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Purpose: A better understanding of rear occupant fatality risks is needed to guide the development of safety improvements for 2nd and 3rd row occupants. This study investigates fatal accidents of 1st, 2nd and 3rd row occupants by principal direction of force (PDOF), irrespective of restraint use. It determined the number of fatalities, exposure and fatality risk. Methods: 1996-2005 FARS was analyzed for occupant fatalities by seating position (1st, 2nd and 3rd row) and principal direction of force (1-12 o'clock PDOF, rollover and other/unknown). Light vehicles were included with model year 1990+. 1996-2005 NASS-CDS was similarly analyzed for occupant exposure. Fatality risk was defined as the number of fatalities in FARS for a given category divided by the exposure from NASS-CDS. Results: Ten percent (9.6%) of fatalities were to 2nd row occupants in FARS. About 2,080 deaths occur to 2nd row occupants annually. 38.4% died in rollovers and 26.8% in frontal crashes.

Child safety is an important issue. The objective of this study was to analyze field accident data for 0-7 year old children in the 2nd row by vehicle and crash type, irrespective of restraint use. The data was obtained from NASS-CDS for calendar years 1991-2005. Accidents were selected based on 2nd row occupancy in towaway light vehicles with model year 1990 or newer. Side impacts caused 30.9% of serious-to-fatal injury (MAIS 3+F) to 2nd row children followed by frontal impacts (29.8%), rollovers (24.4%) and rear crashes (15.0%). The highest risk for MAIS 3+F was in rollovers (2.8 ± 0.7%) followed by rear (1.4 ± 0.4%), side (1.0 ± 0.2%) and frontal (0.46 ± 0.10%) crashes. The differences are statistically significant (p <0.01). Individual rear and frontal impact cases were also reviewed to better understand injury mechanisms of children in the 2nd row. The cases were obtained from the 1997-2005 NASS-CDS electronic database.

Objective: This study investigated the incidence of abdominal injuries in frontal crashes by occupant age and seating position. It determined the risk for abdominal injury (AIS 2+) by organ and injury source. Methods: 1997-2015 NASS-CDS was analyzed to estimate the occurrence of abdominal injuries in non-ejected, belted occupants involved in frontal crashes. Vehicles were included with 1997+ model year (MY). The annual incidence and rate for different types of abdominal injury were estimated with standard errors. The sources for abdominal injury were determined. Results: 77.8% of occupants were drivers, 16.7% were right-front passengers and 5.4% were rear passengers. Rear passengers accounted for 77.1% of 8-11 year old (yo) and 17.2% of 12-17 yo group. The risk for moderate abdominal injury (MAIS 2 + abdo) was 0.30% ± 0.053% in drivers, 0.32% ± 0.086% in right-front passengers and 0.38% ± 0.063% in rear occupants.

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.

Child safety continues to be an important issue in automotive safety for many reasons, including reported cases of serious injury from airbag deployments. As a result of extensive public education campaigns, most children are now placed in rear seats of vehicles. Accordingly, a more precise understanding of rear-seat occupant protection is developing as the second and third rows have become the primary seating area for children in SUVs, vans and passenger cars. The objective of this study was to review field crash and injury data from rear seats, identify the distribution of children and infants in rear seats, and analyze injury risks in various crash modes. The database used was the 1991-1999 NASS-CDS. When looking at crash configurations for 1st and 2nd row children, rollover crashes involved the highest incidence of MAIS 3+ injury, followed by frontal and side impacts. Lap-shoulder belt usage was similar for 1st and 2nd row children.

Previous pendulum impact tests have shown that knee joint injuries and tibial-fibular fractures may occur when loads are directed against the lower leg rather than directly against the femur in the knee. In order to further improve our understanding of lower extremity restraint mechanics, simulated frontal barrier crash experiments were conducted with unembalmed human cadavers and an anthropomorphic dummy restrained by a two-point shoulder belt. In the first test, an experimental bolster was specifically positioned so that the cadaver's lower leg would strike the bolster, thus inducing restraining loads entirely below the knee joint. The analysis of occupant kinematics showed that the flexed knee rode over and forward of the low-positioned bolster. Restraint induced considerable shearing load across the knee joint. Bolster measurements indicated a peak load of approximately 4.0 kN per leg which resulted in a contralateral central tear of the posterior cruciate ligaments.

Blunt impacts to the back of the torso can occur in vehicle crashes due to interaction with unrestrained occupants, or cargo in frontal crashes, or intrusion in rear crashes, for example. Six pendulum tests were conducted on the back of an instrumented 50th percentile male Hybrid III ATD (Anthropomorphic Test Device) to determine kinematic and biomechanical responses. The impact locations were centered with the top of a 15-cm diameter impactor at the T1 or at T6 level of the thoracic spine. The impact speed varied from 16 to 24 km/h. Two 24 km/h tests were conducted at the T1 level and showed repeatability of setup and ATD responses. The 16 and 24 km/h tests at T1 and T6 were compared. Results indicated greater head rotation, neck extension moments and neck shear forces at T1 level impacts. For example, lower neck extension was 2.6 times and 3.8 times greater at T1 versus T6 impacts at 16 and 24 km/h, respectively.

Role of the Seat in Rear Crash Safety addresses the historic debate over seatback stiffness, energy absorbing yielding, occupant retention and whiplash prevention; and it provides a scientific foundation for the direction GM pursued in the development and validation of future seat designs. It also describes the multi-year research study into the role of the seat in rear crash safety - first by addressing the need for occupant retention in the more severe rear crashes; and then by addressing the needs for an adequately positioned head restraint and changes in the compliance of the seatback to lower the risks of the whiplash in low-speed crashes.

NHTSA has recently been petitioned to address the protection of second-row children in rear crashes due front seatback performance. The protection of children is important. However, it is more complex than assessing front seat performance in rear impacts. Viano, Parenteau (2008 [1]) analyzed cases of serious-to-fatally injured (MAIS 3+F) children up to 7 years old in the second row in rear impacts involving 1990+ model year vehicles using 1997-2005 NASS-CDS. They observed that intrusion was an important factor pushing the child forward into the back of the front seat, B-pillar or other front structure. To help assess whether stiffening the front seats would be beneficial for second-row child safety, the 2008 study was updated using more recent data and model year vehicles. In the present study, 1997-2015 NASS-CDS data were analyzed for serious-to-fatally (MAIS 3+F) injured 0- to 7-year old children in the second row with 1994+ model year vehicles.

Field data was analyzed on second-row children in front, side and rear impacts to study fatality trends by model year (MY) and calendar year (CY) with 1980-2020 MY vehicles. The different MY and CY perspectives show changes in rates that are useful for setting priorities for second-row child safety in rear impacts. 1990 to 2019 FARS was queried to assess the number of fatally injured and non-ejected second-row children (0-15 years old) in crashes without fires. The children included outboard occupants seated behind an occupied front seat and center occupants. The data was analyzed for rear, front and side impacts to assess crash frequency. 1990-2015 POLK was queried to assess exposure of registered vehicles and estimate a fatality rate. The FARS and POLK data were sub-grouped by MY of the vehicle and CY of the crash. There were 2.8-times more fatally injured children in frontal crashes than in the rear crashes. The ratio of frontal and rear crashes varied with CY sub-groups.