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    As a former Dean and appointed University Professor and Endowed Department Chair, Dr. David Edward Marcinko MBA was a NYSE broker and investment banker for a decade who was respected for his unique perspectives, balanced contrarian thinking and measured judgment to influence key decision makers in strategic education, health economics, finance, investing and public policy management.

    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.

    Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

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The Science and Some Medicine Behind Seat Belt Use

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It’s All About Saving Lives and Ankle Bones

By Muhammad Saleem, and

By Dr. David Edward Marcinko FACFAS MBA CMP™


Vintage 2000 Jaguar XJ-V8-LWB Touring Sedan

The Ankle Bone is Connected to the Foot [er –ah] Leg Bone

The talus is one of the important bones that makes up the ankle joint. Over one half of the talus is covered with cartilage–it serves as an important link between the leg and the foot. The talus moves not only at the ankle joint, but also below the ankle and in the midfoot. Therefore, injuries to the talus can affect motion of the ankle and foot joints.

‘Aviators Astragalus’

Talus [astragalus ankle bone] fractures were almost unheard of a hundred years ago. The first series of talus fractures was described, by Dr. WD Coltart, in men who were injured in the British Royal Air Force in the early 1900s. The term ‘aviators astragalus’ was used to describe these fractures that happened as old war planes made crash landings.

Original Historic Reference Link: AA

Today, talus fractures are seen in high speed car accidents when you don’t-buckle up that seat belt or shoulder harness. I’ve seen far too many during my days covering the local Emergency Room.

So, here is an infograhic on the science behind seat belts. It contains some interesting and some encouraging facts that we wanted to share with our ME-P readers and subscribers.

Mechanism of Injury: Hawkins classification Talar fractures (C) iMBA Inc

The Facts

  • National seat belt use has increased from 69% in 1998 to 84% in 2010.
  • Automotive fatalities rank third in terms of lives lost per year, behind cancer and heart disease.
  • Seat belts are responsible for saving between12,000 to 16,000 lives each year.
  • Most crash deaths occur within 25 miles of home and at speeds below 40 miles per hour.


Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com


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3 Responses

  1. Hi Ann,

    The human cost involved in a car crash is paramount but did you know alcohol-impaired crashes cost more than $37 billion annually?

    As part of a continuing series of resources on automotive safety, we just published a resource on drunk driving and how to spot and avoid alcohol-impaired drivers.
    I thought you’d find this infographic interesting for the Medical Executive Post and your readers; so I’m sending it along.

    Here are some highlights for you:

    • Between 12 am and 3 am drunk drivers kill someone every 23 minutes.
    • Drunk driving accidents are responsible for one death every 51 minutes (29 deaths/day).
    • The average drunk driver drives drunk 80 times prior to the first arrest.
    • Up to 75% of convicted drunk drivers continue to drive with a suspended license.

    Link: http://www.carinsurance.org/2012/07/how-to-save-37-billion-a-year/

    Sincere thanks for your time, and please do not hesitate to reach out to me with feedback and any questions you might have.

    Muhammad Saleem


  2. Demand For Podiatrists Expected to Rise From Healthcare Reform

    As with many healthcare-related industries, demand for podiatrists will likely benefit from healthcare reform. Subsidies will help those with low incomes gain coverage, increasing the number of insured patients and bolstering demand for podiatric medical services.

    However, the profession will continue to face competition from general practitioners, threatening growth.

    Source: Companies and Markets [7/26/12]


  3. Hi again, Ann

    Did you know that car crashes are the #1 killer of children in America?

    We uncovered that fact while researching car safety seats for the above infographic. I thought you’d find the infographic interesting for Medical Executive Post and your readers so I’m sending it along.


    Please have a look; as I’d love your thoughts / feedback.

    Muhammad Saleem


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