{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://marmia.aviaryplatform.com/iiif/hx15m6431m/manifest","type":"Manifest","label":{"en":["Howard Champion 4, circa 1988"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/053/original/cropped-marmia-logo-copy1.png?1586173104","metadata":[{"label":{"en":["Source Metadata URI"]},"value":{"en":["https://marmia.libraryhost.com/repositories/2/archival_objects/15136"]}},{"label":{"en":["Date"]},"value":{"en":["circa 1988 (Creation)"]}},{"label":{"en":["Description"]},"value":{"en":["Be advised that this video may contain sensitive, triggering, and offensive language and content. (Content warning)","Digitized with funding provided by the Council on Library and Information Resources' \"Digitizing Hidden Special Collections and Archives: Amplifying Unheard Voices\" grant program. (Funding note)","Raw footage of an interview with Dr. Howard Champion, director of the MedStar shock-trauma unit at the Washington Hospital Center. (Scope and Content Note)"]}},{"label":{"en":["Format"]},"value":{"en":["1 U-matic"]}},{"label":{"en":["Identifier"]},"value":{"en":["WJZ-UNKN-070-003 (Identifier)"]}},{"label":{"en":["Series Title"]},"value":{"en":["Unidentified Footage"]}}],"summary":{"en":["Be advised that this video may contain sensitive, triggering, and offensive language and content.","Digitized with funding provided by the Council on Library and Information Resources' \"Digitizing Hidden Special Collections and Archives: Amplifying Unheard Voices\" grant program.","Raw footage of an interview with Dr. Howard Champion, director of the MedStar shock-trauma unit at the Washington Hospital Center."]},"provider":[{"id":"https://marmia.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["MARMIA"]},"homepage":[{"id":"https://marmia.aviaryplatform.com/","type":"Text","label":{"en":["MARMIA"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/053/original/cropped-marmia-logo-copy1.png?1586173104","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/267/658/small/open-uri20250314-1605153-b0ys7r_1741980396.jpg?1741980397","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658","type":"Canvas","label":{"en":["Media File 1 of 2 - open-uri20250314-1605153-b0ys7r.mp4"]},"duration":1316.33,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/267/658/small/open-uri20250314-1605153-b0ys7r_1741980396.jpg?1741980397","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/content/1","type":"AnnotationPage","items":[{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-marmia.s3.wasabisys.com/collection_resource_files/resource_files/000/267/658/original/open-uri20250314-1605153-b0ys7r.mp4?1741980394","type":"Video","format":"video/mp4","duration":1316.33,"width":640,"height":360},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658","metadata":[]}]}],"annotations":[{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514","type":"AnnotationPage","label":{"en":["AUTO_TRINT_WJZ-UNKN-070-003_FFV1.ia.mp4 [Transcript]"]},"items":[{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e By the city for six weeks, absolutely messed up. And the guy shipped her in here because he wanted her on the jet ventilation. She was past it. I mean, she was, you know, she was, had one foot in the gray and the other on a banana. Thank you very much. Have a great day.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=8.6,26.62"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e Well, let's back up a little bit to the middle of that thought, anyway, and tell me again.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=27.6,32.78"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e No, me. No, mine. I'm in the way.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=37.11,40.39"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e the frustration of people that you can't save that come too late.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=44.15,47.13"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, it's very, very disheartening to receive somebody too late to save them, especially if they have been at another hospital for a significant period of time. It's very difficult to face the family and to tell them that the patient is going to die irrespective of what you can do. maybe they don't and maybe they do sometimes know that if the patient had been here eight, ten, two hours earlier then the chances might have been better. We try and tell the physicians that cause these delays that things could be better and we hope that that message gets across in an inoffensive manner. But sometimes if you are the bearer of tidings like that They don't particularly want to hear from you again and may not necessarily want to relate to the issues that you're discussing.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=49.99,117.56"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e So it's time that you tell the public real clearly.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=118.56,120.88"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well it is time that somehow the responsibility for trying to get these systems developed be assumed more broadly. It's very difficult sometimes for us in the regional resource trauma centers to also act as an advocate for the trauma system. Because in a way that is portrayed as being self-serving and it's very easy for. somebody within a different agenda just to say they're only saying that because they want you They want you to send patients to them whereas in actual fact a lot of our energy goes in the direction of increasing the general public awareness of What can be done to save a patient's life and making sure? that People become more aware of of the disease What can be done and how time is critical? in minimizing mortality and morbidity.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=122.76,180.4"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e You were starting to say, you know, like you can have a great hospital, but they don't have a trauma center, it could be like a brilliant hospital.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=182.37,188.87"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, it can be fantastic. I mean, some of the best hospitals in the country don't want to be, or just haven't marshaled the resources to be trauma centers. I mean, it's as simple as that. I mean, you can have a great open heart surgery program because you put your resources behind open heart surgery. You can be the best heart transplant surgery unit in the country because you've put your resources behind that. You need a completely different set of resources and commitments to provide optimum trauma care. You need people that are trained there. They have to be there 24 hours a day. you need to be able to. commit huge resources to save an individual life at three o'clock on a Sunday morning and that does not happen by accident. It will never happen by accident in a consistent manner. You might be lucky once, but you've got to commit the resources to providing the care for these patients and you've got to be analyzing whether you're successful or not.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=189.42,238.92"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e So, I mean, you were starting to give me an example of, I go to this great hospital's emergency room, but it's not a trauma center. What are the, what is likely to happen?","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=240.99,251.15"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, you can be brought into an emergency department. You will be seen by somebody who may have some training and ability to assess your injuries. They may not prioritize that assessment correctly. For instance, if you've got blunt injury from an automobile, it's quite possible that you can have chest and abdominal injuries. And you might have some... broken bones in your limbs or twisted ankles and so forth. If you're not unconscious, the amount of pain you feel from a sprained ankle or a broken bone is far greater than the amount of discomfort or pain you're likely to feel from your liver being lacerated or from a bruised lung that is collapsing or anything like that. It is quite common for these individuals to Thanks for watching! be sent off to an x-ray department to have their broken bones x-rayed. Now nobody's ever died of a broken bone, but plenty of people have died in x-ray departments because the lungs and the liver, which don't show up on standard x-rays, are not being looked at. And yet somebody has taken it upon themselves to order 15 or 16 x-rays, which can take a long time in the middle of the night, during which time you just deteriorate and you can deteriorate to the point of no return and or death.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=251.89,336.94"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e The other thing is that it was not necessarily a surge.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=338.539,341.4"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e There's not necessarily a surgeon, yes. There may be no surgeon there. What you'll see in a trauma center is usually a multidisciplinary group of individuals coming in to assess you. You'll have a number of physicians, a number of nurses. If you need x-rays, the limbs will be done last. The neck and the chest will be done first. You'll have things prioritized in the order of risk of death to you. not the ones that are obvious, because those are often the less critical, nor the ones which will require immediate treatment because of the financial component that can be causing people to treat things first, and then pass you on to somebody else for their bit.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=342.1,388.81"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e If I come back in five years, what do you think I'm going to find?","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=390.47,392.55"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, I hope that at some time it should be possible for communities to know that people who die from injuries should be scrutinized. And that if you do receive severe injuries in a community, that automatically you're selected out of all the other emergency cases in that community. And given this specialized system of care we call the trauma system. Now this is happening in some parts of the country. If you have severe injuries, they say this person could be dying. And they give you a special system of care. Very rapid transport to a trauma center. And you're met there by a team of individuals who are skilled in the specific management of patients with severe and multiple injuries. That's what I want to see. But it's not going to happen unless some leadership is developed, I believe, both medical and political levels.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=393.39,452.81"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e And the people that say, well, that Howard Champion and MedStar, they're just greedy. They want all the patients in town.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=453.55,457.77"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e That's not true. We don't want all the patients in town. We want patients with severe injuries to receive prompt care wherever that might be. There needs to be a distribution of trauma centers in this area, as there is a need in other areas of the country. But that distribution should make sure that the patients get into the trauma center in a timely fashion. and is met by a team of individuals who've seen enough of that type of patient to attain and sustain a very high level of skill. Thus, you need to service a significant population to attain and sustain those skills in the urban environment. We've got too many trauma centers in Washington, DC, as there are in many other northeastern urban areas. There are too few trauma resources in the rural communities. Somehow we've got to redress this balance. It's important for the rural communities to try and relate to the nearest tertiary care or trauma center capability because the resources they have to put into that hospital can often be very expensive. And if they are sparsely used, it is not necessarily a good investment.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=458.36,539.66"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e What do you think about the people, the firehouse concept of, well, I said that out in Nevada, you know, if you put it to a vote, we want more firehouses more than we want more fire centers. I mean, but we have people standing by to preserve our property.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=540.45,553.01"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e I know. I mean, when I first came to Washington, D.C. ten years ago, I think the budget for the fire department was $35 million, and there was a much greater chance of getting a fire truck to a building than there was of getting an ambulance to a sick or injured patient. The budget for the ambulance service was less than a tenth of that for the fire. Now that's slightly unfair because some resources are common to the two, such as communications and so forth, but it's not uncommon at all for communities to spend far more money protecting buildings in the community than to provide prompt care for people dying of illness or injury. That's not to say that the money can be well spent with the fire department, but We'd just like to see equal attention. uh... given to people with preventable or potentially preventable illness or equal attention given to uh... uh... uh... patients who have illnesses or injury that uh... need not necessarily cause their death","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=553.94,625.29"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e I'll stop down for a minute and let's see what we have time for. Do you have some feelings about guns?","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=627.0,632.92"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Actually maybe we can, when we talk about prevention, can we just back up a bit on the indigent care prevention? Actually, there's no point in talking too much about prevention of automobiles. No, there isn't. What about alcohol? There's not too much we can talk about that, is there?","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=635.61,652.06"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e The point of this piece is to get the trauma care system to prevention as a whole.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=652.65,656.59"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e So.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=658.26,658.26"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e Done. Done.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=658.83,660.45"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Gunshot wounds, yes The problem with gunshot wounds in the United States is a national scandal. We have 30,000 people a year dying from gunshot wounds. That is more deaths per head of population or more total deaths total than any other country on this planet. It is not possible to go to any country on this planet and find the same incidents of death. from ballistic injury.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=661.39,696.78"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e Okay, yeah, and we have to fix that, obviously, but in the meantime...","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=701.46,706.8"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, how the hell can we fix it? I mean, we just... I mean, it's too late now. We've got 45 million handguns are meant to be existing in our society, so it's impossible to abolish them and to remove this major cause of injury. We need to find some way of controlling... how they are used so that they are not the exclamation mark at the end of an angry sentence for somebody who is unable to control their inner conflicts, which is what it is now.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=707.41,741.78"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e I mean, the case in Chicago, he was just walking home from school, two little gang members shot him in the stomach.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=742.92,747.42"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e It's a way to express your manhood, it's a way to settle an argument, it's a disgrace.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=748.85,754.81"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e But given that this case, and there's thousands of others like him, given that you're a gunshot wound, then again, timely care may save your life.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=756.23,764.33"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, given the fact that we're not going to remove the causes of injury from our society, namely, specifically, the automobile, the knife, the gun, and certain industrial accidents, we have to improve our ability to care for those with life-threatening injuries. And time is very vital to providing good care, saving lives, and getting these people back to productivity in society.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=764.35,790.19"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e Tell me again more succinctly about who should do what.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=791.94,794.54"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, we've seen that the medical profession as a whole is unable to rally to this particular group of patients. We've observed the apathy that is in society in general. In my opinion, it's essential that we get some leadership at the federal government for this issue. certain states. will address it in a patchy way. But even so, it needs to be coordinated over state boundaries. And we need to have some national blueprint for improving care of severely injured patients in this country. Thanks for watching!","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=797.76,844.92"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e We need to get some sort of national will, it seems to me. I mean, there has to be... Mm-hmm. If I said to you there's a cure for cancer, I can save 20 to 40 percent of people... Yeah. ...of cancer, you would insu... I mean, that would be headline news.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=845.57,859.15"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, look at this bloody AIDS thing, I mean, people, you know, with AIDS, they will get two billion dollars of research, you know, just like that, because it somehow sparks the imagination of society in general, or at least the politicians and their interpretation of what is happening in society. But injury, the fact that some poor little teeny boppy gets wiped out, is just another statistic. The fact that some poor black kid is wiped out on the street because somebody took a disliking to the sweater he was wearing those days is ignored. Society is not responding to this need. And I believe that it's got to come at the federal level. Somebody's got to say we can't have this cost to our nation in this way and do something about it pretty soon.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=859.41,910.39"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e We have a fairly graphic example of somebody who got their own treatment.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=919.63,923.15"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Right, so, I mean, a good example of an entirely preventable death was a 42-year-old mother of two. And if I remember rightly, her children were eight and ten, who was injured in this greater metropolitan area a few years ago. She was hit from behind by a tractor trailer. She was taken into a local emergency department. She was dazed but able to relate somewhat. They did the usual plethora of x-rays, found that she got a broken wrist and put a nice cast on her broken wrist, put a butterfly IV in the other side and they found that she'd also got a broken leg and they began to treat that, noticing that she was becoming a little bit less responsive to their questions. And about four hours following injury when she'd had all these bits and attended to started to shipper in the direction of a trauma center. because they thought that she might have some serious injury. She died en route from a ruptured aorta. And this is a fine example of inappropriate care. She had a nice, fresh cast on her collie's fracture, which nobody's ever died of, whilst a time bomb was ticking away in her chest, which could have been treated in the appropriate facility. I mean these Things are treatable if you get them to the right place in time. But for somebody to have a ruptured aorta and the time to be taken to put a cast on their risk is a testament to something. I'm not sure whether it's incompetence or the whole approach to injury that we see in our society.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=923.68,1035.569"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e Geno's question is a good one. We live in a city where there are too many drama centers, but there's enough anyway. And still there's no guarantee that you'll get here.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1037.079,1047.619"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, you will, in this city, get to a trauma center.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1048.44,1052.92"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e Okay, let me rephrase the question. The point is, I'm sitting at home, watching this, I live someplace that may or may not have...","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1053.45,1060.17"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e You live in this metropolitan area, and are you going to get to a trauma center with your injuries? In this metropolitan area, the chances are better than most that you will get to a trauma center. It's not guaranteed, and it's not necessarily guaranteed that that trauma center that you're going to is going to be the one that has got all the resources to meet your set of injuries. If you're very severely injured, you've still got a reasonable chance in this metropolitan area. of not getting timely appropriate treatment because you go to a hospital not necessarily with the resources to promptly match your needs. Now in other cities not very far from here and throughout most of the United States it is possible in a vast majority of instances to know that you will go to a hospital where you're not going to get the care that your illness. or injury dictates. Some people will survive in spite of the system though.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1060.12,1125.42"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e So what do I do? I'm sitting home watching this and I say, well, this sounds like a good idea. What do I do?","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1126.79,1131.13"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Well, you phone up your medical society or your state commissioner or secretary of health and say, is there a trauma system for this state? Does that trauma system ensure that people with severe injuries are promptly identified at the scene of the injury, rapidly transported to a hospital with 24-hour resources to care for somebody with severe injury and is it linked into an appropriate resource to ensure that if I survive my injuries in this system, my level of recovery is expedited so I get back to work and productivity as quickly as possible. If he says no to any one of those, then you should do whatever you can to get the system to respond to the needs of these patients. And I guarantee you that in most states, most cities, the answer is going to be no to all or one of those issues.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1131.72,1183.91"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e So who do I yell at?","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1185.58,1186.42"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/45","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 1:\u003c/strong\u003e Yell at your congressman, yell at your commissioner of health, yell at your physicians at the medical society, yell at whoever's providing your ambulance service and say I want a coordinated, organized system of care so that when I'm severely injured or my daughter or son is severely injured, you guarantee me that I get the best care that I need for my injuries in this community. I'm not gonna be conscious. I'm not going to be able to go to you and say, OK, I want heart surgery. Tell me where I can get the best heart surgery. I'm not going to be able to make that decision for myself. It's your responsibility as a health care professional or as a politician in this community to set up a system that guarantees me what my injuries need, irrespective of whether I've got my wallet on me that night. I might be out walking, and I might not have my Blue Cross card with me. I want you to know that just because I don't have it in my pocket, I am not going to be dumped as an indigent and not get adequate care. All people should have access to the care that injuries dictate.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1188.42,1255.77"},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/46","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003eSpeaker 2:\u003c/strong\u003e And tell me again about your frustration. Frustration. Frustration. Oh, do you really? God damn it.","format":"text/plain"},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658#t=1257.52,1262.42"}]},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514","type":"AnnotationPage","label":{"en":["English [Transcript]"]},"items":[{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267658/transcript/77514/annotation/47","type":"Annotation","motivation":"subtitling","body":{"type":"TextualBody","value":"https://d9jk7wjtjpu5g.cloudfront.net/file_transcripts/associated_files/000/077/514/original/trint_WJZ-UNKN-070-003_FFV1_transcript.vtt?1742308308","format":"text/vtt","language":"en"},"target":"https://d9jk7wjtjpu5g.cloudfront.net/file_transcripts/associated_files/000/077/514/original/trint_WJZ-UNKN-070-003_FFV1_transcript.vtt?1742308308"}]}]},{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267659","type":"Canvas","label":{"en":["Media File 2 of 2 - open-uri20250314-1605153-kto56n.mp4"]},"duration":1316.33,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/267/659/small/open-uri20250314-1605153-kto56n_1741980408.jpg?1741980409","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267659/content/1","type":"AnnotationPage","items":[{"id":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267659/content/2/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-marmia.s3.wasabisys.com/collection_resource_files/resource_files/000/267/659/original/open-uri20250314-1605153-kto56n.mp4?1741980405","type":"Video","format":"video/mp4","duration":1316.33,"width":640,"height":360},"target":"https://marmia.aviaryplatform.com/collections/948/collection_resources/144801/file/267659","metadata":[]}]}],"annotations":[]}]}