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This investigation addresses and evaluates: (1) belted drivers in frontal crashes; (2) crashes divided into low, medium, and high severity; (3) air-bag-equipped passenger vehicles separated into either model years 1985 - 1997 (with airbags) or model years 1998 - 2008; (4) rate of Harm as a function of crash severity and vehicle model year; and (5) injury patterns associated with injured body regions and the involved physical components, by vehicle model year. Comparisons are made between the injury patterns related to drivers seated in vehicles manufactured before 1998 and those manufactured 1998 or later. The purpose of this comparative analysis is to establish how driver injury patterns may have changed as a result of the introduction of more recent safety belt technology, advanced airbags, or structural changes.

The basis for this analysis was NASS/CDS 1997 to 2006. In the NASS database there were 60 cases with major fires in side impact crashes, 37 of which were in passenger vehicles less than 10 years old. These newer vehicles were examined in this study. Cases in NASS were examined to identify crash characteristics associated with major fires in side crashes. The database contained 22 cases with fatalities, eleven of which were coded as fire related. Three of these were associated with fires that did not originate from the crashed vehicle. The fuel tank was coded as the fire origin for 41% of the major fires in vehicles with side damage and for 7 out of the 8 vehicles with fire related fatalities. The most frequent crash characteristic was an impact with a narrow object that produced severe side damage. Lower extent of damage was evident in two fatal cases that involved a rollover following the side impact.

This study assessed the primary involved physical components attributed to the head and face injuries of child occupants seated directly adjacent to the stuck side of a vehicle in a side impact collision. The findings presented in this study were based upon analysis of the National Automotive Sampling System/Crashworthiness Data System (NASS/CDS) for the years 1993–2007. Injury analysis was conducted for those nearside child occupants aged between 1–12 years-old. The involved children were classified as toddler-type, booster-type, or belted-type occupants. These classifications were based upon the recommended restraint system for the occupant. Injury mechanisms were assessed for the child occupants in each of the three groups. A detailed study of NASS/CDS cases was conducted to provide a greater understanding of the associated injury mechanisms.

This study investigated the mechanisms of traumatic rupture of the aorta (TRA). Eight unembalmed human cadavers were tested using various dynamic blunt loading modes. Impacts were conducted using a 32-kg impactor with a 152-mm face, and high-speed seatbelt pretensioners. High-speed biplane x-ray was used to visualize aortic motion within the mediastinum, and to measure deformation of the aorta. An axillary thoracotomy approach was used to access the peri-isthmic region to place radiopaque markers on the aorta. The cadavers were inverted for testing. Clinically relevant TRA was observed in seven of the tests. Peak average longitudinal Lagrange strain was 0.644, with the average peak for all tests being 0.208 ± 0.216. Peak intraluminal pressure of 165 kPa was recorded. Longitudinal stretch of the aorta was found to be a principal component of injury causation. Stretch of the aorta was generated by thoracic deformation, which is required for injury to occur.

The basis for this analysis was FARS 1979 to 2005 and NASS/CDS 1997 to 2004. For these years, there were 12,493 cases in FARS where fire was coded as the most harmful event. In NASS there were 227 cases with major fires, 87 of which were in frontal crashes. The paper shows the annual trends in FARS with regard to overall fatalities and fatalities with fire as the most harmful event by direction of principal vehicle damage. The NASS/CDS files are used to determine the location of fire origin. The FARS data show that crashes with frontal damage are the most frequent crash types where fire is the most harmful event. In general, the most harmful event fire rates have declined with the overall fatality rates in FARS. However, in recent years the trend in fires with frontal damage has been on the increase. Cases in NASS were examined to identify patterns for major fires in frontal crashes. Engine compartment fires were by far the most frequent.

In this paper the characteristics of rear impact crashes are examined. General information about rear impact collisions is derived from recent data from the National Automotive Sampling System, General Estimates System (NASS/GES) and Fatality Analysis Reporting System (FARS) as reported in the annual National Highway Traffic Safety Administration (NHTSA) Traffic Safety Facts. Additional details about the frequency, severity, type, and cause of injuries to front seat outboard occupants is analyzed using the National Automotive Sampling System, Crashworthiness Data System (NASS/CDS) data from 1997 to 2005. Serious head and neck injuries are focused on for further analysis. Specific cases from the CDS database that meet this classification are examined. Federal Motor Vehicle Safety Standard (FMVSS) 301-R test data is used to analyze occupant, seat, and vehicle kinematics in single impact rear collisions and to look at the occupant rebound velocity.

Injury to the far side occupant has been demonstrated as a significant portion of the total trauma in side impacts. The objective of the study was to determine the response of PMHS in far side impact configurations, with and without generic countermeasures, and compare responses to the WorldSID and THOR dummies. A far side impact buck was designed for a sled test system that included a center console and three-point belt system. The buck allowed for additional options of generic countermeasures including shoulder or thorax plates or an inboard shoulder belt. The entire buck could be mounted on the sled in either a 90-degree (3-o'clock PDOF) or a 60-degree (2-o'clock PDOF) orientation. A total of 18 tests on six PMHS were done to characterize the far side impact environment at both low (11 km/h) and high (30 km/h) velocities. WorldSID and THOR-NT tests were completed in the same configurations to conduct matched-pair comparisons.

Injury to the far side occupant has been demonstrated as a significant portion of the total trauma in side impacts. The objective of the study was to determine the response of PMHS in far side impact configurations, with and without generic countermeasures, and compare responses to the WorldSID and THOR dummies. A far side impact buck was designed for a sled test system that included a center console and three-point belt system. The buck allowed for additional options of generic countermeasures including shoulder or thorax plates or an inboard shoulder belt. The entire buck could be mounted on the sled in either a 90-degree (3-o'clock PDOF) or a 60-degree (2-o'clock PDOF) orientation. A total of 18 tests on six PMHS were done to characterize the far side impact environment at both low (11 km/h) and high (30 km/h) velocities. WorldSID and THOR-NT tests were completed in the same configurations to conduct matched-pair comparisons.

A common injury type among foot and ankle injury is the Lisfranc trauma, or injury to the forefoot. The Lisfranc injury indicates abnormal alignment of the tarsal-metatarsal joints with the loss of their normal spatial relationships. In 2003, Smith completed a laboratory study of this injury mechanism at Wayne State University [1, 2]. He found Lisfranc trauma was correlated with impact force to the forefoot. He proposed a probability of injury function that is based on the applied force to the forefoot. This study examined the instrumentation in the foot of the dummies in the USA New Car Assessment Program (NCAP) and Insurance Institute of Highway Safety (IIHS) frontal crashes. Nineteen different passenger vehicles representing four different vehicle classes were selected based mostly on a large presence in the USA vehicle fleet. Both NCAP and IIHS crashed these nineteen makes and models.

The research reported in this paper is a follow-on to a five year research program conducted by General Motors in accordance with an administrative Settlement Agreement reached with the US Department of Transportation. This paper is the fourth in a series of technical papers intended to disseminate the results of the ongoing research [Digges 2004, 2005, 2006]. This paper summarizes progress in several of the projects to better understand the crash factors that are associated with crash induced fires. Part I of the paper presents the distribution of fire cases in NASS/CDS by damage severity and injury severity. It also examines the distributions by crash mode, fire origin, and fuel leakage location. The distributions of cases with fires and entrapment are also examined. Part II of the paper provides summaries of recent projects performed by MVFRI contractors. Technologies to reduce fuel leakage from siphoning and rollover are documented.

This paper uses the National Automotive Sampling System/Crashworthiness Data System (NASS/CDS) to estimate the population of front seat occupants exposed to far-side crashes and those with MAIS 3+ and fatal injuries. Countermeasures applicable to far-side planar crashes may also have benefits in some far-side rollovers. The near-side and far-side rollover populations with MAIS 3+ injuries and fatalities are also calculated and reported. Both restrained and unrestrained occupants are considered. Populations are subdivided according to ejection status – not ejected, full ejection, partial ejection and unknown ejection. Estimates are provided for the annual number of MAIS 3+ injuries and fatalities that occur each year in each category for the following belt use scenarios: (1) belt use as reported in NASS and (2) 100% belt use. In scenario 1, the exposure and casualties for the unbelted population are also shown. About 34% of the MAIS 3+F injuries in side crashes are in far-side crashes.

Real world crashes in NASS/CDS 1997 to 2000 were examined individually in order to find patterns in single vehicle rollover crashes. Typical maneuver induced rollovers of SUV's were reconstructed using the HVE model. From HVE and roll event reconstructions, the values of longitudinal, lateral, and vertical displacement, and roll, pitch, and yaw angle, for the pre-roll and rollover event were calculated. These values were used as inputs to a MADYMO model for simulated vehicle motion to predict occupant kinematics. Both near-side and far-side rollovers were simulated. The MADYMO model provided estimates of head velocity for the various rollover scenarios for a belted driver. In both near-side and far-side rollovers of the type reconstructed, the lateral component of head velocity was the greatest. Maximum head velocities of 5.3 m/s were predicted. The simulations were for two complete rollovers. The highest head velocity occurred during the first three quarter turns.

This paper presents an analysis of the National Automotive Sampling System (NASS) and the Fatal Accident Reporting Systems (FARS) data for the combined years 1988–97 with respect to side impacts. Accident variables, vehicle variables, occupant variables and their interactions have been considered, with special emphasis on occupant injury patterns. The crash modes considered are car-to-car, car-to-LTV (light trucks and vans) and car to narrow object, with special emphasis on the latter two. This study was undertaken to obtain a better understanding of injury patterns in lateral impacts, their associated causation factors, and to obtain information that will assist in prioritizing crash injury research problems in near side impacts. Of particular interest is the increase in the population of light trucks and vans and their influence on side impact priorities. Conclusions will be drawn regarding the frequency and injury severity of car-to-LTV’s and car to narrow objects.

A significant number of documented ankle injuries incurred in automobile accidents indicate some form of lateral loading is present to either cause or influence injury. A high percentage of these cases occur in the absence of occupant compartment intrusion. To date, no specific ankle injury mechanism has been identified to explain these types of injuries. To investigate this problem, several resources were used including full-scale crash test data, finite element models, and case study field data. Results from car-to-car, offset frontal crash tests indicate a significant lateral acceleration (10-18 g) occurs at the same time as the peak in longitudinal acceleration. The combined loading condition results in a significant lateral force being applied to the foot-ankle region while the leg region is under maximum compression.

This paper examines the crash involvement and occupant safety record of sport utility vehicles (SUV’s) in comparison with those of cars, vans, and pickups. The investigation is based on the crash experience of the cited vehicles on the US roads, from 1988 to 1996, as compiled in the National Highway Traffic Safety Administration’s (NHTSA’s) records. In comparison with passenger car occupants, SUV occupants are exposed to significantly lower crash severities in planar crashes and they are younger. SUV occupants are underrepresented in crashes with other vehicles, but they are more frequently exposed to rollovers (8.7% vs. 33%). The overall belt use rate in SUV’s is about the same as for passenger cars. The overall belt use rate in rollover crashes is much lower than in planar crashes -51% for rollover vs. 62% for planar.

Automobile insurance claims of two popular midsize cars with different air bag deployment frequencies -- the Dodge/Plymouth Neon and Honda Civic -- were examined to determine performance in higher severity crashes (the upper 30 percent of crashes ranked by adjusted repair cost). Previously, it was found that drivers sustained more, mainly minor, injuries in the Neon which had a higher deployment frequency in low speed crashes. This study examined, for these two cars, whether there was any trade-off associated with a higher deployment threshold. It was found that even at higher speeds, the Neon had a greater frequency of air bag deployments, which in turn resulted in a greater likelihood of driver injury. Once again upper extremity injuries were most prevalent for Neon drivers and were highest for female drivers. At the same time, there was little evidence that driver protection was compromised in the Civic in the more important high speed crashes.

The William Lehman Injury Research Center has conducted multi-disciplinary investigations of fifty crashes involving drivers protected by air bags. In all cases, serious injuries were suspected. Nine cases involved fatal injuries. These cases are not representative of crashes in general. However, when used in conjunction with NASS/CDS they provide insight into the most severe injuries in crashes of vehicles equipped with air bags. A comparison with data from the National Accident Sampling System; Crashworthiness Data System (NASS/CDS) shows that head injury and abdominal injury make up a larger fraction in the Lehman data than in NASS/CDS. Examination of fatal cases indicates that head injuries are frequently caused by intruding structure or by unfavorable occupant kinematics among the unrestrained population.

This paper is based on the crash and casualty experience compiled by the National Highway Traffic Safety Administration's (NHTSA) National Accident Sampling System, Crashworthiness Data (NASS/CDS 1988-1992), and by the William Lehman Injury Research Center (University of Miami/Jackson Memorial Hospital/Ryder Trauma Center) crash data files. The NASS/CDS files provide data on injuries to occupants in all types of tow-away crashes. The William Lehman Injury Research Center files provide detailed crash analysis and injury documentation of more than 100 restrained occupants with injuries from frontal crashes. These files provide a basis for recognizing injury patterns among restrained occupants and postulating their causes. The purpose of this paper is to report on an observed pattern of liver and spleen injuries suffered by drivers wearing shoulder belts without the lap belt fastened.

A multidisciplinary, automobile crash investigation team at the Jackson Memorial Hospital/Ryder Trauma Center in Miami, Florida, is conducting a detailed medical and engineering study. The focus is restrained (seatbelts and/or air bag) occupants involved in frontal crashes, who have also been severely injured. More than 60 crashes have been included in the study to date. Analysis of the initial data indicates that restraint systems are working to reduce many of the head and chest injuries which unrestrained occupants suffer. However, internal injuries among air bag-protected occupants may be unrecognized in the field providing new challenges in triage and injury diagnosis. In other cases, survival in extremely high severity crashes presents trauma management challenges due to the extent and complexity of the multiple injuries which result. The paper provides case examples to illustrate types of chest and abdominal injuries associated with air bag cases.

This paper examines the distribution of injuries to belted occupants involved in frontal crashes, using data from the National Accident Sampling System. Similar studies of data from Canada, Britain, and Federal Republic of Germany are summarized. The studies are consistent in showing that head and chest injuries continue to be the most harmful to belted occupants. For restrained drivers, liver injuries contribute a significant level of harm among chest/abdominal injuries. Other significant lesions of nearly equal weight are arterial, heart, lung/pulmonary, skeletal, and crushing injuries. Brain injuries are by far the most harmful head injury, followed by skull fracture and facial fracture. The diverse distribution of injuries, and the wide variation in occupant sizes and injury tolerances are significant considerations in optimizing restraint systems for maximum injury reduction in real crashes.