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A case study was conducted of 123 crashes involving 144 fatally injured lap-shoulder belted front-seat occupants. The crashes occurred throughout the United States in 1985-86 and involved 97 driver and 47 right-front passenger deaths in new vehicles. A judgment was made by consensus of a safety panel on the potential for saving the victim's life by the addition of safety technology. Supplemental airbags provided the greatest potential for improving the life-saving effectiveness of current lap-shoulder belts. Overall, airbags may have prevented 12% of the belted occupant fatalities and 27% of the deaths in frontal crashes. The benefit of supplemental airbags was greater for the right-front passenger, in part, because of more females and occupants over 60 years of age in that seating position. A majority (68%) of the belted fatalities were judged unpreventable by reasonable restraint or vehicle modifications.