Minor Injury Guideline = Common Traffic Injuries
Currently the changes to MIG are scheduled to be implemented during the Summer of 2016 and there will be a sweeping impact with all stakeholders of the Auto Insurance industry in Ontario. The new protocols have been given the name COMMON TRAFFIC INJURIES (CTI) and are broken down into three types of injuries.
Type I injuries are those traffic injuries which have been shown in epidemiological studies to have a favourable natural history (recovery times ranging from days to a few months). These injuries include musculoskeletal injuries (such as Neck Pain and Associated Disorders Grades I-III, Grades I and II sprains and strains of the spine and limbs); traumatic radiculopathies*; mild traumatic brain injuries+ ; and post-traumatic psychological symptoms such as anxiety and stress. The proposed Care Pathways outlined in our report pertain to Type I injuries.
Type II injuries typically involve a substantial loss of anatomical alignment, structural integrity, psychological, cognitive, and/or physiological functioning. The majority of patients with such injuries will require (in addition to natural healing) a significant amount of medical, surgical, rehabilitation, and/or psychiatric/psychological intervention to ensure an optimal recovery. There is an evidentiary basis for major concern about both the extent of recovery and about the likelihood of complications developing and/or persisting in the absence of such expert care; significant impairment and disability are primary concerns. Examples of traffic collision-induced Type II injuries include fractures of the femur and hip, shoulder dislocation/fracture, facial fractures, depression or post-traumatic stress disorder.
Type III injuries refer to the subset of Type II injuries which fall within the conceptual framework of catastrophic impairment within the Ontario Statutory Accident Benefits Schedule (SABS). In Ontario, there is a special set of entitlements available to patients whose injuries are extremely serious and permanent such as amputation, spinal cord injuries and severe brain injuries. Extended benefits are available for long term attendant care, and medical and rehabilitative goods and services.
Note: Definitions for CTI Types taken from ``Enabling Recovery From Common Traffic Injuries: A Focus on The Injured Person``
Enabling Recovery From Common Traffic Injuries: A Focus on The Injured Person
Quick Reference Guide – Management of NAD Grade I and II