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Matthew D. Kaplan

We’ve all seen the tiny red and yellow bottles in the supermarket. Most of us have seen the TV commercials too: 5-Hour Energy bills itself as an afternoon pick-me-up for flagging office workers, and as time-efficient replacement for a late commuter’s morning coffee.

According to an investigation by the New York Times, however, information compiled by the federal government raises important questions about the safety of 5-Hour Energy and similar products. “Since 2009, 5-Hour Energy has been mentioned in some 90 filings with the FDA, including more than 30 that involved serious or life-threatening injuries like heart attacks, convulsions and, in one case, a spontaneous abortion” the newspaper reports.

The paper notes that the mention of a product in an FDA filing does not necessarily mean that the product is connected with a particular incident – only that a connection is possible or suspected. Still, the Times reports that 13 fatality reports mention 5-Hour Energy and that the government, as a result, is concerned. The Times adds that the regulatory world concerning energy drinks is often confusing because some are treated as beverages while others (including 5-Hour Energy) are classified as dietary supplements. Each category has different rules regarding both labeling and whether and how adverse events need to be reported to the government. The article quotes an FDA official saying that the reports are prompting a closer examination by the Agency.

Following up a story I originally wrote about last month, there are new developments in the death of an 11-year-old Portland girl in a September accident involving a party bus.

According to The Oregonian the girl died when her skull was crushed as she “tumbled out of an emergency window on the bus when it careened around a corner… at Southwest First Avenue and Harrison Street.” She is reported to have been sitting atop a horseshoe-shaped couch in the back of the bus at the time of the fatal Portland bus accident. “The bus was full of kids on their way to a birthday party but no adults were in the back,” the newspaper reports.

As troubling as this lack of adult supervision is the revelation that the bus itself lacked the proper safety inspection permit and was being operated by a man who was not licensed to drive this type of vehicle, according to The Oregonian. This image of a company putting immediate profits ahead of safety is chilling not only for any parent considering whether to let a child attend a party involving this sort of bus but, frankly, for any adult who might be thinking of hiring a party bus for a special celebration. The fact that a window that was supposed to function as an emergency exit flew open so easily is a reminder of how essential the required government safety inspections are.

Figures published recently in The Oregonian paint a distressing picture of the safety situation for pedestrians here in Oregon. Citing data compiled by the Oregon Department of Transportation the paper reports that “pedestrian deaths in Oregon are up 23 percent over last year.”

With the death in late October of a 58-year-old man on the Hawthorne Bridge the total number of Oregon pedestrian deaths for 2012 reached 48. “That matches the total for all of 2011,” the paper reports, citing an ODOT spokeswoman. The victim of this latest fatal Oregon car accident involving a pedestrian was struck by an eastbound car as he crossed from one side of the bridge to the other. He had been using the bridge to watch his wife compete in a rowing race.

The sharp rise in pedestrian fatalities is especially surprising since bicycle-related deaths have fallen over the same period. The Oregonian reports that bicycle deaths have dropped 41 percent: seven this year compared to 12 during the same period in 2011.

Last week The Oregonian reported on the ordeal of an Albany man, a story that is both inspiring and, in some ways, troubling. The paper reports that the man, a 40-year-old machine operator at a lumber mill, was scheduled to be released from Legacy Emanuel Medical Center after nearly 10 days of treatment following an accident in which his right arm was severed while he worked on a lumber company’s processing line.

Quick action by both co-workers and doctors allowed his arm to be reattached following hours of delicate surgery. One colleague provided critical first aid. Another had the presence of mind to ensure that medics took the severed arm with them as the accident victim was transported to the hospital. Once there, according to the chief surgeon on the trauma team handling the case, the fact that the cut was, in his words, “fairly clean” made the daunting task of reattachment more achievable.

The same doctor told reporters that he expects the machine operator “to eventually regain some sensation and make at least a partial recovery,” the newspaper reports.

In a recent article in the New York Times Dr. Robert C. Cantu, a professor of neurosurgery at Boston University, issued a thoughtful, yet passionate, call for parents and school officials to rethink the way we approach youth sports here in the United States.

Writing that he meets with some 1,500 concussion patients each year, Dr. Cantu lays out the case for lowering the degree and intensity of contact that younger children experience across a range of sports. “In light of what we now know about concussions and the brains of children,” he writes, “many sports should be fine-tuned.” Dr. Cantu writes that children under 14 are fundamentally more vulnerable than older teenagers or adults. “A child’s brain and head are disproportionately large for the rest of the body,” he notes. “And a child’s weak neck cannot brace for a hit the way an adult’s can. (Think of a bobblehead doll.)”

He begins the piece by focusing on football, where he believes tackling should be eliminated for children under 14, but emphasizes that head trauma, concussions and brain injuries are all more common in other sports than is popularly believed. His piece goes on to propose rule changes in soccer, ice hockey, baseball, softball, field hockey and girls’ lacrosse – many of which are not activities most of us think of as contact sports.

Last week the US Chamber of Commerce held its annual Legal Reform Summit – an event designed to scare Americans into believing that our courts are out of control. The American Association of Justice took this opportunity to set the record straight, posting an online slide show designed to educate Oregonians and other Americans about the Chamber’s excesses.

Titled “Top 10 Ways the US chamber Hurts Americans” the presentation highlights both the Chamber’s hypocrisy – its denunciation of “bailouts” even as it sought them for its largest corporate members – and the broader damage it does to the nation at large as one of the leading promoters of climate change denial.

This is an embedded Microsoft Office presentation, powered by Office Web Apps.

A lengthy article published this week in Washington’s Kitsap Sun looks at the issue of traumatic brain injuries – particularly concussions – among young athletes. As the paper notes, “the U.S. Centers for Disease Control and Prevention estimates more than 3.5 million concussions – defined as traumatic brain injuries – occur each year on ball fields and (in) sports venues across the country.”

The article focuses on the Zackery Lystedt law, a measure enacted in Washington in 2009 that prevents high school age and younger athletes “with suspected concussions from returning to the playing field without authorization from a licensed health care provider.” The law is named after a junior-high football player who suffered permanent brain damage and disability as a result of a 2006 game. The paper notes that “return-to-play legislation modeled after the Lystedt Law has since been adopted in 39 other states.”

According to SafeKids.org, Oregon’s own youth sports-focused TBI legislation, enacted about the same time as the Washington Law, offers some key safeguards but does not go nearly as far. A important difference is that Washington teens must be pulled from a game or practice if there is reason to believe that they may have suffered a concussion. Here in Oregon removing the athlete from competition or practice only becomes mandatory once they exhibit symptoms of a possible traumatic brain injury. Once an athlete has been pulled from the field both states require written clearance from a medical professional before the player can return to practices or competitions.

Television station KOIN, citing the Oregon State Police, reports on a two-vehicle head-on Oregon car crash over the weekend near Rainier, Oregon on the Columbia River, north of Portland.

The station reports that at about 10:30pm last Friday a pick-up truck traveling “southbound on Highway 30 near milepost 44” collided in a head-on motor vehicle accident with a northbound passenger car. The Oregon crash took place as the truck moved over into the left lane to pass another vehicle. The driver and four of the five people traveling in the car were injured, KOIN reports.

Where this becomes an important lesson for all drivers is when we look more closely at the injuries. The driver of the pick-up truck, a 37-year-old St. Helens man, is reported to have been taken to a Portland-area hospital in critical condition. In the car, the driver, a woman from Longview, Washington, was also injured along with three of her four passengers. Unlike the man in the pick-up truck, however, the injuries to the people in the car are described as “non-life threatening.” In fact, one of the car’s passengers – a two-year-old – was not hurt at all.

One of the things that distinguishes Portland from less bicycle-friendly metropolises is our bike boxes. These large green-painted areas at key intersections give riders a designated place to wait for the light to change, and serve as a constant remainder to drivers of their obligation to share the road. According to an article published this week in the Portland Mercury, however, newly released data indicates that in some parts of the city the bike boxes may not be helping – and might actually be making matters worse at some intersections.

The Mercury’s article focuses specifically on so-called “right hook” crashes – Portland bike and car accidents in which a cyclist crossing an intersection is struck by a car or truck making a right turn. The paper notes that the boxes have been painted onto the street “at 11 problem intersections” since 2008, and that they are widely believed to “make cyclists and drivers feel safer at the intersections.”

A study of accident data at those intersections, however, found that “in the four years since their installation, the intersections had 32 right hook crashes involving bikes.” This is double the number of such Oregon car accidents at those same intersections in the four years since the boxes were added to the roadway.

The recent death of an 11-year-old girl who was accidently thrown from a Portland party bus, as outlined in The Oregonian, is raising many disturbing questions about this often under-regulated industry and about the conduct of the adults involved. According to the newspaper, the child died when she “tumbled out of an emergency window when the bus turned a corner.” This Portland fatal child injury accident would be bad enough by itself, but the details surrounding it are truly shocking.

The Oregonian reports that the victim was part of a large group of children who were board the party bus with no adult supervision. The vehicle’s 61-year old driver was the only grown-up on board the bus. Moreover, the driver himself “wasn’t permitted to operate a party bus carrying about 20. The bus didn’t have a permit from the city of Portland, either” the newspaper adds.

The amount of irresponsibility on display here is really quite stunning. Why did the company let a driver lacking the proper license operate any of its vehicles, let alone one carrying children? Why would it even allow a party bus filled with children out on the road without any adult supervision? Even if the driver were properly qualified to operate the vehicle, a bus driver who is doing his job cannot do so safely while also supervising nearly two dozen children.

50 SW Pine St 3rd Floor Portland, OR 97204 Telephone: (503) 226-3844 Fax: (503) 943-6670 Email: matthew@mdkaplanlaw.com
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