amateur sports.

Ban Fighting in Hockey to Prevent Brain Injuries – Deaths: Expert Panel

NHL, Parents Need to be Aware of Brain Injury from Concussion

In Canada hockey is our national sport, in the United States football carries the same tradition.

More Education Needed

But it is clear that athletes, both amateur and professional, are not being properly educated about the dangers of brain injury caused by repeated concussion.

For more information about concussion and brain injury you can check out my website or contact me to receive a free copy of my book, The Survivor’s Guide to Brain Injury Claims.

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December 14, 2009

What is a “Discovery”? Halifax Personal Injury Lawyer Explains

The Discovery Process

One of the most important steps in any personally injury claim is the oral discovery. If you file a lawsuit for compensation for personal injuries you will be required to testify about your knowledge of the event that lead to the lawsuit and your knowledge of the injuries that you have suffered.

In other words; what happened? How badly were you injured? How have the injuries effected your life?

A discovery is basically a question and answer session where you swear (or affirm) to tell the truth. The question and answer session is recorded by a court reporter who will type up a transcript of all the questions and answers. That transcript can be used later in court.

Since more than 90% of civil lawsuits settle before trial, the oral discovery is probably the most important step in the litigation process. As the name implies, the discovery process allows each side to “discover” all there is to know about the other side’s case. Each side gets a better understanding of the strengths and weaknesses of their claim and their opponents claim. They are able to judge how the plaintiff and defendant will appear if they have to testify in court.

In short, the discovery process provides a “dry run” for how the witness will testify at trial.

Before your discovery your lawyer will meet with you to prepare you for the discovery. I have prepared a report for all of my clients who are getting ready for discovery so that they can read it at their leisure and we can discuss any questions that they have. If you would like a copy, feel free to contact me through this blog.

Continue reading "What is a “Discovery”? Halifax Personal Injury Lawyer Explains" »

November 18, 2009

Parents Cannot Waive Children’s Right to Sue for Negligence

Parental Waivers Not Worth the Paper They Are Printed On?

In what appears to be the first ruling of its kind in Canada, the British Columbia Supreme Court has ruled that parents cannot waive their children's rights to sue for negligence when the child is injured as a result of participating in recreational or sports activities.

In Wong v. Lock's Martial Arts Centre Inc, Justice Willcock held that British Columbia's Infants Act:

"Does not permit a parent or guardian to bind an infant to an agreement waiving the infant's right to bring an action in damages in tort"

The plaintiff, Victor Wong was 16 years old when he broke his arm participating in a martial arts sparing match organized by the defendant martial arts club.

Parent Waivers are Commonplace

Any parent who has had a child participate in minor hockey, basketball, football, martial arts, gymnastics and so on has probably signed a parental waiver. Typically the waivers are broadly worded and release the defendants from any cause of action whatsoever.

Recreational and Sports Organizations Will Have to Be Careful

I am not aware of any equivalent case law in Nova Scotia and this case appears to be the first of its kind in Canada. What it means for the future is that organizations that hold recreational or sports activities will need to be more vigilant to ensure that they are not negligent in the way they organize their activities.

What do you think? Have you ever signed one of those waivers? Ever read it? Perhaps you should next time.

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August 26, 2009

Claimant Dies After Settling Claim – Insurance Company Tries to Back Out of Deal

The Supreme Court of Nova Scotia recently released the decision of the Estate of Theresa Anne Jollimore v. The Personal Insurance Company of Canada. The decision of Justice Coady involves a case where a minor (Jollimore) suffered a serious brain injury when the car in which she was a passenger was involved in a car accident.

Father Acts as Litigation Guardian

Because she was a minor, Ms. Jollimore’s father was appointed by the court as her litigation guardian to act on her behalf to bring forward her compensation claim.

Claim Settled

The defendant’s insurance company, The Personal Insurance Company of Canada appointed counsel and the parties engaged in mediation where they settled Ms. Jollimore’s claim for $235,000.00

Claimant Dies Before Payment

However, after the parties negotiated the settlement and signed a settlement agreement, Ms. Jollimore passed away from a drug overdose.

Insurance Company Tries to Back Out of Settlement

The insurance company took the position that because Ms. Jollimore died before they issued a cheque, the settlement was not binding. The insurance company also argued that since Ms. Jollimore had reached the age of majority (19 years) she was no longer a minor and therefore her father no longer had the authority to act as her litigation guardian to negotiate the settlement.

Insurer Knew Claimant Was Brain Injured

Justice Coady reviewed the evidence which clearly indicated that all of the parties were aware that Ms. Jollimore was not a minor at the time the settlement was negotiated. The parties were also clearly aware that Ms. Jollimore’s serious brain injuries rendered her incompetent and that she was not capable of managing her own affairs.

Insurer "Taking Advantage" of Claimant's Death

Justice Coady stated, at paragraph 26 of his decision:

“I have a great deal of difficultly with the respondent’s (insurance company) position. It is clear that the settlement was arrived at in good faith after the respondent was provided with all relevant information. The respondent was fully apprised of the risks associated with Ms. Jollimore’s lifestyle and health. The settlement figure reflected these factors. The respondent’s unwillingness to honor the agreement is predicated on taking advantage of Ms. Jollimore’s unfortunate demise.”

Protecting the Rights of People Who Cannot Protect Themselves

Justice Coady went on to point out the importance of trying to protect the interest of persons who have been injured and are no longer able to look after their own affairs. Justice Coady stated:

“It should not be forgotten that at the time of the settlement Ms. Jollimore was incompetent … I conclude that the settlement is binding on the parties.”

Moral Obligation May Not be a Legal Obligation

This decision reinforces the importance of insuring that, at every step of the litigation process all of the proper requirements under the court rules and appropriate provincial laws have been complied with. While most people understand that “a deal is a deal” this type of moral obligation means nothing to an insurance company like The Personal which tried to take advantage of a technicality under Nova Scotia rules of court in order to renege on their obligations to a grieving family.


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August 8, 2009

Summer Camp Injuries – Seven Things You Need To Know

It’s summer time here in Nova Scotia (although you couldn’t tell from the weather we’ve been having lately). Thousands of children across Nova Scotia are attending summer camp for the first time. The experience can be perhaps a little nerve racking. Then Mom and Dad get the call they have been dreading:

“Your daughter fell off the swings and broke her leg…”.
“Your son was hit in the head with a baseball and is unconscious…”
“Your child fell out of the boat during sailing lessons and almost drowned…”

What do you do? Who do you call?

Here is a list of the things you need to do right away:

1. Find out exactly where your child is now: You need to make sure that your child is receiving appropriate emergency medical care. Do not yell or get angry with any of the camp counselors who may have been responsible for supervising your child. This isn’t the time for threats or accusations just make sure your child is getting proper medical attention.

2. Find out what exactly happened from an adult who is in charge of supervising the camp. Make notes of all the details of the conversation, who you spoke to and the date and time that the conversation took place.

3. Tell the camp supervisor that you require that the accident be investigated immediately and that an incident report and witness statements be obtained right away.

4. If the camp is out of town, find out where your child is and if they have been admitted to the hospital. Make arrangements to get to the hospital as soon as possible.

5. Ask for the name of the doctor who is treating your child and call the hospital to confirm the information. Sometimes children may be transferred by ambulance to a rural hospital but, if their injuries are serious or life threatening, they may be transferred to a larger hospital or one theat specializes in children. You don’t want to be driving around on a wild goose chase trying to find your child at a time like this.

6. Once your child’s health has stabilized you can find out why the accident happened. Were the camp counselors properly supervising the children? In other words, could the accident have been prevented and if so how?

7. As parents we all know that accidents happen. However, sometimes accidents shouldn’t happen if the children were properly supervised or if a dangerous situation had been rectified. When an accident happens, you need to ask a lot of questions then you need to speak to a lawyer with experience in handling serious personal injury claims in order to protect your child’s rights.

Have a great, and safe, summer!

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July 14, 2009

2 Questions To Ask Before You Hire a Personal Injury Lawyer

2 Important Questions

There are two questions that almost every single client asks me during our first meeting. They are questions that I think every person who has suffered a personal injury should ask their lawyer before they decide to hire them.

The two questions are:

1. How long will this take?
2. How much will I get?
The honest answer to both of these questions (at least during the initial interview) is: “I don’t know”.

How Long Will This Take?

The golden rule of any personal injury claim is that you should never settle your claim until your injuries have completely resolved or until you know the full extent of any future residual disability that you may be left with as a result of your injuries. In other words, don’t settle your claim until you know how your injuries are going to affect you in the future.

It is often very difficult to tell, shortly after an accident, how long a person’s injury will last. It is usually impossible to tell what kind of long term residual problems they will have as a result of their injuries.

That means it is difficult if not impossible to determine how long it will take you to recover, how long it will take your doctors to provide a medical-legal opinion as to what your future limitations will be, what affect it will have on your future employment, what, if any, future rehabilitative or medical treatment you will require.

It is also impossible to say, in the early stages of a lawsuit how long it will take to complete document disclosure, complete discoveries of the parties, and get a trial date from the court.

While most experienced personal lawyers will be able to tell how long it takes to resolve a typical injury claim, your claim may not be “typical”. Every personal injury claim is unique and the best course of action depends on the particular facts of each individual case.

If a lawyer tells you in your first meeting exactly how long it is going to take before your claim is settled or how long it will be before you get to trial, ask them to put it in writing. Then you may want to consider talking to another lawyer.

How Much Will I Get?

The amount of compensation you will be entitled to receive for non-pecuniary damages (what is typically referred to as compensation for “pain and suffering”) depends a great deal on how long it takes you to recover from your injuries.

As I have explained above, it often takes months, sometimes years, for doctors to determine what the full extent of a patient’s injuries are and what the long term affects will be. That means it will take time to determine the full extent of the compensation you are entitled to receive for your non-pecuniary damages.

You are also entitled to recover compensation for things like loss of housekeeping capacity, loss of income, medical expenses and any other out of pocket expense you may have suffered as a result of your injuries.

In short, it will usually take a great deal of time and investigation to determine the full value of your claim.

If a lawyer tells you in your first meeting: "your claim is worth millions", ask him or her to put it in writing. When they won't, you may want to consider talking to an experienced personal injury lawyer.

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June 21, 2009

June is Brain Injury Awareness Month

Last week I had the pleasure of golfing in the Brain Injury Association of Nova Scotia's 18th annual 18 Holes for Hope Golf tournament.

Brain Injury Awareness Month

The tournament is one of BIANS's major fundraisers and I was happy to be part of the organizing committee.The tournament is held in June every year as part of Brain Injury Awareness month.

BIANS: Helping Survivors and Their Families

Over the past 20 years, BIANS has helped provide a community of support for survivors of brain injury by bringing together brain injury survivors, family members and health professionals.

BIANS has established a chapter network at the grassroots community-level to provide support and information to survivors and their families.

BIANS is a source of information about the effects of brain injury and has worked to increase injury prevention and awareness of brain injury.

BIANS established Aiseirigh House (now operated by the Moving In New Directions Society) a residential assisted living facility for brain injury survivors, and the Inroads Program; a community-based program for survivors which teaches cognitive skills and strategies in a combination of one-on-one tutoring, workshops/classroom and social settings.

Living With Brain Injury

I have dedicated my career to helping persons with serious injuries receive fair compensation. To get some idea of the effects, and extraordinary needs of brain injury survivors, take a look at this lecture about living with a traumatic brain injury.

How to Make a Donation

If you want to help support BIANS you can make a donation here.

Continue reading "June is Brain Injury Awareness Month" »

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April 30, 2009

Doctors Call for New Name for “Shaken Baby Syndrome”: Halifax Brain Injury Lawyer Explains

The American Academy of Pediatrics (AAP) wants doctors to stop using the term “shaken baby syndrome”.

Shaken Baby Syndrome is a diagnosis used to describe injury to the brain, skull and the spine of infants who have suffered severe shaking.

The AAP has recommended using the term: “Abusive Head Trauma”. This diagnostic term more accurately reflects the nature of the injuries suffered by infants. The term also more accurately conveys the nature of the injury. Shaking an infant can cause bruising, swelling and bleeding to the brain which, according to the National Institute of Health:

“...can lead to permanent, severe brain damage or death.”

The fact remains that many members of the public do not realize that it is possible to suffer a brain injury without striking your head. That is one of the brain injury “myths” that I dispel in my article “8 Myths of Traumatic Brain Injury”.

For more information about traumatic brain injury claims, you can contact me to receive a free copy of my book: The Survivor’s Guide to Traumatic Brain Injury Claims: How to Prove the Invisible Injury.


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April 5, 2009

Nova Scotia Personal Injury Claims: How Much Is My “Pain and Suffering” Worth?

One of the challenges that I face as a Nova Scotia personal injury lawyer is explaining to people who have been seriously injured how much compensation they are entitled to receive.

Pain and Suffering

One of the heads of damages that the court will consider when awarding compensation is what lawyers refer to as “non-pecuniary damages”. Most people refer to this type of damages as “pain and suffering”.

How Do Courts Calculate “Pain and Suffering”?

There is no such thing as a “Pain-O-Meter”. An injured victim cannot be hooked up to a machine that prints out the financial value of their pain. What a judge does when determining compensation for pain and suffering is use his or her experience and discretion to consider how the injury has affected the victim’s ability to function and how the injury has effected the person's enjoyment of life.

In other words, how have your injuries affected your normal day to day activates; your ability to work; and your normal amenities of life?

Financial Awards in Canada Different than the United States

Many of my clients have read news stories from the United States where injured victims have been awarded millions of dollars (sometimes tens of millions of dollars) for their “pain and suffering” from catastrophic injuries. Unfortunately, those types of damage awards cannot happen in Canada.

Supreme Court of Canada Caps Pain and Suffering Awards

The Supreme Court of Canada has placed a cap on the amount of compensation that injured victims are entitled to receive for non-pecuniary damages for pain and suffering.

In 1978, in a case known as Teno v. Arnold, the Supreme Court of Canada created a barrier to recovery for innocent victims who have been injured as a result of someone else’s negligence. In the Teno case, the Supreme Court ruled that no matter how seriously injured you are the maximum compensation that you can receive for your “pain and suffering” is $100,000.00.

Maximum Award for Pain and Suffering

Taking inflation into account, the cap on pain and suffering awards is currently considered to be slightly more than $300,000.00. But that maximum amount is only paid to the most catastrophically injured victims (quadriplegic, paraplegic, severe brain damage and similar injuries).

Even when plaintiff’s receive damage awards that seem large, they often never see the full amount decided by the judge or jury. Many awards are drastically reduced on appeal. These reduced or vacated judgments are seldom reported by the media.

If you are considering a claim for compensation for pain and suffering it is important to have an experienced Nova Scotia personal injury lawyer assisting you to ensure that you provide all of the relevant information that the courts will consider when assessing your non-pecuniary damages claim for pain and suffering.

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February 26, 2009

Brain Injury Claims: New Guidelines to Diagnose Mild Traumatic Brain Injury

New Guidelines to Diagnose Mild Brain Injury

The American College of Emergency Physicians has established new guidelines to be used in diagnosing mild traumatic brain injury.

Serious but Undiagnosed Injury

Mild traumatic brain injury has to be one of the most serious, yet undiagnosed health problems in Canada. Unfortunately, the general public has little understanding of what mild traumatic brain injury is and the problem is compounded by a poor understanding by some health professional about the criteria for what constitutes a brain injury.

Each year approximately 700 Nova Scotians suffer a traumatic brain injury. There are up to 5,000 - 6,000 serious car accidents in Nova Scotia and P.E.I. each year. Given the violent nature of car crashes, many of these people will suffer a mild traumatic brain injury, although they may never be diagnosed by a health professional.

No One Knows the Real Numbers!

In their release announcing the new guidelines, the College of Emergency Physicians states:

“The real incidents of traumatic brain injury are unknown since many patients who sustain an injury never seek medical care.”

I fully support any initiative that makes it easier for health professionals to determine when a patient has suffered a brain injury. But more effort needs to be placed on educating the public about the causes, and symptoms, of mild traumatic brain injury.

Thanks to Bruce Stern at the Traumatic Brain Injury Law Blog for bringing the guidelines to my attention.

Related Posts:

Ban Fighting in Hockey to Prevent Brain Injuries – Deaths: Expert Panel

NHL Hockey Stars - Doctors team up to study concussion/brain injuries

Traumatic Brain Injury: Myth # 1 - You have to be knocked out to suffer a brain injury

Traumatic Brain Injury Claims: Myth #2 You Have to Hit Your head to Suffer a Brain Injury

What is a Mild Traumatic Brain Injury?

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February 25, 2009

Benefits of “Minor Injury” Cap Legislation does not Justify Discrimination

Justice Walter Goodfellow has released the second part of his decision in Hartling v. Nova Scotia (Attorney General).

"Minor Injury" Cap Isn't Unconstitutional

As I explained in a previous post last month: “Minor Injury” Compensation Cap Constitutional, Justice Goodfellow determined that Nova Scotia’s legislation that places a cap of $2,500.00 on the compensation that innocent accident victims can receive for their pain and suffering does not violate the Canadian Charter of Rights and Freedoms.

Accident Victims Not Sterotyped or Discriminated Against

In his decision of January 12, 2009, Justice Goodfellow ruled that victims of minor physical injuries were not subject to stereotyping or discrimination. Therefore, the legislation did not violate Section 15 of the Charter, which prohibits discrimination on the basis of a physical characteristic.

Similarly, Justice Goodfellow found that the legislation did not discriminate on the basis of gender or mental disability.

Accident Victims Disappointed - Insurance Companies Happy

Justice Goodfellow’s decision disappointed advocates for accident victims who felt that the legislation was simply a transparent attempt to increase insurance company profits at the expense of innocent accident victims.

The Insurance Bureau of Canada was no doubt very happy about the decision.

However, Justice Goodfellow’s decision of February 9, 2009, is guaranteed to create some consternation amongst the insurance industry.

Is Discrimination Justified?

In his latest decision, Justice Goodfellow provided his views on whether the legislation would survive a Section 1 analysis under the Charter. If the Minor Injury legislation is discriminatory, Section 1 of the Charter can still save the legislation if the discriminatory limits are “justified in a free and democratic society”.

Justice Goodfellow began the second part of his decision by stating that he is certain that he is correct when he ruled that the Minor Injury legislation is not discriminatory. However, given the effort that was put into the hearing by all of the parties involved Goodfellow J. felt that it was appropriate to conduct the Section 1 analysis in case the Court of Appeal differs with his views as to whether the legislation is discriminatory.

Justice Goodfellow conducted an exhaustive review of the evidence submitted during the hearing with respect to the reasons why the legislation was created.

Insurance Industry Pleads Poverty While Profits Increase

Goodfellow J. paid considerable attention to the financial evidence that was presented at the hearing. At the time the Minor Injury cap was introduced, the insurance industry claimed that it was losing money on auto insurance, and needed the cap on personal injury claims to protect insurance profits (and to supposedly lower auto insurance premiums).

Justice Goodfellow determined that the evidence actually showed insurance industry claims costs were decreasing, and company profits were increasing, when the Minor Injury legislation was introduced. Goodfellow indicated that the insurance industry had not provided this financial information to the government when the $2,500 cap was put in place.

His Lordship did not go so far as to say that the insurance industry had mislead the government. (Perhaps the Tory government was just too trusting?)

Goodfellow J. considered the negative effects of the legislation on accident victims who’s claims have been capped.

Minor Injury Cap has Provided Considerable Benefits?

Finally, His Lordship reviewed the evidence with respect to the benefits of the legislation.

He concludes by saying:

“There is no doubt that there has been considerable benefit to the citizens of Nova Scotia in the passing of this legislation.”

Benefits Don't Justify Discrimination!

Justice Goodfellow concludes, at paragraph 108 of his decision:

“Clearly there was no intent in the legislation to cause stereotyping or marginalization. Stereotyping almost always carries a negative, demeaning message that those who are stereotyped are less worthy and possess traits that are not held by decent, law abiding citizens. If, however, it had been established such was a consequence of the legislation, then I conclude the benefits of the legislation fall short of justifying such stereotyping. Given the view I express about stereotyping I am unable to suggest what the Attorney General of Nova Scotia might otherwise have done to overcome the consequences of stereotyping.”

In other words, Justice Goodfellow is of the opinion that the legislation does not discriminate against accident victims. But if it does, the object of the legislation is not one that can be justified in a free and democratic society. Goodfellow’s comments appear to imply that, if the legislation is discriminatory, then there is nothing that can be done to justify the discrimination!

So there you have it, win one lose one. The province and the insurance industry come out ahead on the issue of whether the Minor Injury legislation is unconstitutional.

But Justice Goodfellow sides with injured accident victims on the issue of whether the benefits justify discriminating against accident victims.

No doubt the Court of Appeal will not just be hearing an appeal from the Plaintiffs. I am sure lawyers for the Insurance Bureau of Canada are already drafting their appeal factums.

Continue reading "Benefits of “Minor Injury” Cap Legislation does not Justify Discrimination" »

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January 17, 2009

Nova Scotia Personal Injury Claims: “Minor Injury” Compensation Cap Constitutional

Nova Scotia Limits Compensation For Injured Car Accident Victims

As I have explained in previous posts, Nova Scotia has legislation that places caps on the amount of compensation that persons injured in car accidents are entitled to receive for their injuries.

"Minor Injury" Cap Constitutional

The Nova Scotia Coalition Against No Fault Insurance filed a court challenge seeking to have the “minor injury” cap declared unconstitutional. On Tuesday, Justice Walter Goodfellow of the Nova Scotia Supreme Court based his decision in Hartling v. Nova Scotia (Attorney General). Justice Goodfellow decided that the legislation is constitutional and does not violate the Canadian Charter of Rights by discriminating against accident victims.

A more detailed review of Justice Goodfellow’s decision will follow in a later post.

Limiting Compensation Okay in N.S.

Justice Goodfellow has decided that Nova Scotia’s cap legislation that caps compensation for innocent victims who have suffered injuries in a car accident is constitutional.

Injured Person's Protected in Alberta

However, in Alberta, similar legislation which placed a cap on the compensation that injured victims received for “minor injuries”, was ruled unconstitutional in a decision released in February 2008.

Needless to say, the Province of Alberta, and the insurance industry, immediately filed an appeal which was recently heard by Alberta’s Court of Appeal. You can read the trial decision in Morrow v. Zhang here.

What Happens Now?

So now what? Two contrasting decisions by two different Provincial Supreme Courts dealing with the same constitutional issue. The case in Alberta is already at the Court of Appeal level. The case here in Nova Scotia will no doubt make its way to our Court of Appeal.

The whole issue will likely have to be sorted out by the Supreme Court of Canada several years from now.

Innocent Victims Pay to Increase Insurance Profits

In the mean time, innocent injured victims pay the price by having their legitimate claims for compensation limited so that insurance companies can make more money.


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November 13, 2008

How Insurance Companies Deny, Delay, Confuse and Refuse: New Report

Insurance companies use "dirty tricks" and "unethical behavior" to deny legitimate claims and boost their profits, according to a new report released by the American Association for Justice.

The report explains how insurers have:

...endeavored to deny claims, delay payments, confuse consumers with incomprehensible insurance-speak, and retroactively refuse anyone who may cost them money.

Although the report takes a look at the practices engaged in by American insurance companies, the insurance industry is multi-national in scope and many of the insurers exposed in the report, for example Allstate and AIG carry on business in Canada.

The report describes how:

Allstate gave employees who denied valid claims rewards such as portable fridges, and used a “boxing gloves” approach to policyholders who refused to accept lowball offers.

Here in Nova Scotia, Justice Walter Goodfellow of our Supreme Court just finished hearing a trial involving a constitutional challenge to our province's Insurance Act. The law places a "cap" on the amount of compensation that innocent victims can receive for their pain and suffering if they have suffered a "minor injury". The problem with the law is that the law defines almost every injury as "minor"; making it very difficult for legitimate innocent victims to receive fair compensation for their injuries.

When Justice Goodfellow releases his decision on the constitutional challenge we can expect the insurance industries' "public relations" machine to kick into high gear, claiming that the insurance industry is losing money because of payments to innocent accident victims.

Don't believe a word of it.

Related posts:

Why you may have a "Minor Injury" from your Nova Scotia Car Accident: Reason #3

Why the Insurance Company says you have a "Minor Injury": Reason #2

Why the Insurance Company Says you have a "Minor Injury": Reason #1

Continue reading "How Insurance Companies Deny, Delay, Confuse and Refuse: New Report" »

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June 26, 2008

ATV's Pose Serious Risks to Children: Premier does a U-Turn

Two years ago the province of Nova Scotia passed strict new rules for all-terrain vehicles (ATV's) supposedly to protect children from injury.

Rule Ban Children From Riding ATV's

The Off-highway Vehicles Act bans children under 14 from riding ATVs anywhere except on a closed course.

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ATV's Pose Risk of Serious Injury to Children:
ATV's have become very popular in the last few years and as their use has increased, the number of serious injuires to children as a result of ATV accidents has sky-rocketed. There has been a call from medical professionals to ban children under age 16 from riding ATV's.

The Canadian Paediatric Society has stated that ATV drivers should be 16 or over, suggesting younger children are not developmentally ready to drive these vehicles.

There have been numerous reports in media about how dangerous ATV's are for young children. See for example: ATVs: Too Dangerous For Kids, Capital Health concerned about rise in ATV injuries

The Facts:

Sales of ATVs more than tripled between 1995 and 2003, rising from about 26,000 units to 94,000 units.

The Canadian Institute for Health Information reports the number of ATV-related hospitalizations increased by almost 50% in five years, from 1,693 in 1996/1997 to 2,535 in 2000/2001.

Children between the ages of 5 and 19 accounted for 36% of all ATV-related injuries.

Of the 92 ATV-related severe injury admissions in 2000/2001 where blood alcohol concentration was recorded, 26% tested positive.

Injuries from ATV-related activities are now the second most common cause of severe injuries in sports and recreation, after cycling.

Province Plans to Train 6 Year Olds to Ride ATV's:

Last week the province's Department of Health Promotion and Protection announced the government was spending $230,000.00 on 66 ATVs so that children as young as six could be trained to ride the vehicles.

Children's Hospital Says Plan May Increase Injuries:

Nova Scotia's Children's Hospital was critical of the plan. Dr. Robin Walker, vice-president of medicine at the IWK Health Centre, said that the training could actually lead to an increase in injuries:

"If this program leads to children more frequently operating ATVs because then their parents think that they're now trained to do so, this program could actually increase the number of children injured and killed," Walker said.

Premier Supports Plan:

Premier Rodney MacDonald supported the plan when it was announced last week. "If it's an investment in safety for our young people," he said at the time, "the government's willing to make it."

Premier Makes a U-Turn on ATV's:

But today Rodney MacDonald has decided he doesn't like the plan after all and he wants his money back. CBC news has reported that MacDonald is demanding the return of the $230,000.00 although he didn't have any details on how that was actually going to happen.

Leaving aside the debate about whether it was a good idea to use public money to train young children to ride ATV's (it wasn't!) the real question in my mind is whether children under the age of 16 should be driving ATV's AT ALL!

ATV's are a motor vehicle, just like a car or a motor cycle. Everyone accepts that one has to be mature enough to drive a car or motor cycle. Children cannot be licensed to drive motor vehicles until they are 16 and then there is a graduated license program to ensure that young drivers can gain the experience they need before getting an unrestricted license.

I have represented many families of children who have been seriously injured as a result of ATV accident's and I have come to the conclusion that children under age 16 simply should not be driving ATV's. Not on closed course. Not with training. NEVER.

What do you think?

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June 18, 2008

BIANS Golf Tournament Kicks off Brain Injury Awareness Month

On Monday I had the pleasure of golfing in the Brain Injury Association of Nova Scotia's annual charitable golf tournament.

The event went off without a hitch and I wanted to offer my congratulations to BIANS and their volunteers for making the day a great success.

As I mentioned in an earlier post, June is Brain Injury Awareness Month in Nova Scotia.

Brain Injury is one of the leading causes of injury and death in children. As our weather improves (finally) more children are going to be out riding their bikes, scooters and skateboards. Unfortunately, some of them are going to suffer a brain injury as a result of not wearing proper protective gear.

I am posting this public service announcement from the Virginia Emergency medical Services as a reminder for parents to ensure that your kids wear proper safety gear when they are out having fun.

Have a great...and safe...summer!


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June 5, 2008

Cooling Therapy for Brain Injured Children Dangerous: Canadian Study

Hypothermia therapy, where patients with traumatic brain injury (TBI) are cooled to prevent brain swelling, has shown promise in helping adult survivors of TBI. See this article for example.

However, a study led by researchers at Toronto's Hospital for Sick Children have found that the practice may be dangerous for children with brain injuries.

The study, involved 225 children at 17 centres in Canada, France and the United Kingdom. There was no difference in how the patients in each group recovered neurologically.

However the study found more deaths among the children who had been cooled - 23 versus 14 in the group not treated using hypothermia.

Dr. Jamie Hutchison, director of critical care research at Sick Kids and one of the lead investigators in the study said:

"We were very surprised by these findings, since preliminary research in adults with traumatic brain injury had demonstrated the potential benefit of hypothermia therapy..."
You can read more here.

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June 3, 2008

June is Brain Injury Awareness Month in Nova Scotia

June is Brain Injury Awareness month in Nova Scotia!

Traumatic brain injury is the number one cause of injury and death among children in Canada.

This one of my favourite public service messages from the Brain Injury Association. I love the way it gets the message across with humour without losing the point.

For more information about brain injury check out the website of BIANS, the Brain Injury Association of Nova Scotia.

I will be taking part in BIANS's annual charity golf tournament on June 16 at Brightwood golf course. I hope to see you there!

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May 27, 2008

Slow Down and Save a Childs Life!

Unintentional injury is the leading cause of death for children in Canada.

Safe Kids Canada has released a research report this week that showed that residential streets may be more dangerous for our children that we think. According to the study, which was released this week a child hit by a car travelling at 50 km/h has an 80 per cent chance of being killed!

Thousands of Children Injured or Killed in Pedestrian Accidents:

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Child - pedestrian accidents are a leading cause of death for Canadian children. More than 2,000 children are seriously injured each year in child pedestrian accidents each year! Sadly, almost 30 children are killed in pedestrian accidents every year.

Intersections Dangerous:

Most child pedestrian accidents happen while the child was crossing the street in an intersection.

Injuries Happen Close to Home:

It may come as some surprise that many of these serious injuries and deaths happen within just 5 kilometres of the children’s home.

Slow Down and Save Lives:

The study found that reducing vehicle speed results in a huge decrease in the number of child injuries and fatalities. A child hit by a car traveling at 30 km/h, has up to a 95 per cent chance of surviving.

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The report calls for legislation reducing speed limits in residential neighbourhoods to a maximum of 30 KM (from the current 50 KM).

As a personal injury lawyer for the past 18 years I have represented hundreds of children who have been seriously injured in car-pedestrian accidents. Even more tragic are the cases where a child has been killed by a driver who was speeding, or just not paying attention.

I would encourage anyone who is interested in child safety to send a copy of the Safe Kids Canada news release to their local MLA.

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April 16, 2008

Bisphenol A is officially a dangerous substance: Health Canada

Bisphenol A has been officially named a dangerous substance by Health Canada. The Globe and Mail reported the story here.

There is wide concern that the hormonally active chemical, which is commonly used in products like baby bottles, can have long term negative health effects. Toxicnation.ca published a helpful list of baby bottles that are manufactured using the chemical. You can find the list here.

The move is widely expected to be the first step in an outright ban on the chemical in products designed to contain food or drinks.

Bisphenol A is one of the:

...most widely used synthetic chemicals in modern industry. It is the basic building block for polycarbonate, the see-through, shatter-proof plastic that resembles glass, and is also used to make the epoxy resins lining the insides of most tin cans, along with some dental sealants, sports helmets, and compact discs.

You can read more about the chemical on Kathy Farber's blog Non-Toxic Kids.

Next time you go to the gym, take a look and see how many people are chugging their water out of Bisphenol bottles. The question is, what else are they chugging?

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February 17, 2008

Pediatric Injuries Requiring Hospitalization in Canada Dropping

Injury is the leading cause of death and disability among children and adolescents in
Canada. A new report from the Canadian Institute for Health Information indicates that the number of children injured each year in Canada has declined steadily over recent years.

The rate of child injury in 2005–2006 was 36.7 per 10,000 persons, compared to 40.6 per 10,000 persons, in 2001–2002.

The authors of report suggest that the decrease in pediatric injuries could be due to a variety of
factors, including:

Improved injury-prevention programs;
Changing practice patterns with changing hospital admission criteria;
Administrative changes; and
Legislation designed to target child safety concerns.

The leading cause of injury was unintentional falls (37%) with double the number of injuries of the second leading cause of injury, car accidents (18%).

It is perhaps not surprising that car accidents resulted in more serious injuries. The study reports that falls resulted in 24,433 hospital days with an average of 2.3 days required for treatment. Whereas car accidents resulted in 32,118 hospital days with an average hospital stay of 6 days required for treatment.

The leading cause of injury that resulted in death among children and adolescents under age 20 years was car accidents (55.5%).

While the trend towards fewer injuries is encouraging, more study is needed to identify the specific reasons for the decrease so that governments and hospitals can determine how to most effectively spend limited health care and trauma prevention dollars.

You can read the whole report here.

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February 10, 2008

Canadian Company Sued for Lead Contaminated Toys

Lead contamination in toys and other consumer products has been receiving a great deal of coverage from the media lately. See this story, for example.

However, China is not the only source of potentially dangerous toys. The Attorney General of Vermont has sued Canadian Toy manufacturer Ganz Inc. of Woodbridge, Ontario, for distributing items of jewelry and other metal products containing high amounts of lead through retail stores in Vermont.

The lawsuit points out the consumers shouldn't be complacent or assume a product is safe simply because it isn't made in China. So how do you find out if a product is safe?

Katy Farber runs a great blog called Non-Toxic Kids with information about product recalls and contaminated toys and dangerous products. It's a great resource. Check it out.

Health Canada has a website listing all it's Advisories, Warnings and Recalls. You can find it here.

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February 9, 2008

Botox Linked to Children's Deaths: FDA Issues Warning

The popular anti-wrinkle drug Botox and a competitor have been linked to dangerous botulism symptoms in some users, cases so bad that a few children have died, the government warned Friday.

Botox, and its competitor, Myobloc, use botulinum toxin to block nerve impulses, causing them to relax. In rare cases, the toxin can spread beyond the injection site to other parts of the body, paralyzing or weakening the muscles used for breathing and swallowing, a potentially fatal side effect.

The drugs are not approved for use with children but are commonly used to treat severe muscle spasticity in children with cerebral palsy.

MSNBC has reported that the FDA:

...warned that patients receiving a botulinum toxin injection for any reason —cosmetic or medical — should be told to seek immediate care if they suffer symptoms of botulism, including: difficulty swallowing or breathing, slurred speech, muscle weakness, or difficulty holding up their head.

Health Canada is now reviewing the safety of Botox as a result of the reported deaths.

Health Canada spokesperson Carole Saindon told CTV News:

"Departmental experts are currently reviewing safety information on the issue of toxin spread regarding Botox. Canadians can be confident that after a thorough review, Health Canada will take action, if necessary,"

These reports highlight the dangers of "off label" use of drugs. Since the drugs are not being used for their approved purpose, they have also not been subjected to testing by the FDA and Health Canada for potential side effects from the non-approved drug use.

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