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1. 1000-3000 miles. Check your oil and filter. For basic oil, you'll need to to change oil every 3000 miles. With new synthetic oils, the urgency of an oil change is closer to 5000-6000, but an oil filter change is still necessary. Synthetic oils are only more resistant to heat and breakdown. Therefore, they can stay in your engine longer and will require the oil filter to do more of the cleaning work.

2. 4000-8000 miles. Check your air filter, fluid levels and basic car safety. Your air filter will get dirtier and dirtier by basic dirt from the air and particulates in the engine compartment. A dirty filter can cause poor performance and poor fuel economy. Basic filters are cheap and easy to replace. Moving to an aftermarket parts by companies like K&N and Green will improve performance and mileage with only a negligible cost increase. Check your fluid levels like coolant and brake/clutch fluid. If you can, check your transmission and differential fluids as well. Coolant is important to make sure you're not leaking and potentially causing extra heat buildup in your engine. A brake/clutch fluid leak can be dangerous for obvious reasons. A hard to engage/disengage clutch can be a sign of a leaky fluid line. Transmission and differential fluids are very important, but often go overlooked because of the difficulty getting to them. You could safely go 50000 miles without a change, but those who drive high performance cars or drive aggressively should change these fluids more often as it could become harder to shift and eventually can cause premature wear on gears. Basic car safety means things like your tire tread, suspension parts, brake pads and other bids that passively contribute to a road-worthy vehicle. Windshield wipers are another bit to check, but wear will be obvious when it rains.

3. 15000-20000 miles. More safety systems like lighting should be checked often, but making sure the systems are working and there's not an electrical problem (not just a bulb out) should be something to check if certain bulbs continue to break prematurely. More importantly, this is about the time you should be looking into changing your fuel filter. Random sputters or long start times could be attributed to fuel pump/filter problems. This is a simple fix, though getting under the car and having gas splashed on you is usually a deterrent to most people.

4. 25000-30000 miles. This is another good interval to check brake pad wear again and in most cases, a great time to replace pre-preemptively. Some also recommend a fuel injection service to make sure the engine is working at its peak. A liquid fuel additive can work wonders as a fuel injector cleaner, making sure gas is sprayed evenly and effectively in the cylinder. Also checking your accessory belts is another good thing to check. Any cracking or noticable wear should be noted and the belts should be replaced.

5. 40000-50000 miles. Timing belts! Cars with a timing belt should have that belt changed. It's a $300-500 job that can save you the cost of rebuilding a head. The timing belt connects the crank shaft with the camshaft. Should the belt brake while the vales are pushed out and a piston makes a full revolution and you'll have a bent valve. Do not neglect this. If you don't know if your car has a timing belt, as your dealer or search the web. Brake flush. The brake lines will get water in them over time and if you drive the car hard, the brake fluid can overheat causing fluid breakdown. Bleed the brakes or have a professional do it. Be sure to add the best fluid you can afford. Most cars are required to run DOT3, but DOT5 has a higher temperature tollerance and will last longer and work more effectively. Transmission fluid flush. Change your transmission and differential fluid. Every day driving will cause enough debris to get caught in these that the 50000 mile mark is as long as you want it to go before a change of fluid. Around this time you might want to check your battery. However, if all is running well and your car starts well, leaving it in would be reasonable. Lastly, if your car is handling is not up to par, you might want to get your springs/shocks checked. Poor handling can lead to accidents or poor ride quality.

6. 75000 miles. Around this time your exhaust system may start to see excess wear, especially in Northern states that see a proper winter. Your yearly emissions check will do a good job checking the quality of your system. If you hear rattles and squeeks though, you'll often need replacement exhaust hangers or replacement parts. These can be costly.

Of course, in the mean time of any of these intervals you'll get the standard problems that crop up. Broken starters, busted alternators and flat tires happen from time to time. Some things are prudent to fix before braking (brakes and tires, for example). If you drive locally 95% of the time, you can get away not being preemptive on things like an A/C compressor or a new radiator. However, if you travel often, getting regular preventative maintenace is a must. Keeping your car healthy isn't always easy, but it's more than worth the peice of mind and enjoyment of driving down that country road or highway and knowing you'll make it to your destination without any hiccups.

Wei Yang is a serial entrepreneur who co-found EasyAutoSales.com to help private sellers and dealerships sell cars online for free. To find or sell new and used cars for sale online, check out the website and search millions of listings on http://www.easyautosales.com

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Dr. John Ruiz recently suffered a bit of culture shock. In his professional life Dr. Ruiz was a New York City physician on the cutting edge of detection and treatment of malignant melanoma, the most serious form of skin cancer. He had recently flown to Florida to visit family hospitalized there and had entered the hospital unchallenged without even identifying himself when he entered the intensive care unit in Orlandos most prominent hospital. In Florida he had seen children running up and down the hospital halls and family visiting anytime they chose. Far from strictly enforced, in Florida families challenged the authority of nurses and doctors to restrict visitation even to allow for patient recovery. Further, Dr. Ruiz had seen nurses publicly reprimanded by supervisors for enforcing visitation policies in Florida. He was seeing that the All Hazards preparedness and Situationally Sensitive Security to which he was accustomed to was far from universal.

A year earlier, at age 39, Dr. Ruiz suffered a heart attack while working in New York City. Like so many heart attacks in the north, his began while shoveling snow and ended on the operating table. Owing to his young age and the fact that he exercised daily, he did well and went home. His story would have ended there except Dr. Ruiz realized there was a stark difference between his reality and the state of healthcare safety in the rest of the nation.

Dr. Ruiz had always been one of those doctors who never saw the need for increased disaster preparedness for healthcare. Practicing in New York City after 9/11 it seemed to him that every hospital and healthcare facility had instituted Situationally Sensitive Security and All Hazards Disaster Plans. Despite the fact that he had family and friends involved in national preparedness he had always assumed that every facility was as ready as the ones where he worked.

Prior to his heart attack, Dr. Ruiz had never walked in the front door of the hospital. When he arrived as a patient, he entered the front door and was immediately asked for photo id. He showed his drivers license and his wife was immediately stopped and asked for her id. For the first time he saw that no one entered the hospital without scrutiny and business at the hospital. This was such a contrast to what he now saw in Florida. Could it be that the rest of the nation was this unsafe?

Once admitted to the hospital, Dr. Ruiz learned that visiting hours were not only defined and restricted, but strictly enforced. Moreover, small children such as his own could not visit on the patient floor; he would have to be well enough to visit with them in the family spaces. What a difference from the world he now saw! How do the doctors and nurses work in such a place?

When Dr. Ruiz returned home he decided to see if his perceptions were in fact correct. He again entered through the front door. Had it not been for his hospital id, he would not have gotten in. He learned that on this day there had been an incident at another hospital and the hospital had increased the level of security. For the first time he took note of the attitude and decorum of his own patients visitors. In sharp contrast to what he had seen in Florida, these New York visitors listened to instructions, obeyed visitor policies and followed the instructions of the nurses.

The Safe Work Environment

What Dr. Ruiz came to realize is what preparedness experts have been saying for years; healthcare has few well prepared institutions while the majority of healthcare has chosen to ignore the threats and the most obvious solutions.

The most important change is to incorporate security and preparedness into the daily regimen of every hospital function and every hospital employee. The Situationally Sensitive Security Dr. Ruiz encountered in his hospital ensures that the hospital staff as well as all visitors are accustomed to some level of scrutiny when entering the hospital. At the lowest levels, no more that an id check occurs, but as security concerns increase, the level of scrutiny and restriction increase. This type of daily routine ensures that when increased security is required, the baseline behaviors are in place and familiar. The same philosophy is the basis of Continuous Integrated Triage and several other All Hazards protocols.

Workplace safety has become as much a component of All Hazards preparedness and patient safety initiatives. Facilities that have instituted this expanded approach to preparedness have found that patient safety initiative, employee safety programs and All Hazards preparedness are a natural combination. Funding once used for just one program can be applied to all three areas simultaneously thus allowing a hospital or healthcare institution to benefit in all three realms for each dollar spent.

More importantly, Dr. Ruiz inadvertently identified the reason that many preparedness experts have failed to successfully persuade hospital and healthcare decision makers to spend money on preparedness. Like Dr. Ruiz, many of these experts practice in places where most of the preparedness lessons have been not only observed, but learned and acted on. These experts are assuming that those practicing across the rest of the nation have already made the changes found in communities like New York City. The sad reality is that the vast majority of the nation has not made these changes. The only question is what will it take for the majority of hospitals and healthcare institutions to make these changes.

Workplace safety has become as much a component of All Hazards preparedness and patient safety initiatives. Facilities that have instituted this expanded approach to preparedness have found that patient safety initiative, employee safety programs and All Hazards preparedness are a natural combination. Funding once used for just one program can be applied to all three areas simultaneously thus allowing a hospital or healthcare institution to benefit in all three realms for each dollar spent.

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