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BACKGROUND: Detailed fatal injury data following fatal motor vehicle crashes (MVC) are necessary to improve occupant safety and promote injury prevention. Autopsy remains the principle source of detailed fatal injury data. However, procedure rates are declining due to a range of technical, ethical and religious concerns. Postmortem computed tomography (PMCT) is a potential alternative or adjunct to autopsy which is increasingly used by forensic researchers. However, there are only limited data regarding the utility of PMCT for analysis of fatal MVC injuries. METHODS: We performed whole body PMCT, autopsy and complete crash reconstruction on 3 subjects fatally injured in MVC in a single county in Michigan. All injuries detected by either PMCT or autopsy were coded using the Abbreviated Injury Scale (AIS). Severe injuries, defined as AIS 3 or higher (AIS 3+), were tallied for each forensic procedure to allow a comparison of relative diagnostic performance.

Lateral (or side impact) air bags have been in the field since model year 1995. However, relatively low installation rates have limited wide-ranging analyses of the effectiveness of these air bag systems to date. The CIREN database was surveyed to examine the real-world performance of lateral air bag systems and address the following three basic questions: 1) Are lateral air bags providing benefit? 2) Are lateral air bags being overwhelmed by some crash characteristics? 3) Are lateral air bag inflation forces potentially inducing some injury? In the detailed survey afforded by the CIREN database, all three of these conditions were found.

Injuries of the Occipitoatlantoaxial (Occ-C2) region (also known as atlanto-occipital injuries) are the most common form of cervical injury in children aged ten years and younger. The crash studied in this paper is unique in that there were three children ages 3, 6 and 7 involved in a frontal crash with a delta V of 28mph with each child receiving a nonfatal Occ-C2 injury of varying degrees. The 3 and 6 year-old children were remarkably similar in height and weight to the 3 and 6 year-old Hybrid III ATD's. Also, unique to this case is the fact that the right rear 6 year-old occupant likely sustained an Occ-C2 injury prior to impact with the frame of the front passenger seat. This crash environment was recreated utilizing MADYMO occupant simulation software. The models for the Hybrid III 3 and 6 year-old ATDs were used to represent the occupants in this crash.

Monitoring head accelerations as an indicator of possible brain injury may lead to faster identification of injury and treatments. This study investigates the skull-coupling of a tri-axial accelerometer mounted to a back molar and compares it with a tri-axial accelerometer inserted in the boney ear canal. These tri-axial accelerometers were mounted to three post mortem human surrogate (PMHS) skulls, and compared with a rigid, skull-mounted laboratory sensor reference cube. Each specimen was subjected to both a high-g loading from a vertical drop tower and a low frequency cyclic loading from a shaker device. The specimens were subjected to an approximate 150g input acceleration on the drop tower, and up to 10g at a frequency of 9Hz on the shaker device. Each specimen was tested on all three of the anatomical axes on both the drop tower and the cyclic shaker.

Late model passenger cars and light trucks incorporate occupant protection systems with airbags and knee restraints. Knee restraints have been designed principally to meet the unbelted portions of FMVSS 208 that require femur load limits of 10-kN to be met in barrier crashes up to 30 mph, +/- 30 degrees utilizing the 50% male Anthropomorphic Test Device (ATD). In addition, knee restraints provide additional lower-torso restraint for belt-restrained occupants in higher-severity crashes. An analysis of frontal crashes in the University of Michigan Crash Injury Research and Engineering Network (UM CIREN) database was performed to determine the influence of vehicle, crash and occupant parameters on knee, thigh, and hip injuries. The data sample consists of drivers and right front passengers involved in frontal crashes who sustained significant injuries (Abbreviated Injury Scale [AIS] ≥ 3 or two or more AIS ≥ 2) to any body region.

A method has been developed to identify and document the locations of rib fractures from two-dimensional CT images obtained from occupants of crashes investigated in the Crash Injury Research Engineering Network (CIREN). The location of each rib fracture includes the vertical location by rib number (1 through 12), the lateral location by side of the thorax (inboard and outboard), and the circumferential location by five 36-degree segments relative to the sternum and spine. The latter include anterior, anterior-lateral, lateral, posterior-lateral, and posterior regions. 3D reconstructed images of the whole ribcage created from the 2D CT images using Voxar software are used to help identify fractures and their rib number. A geometric method for consistently locating each fracture circumferentially is described.

The intent of this study was to compare the neck responses measured from the Hybrid III 3 and 6-year-old ATDs in laboratory testing to injuries sustained by three children in a field crash and investigate the appropriateness of recommended in-position neck injury assessment reference values (IARVs), and the regulated out-of-position (OOP) IARVs specified in FMVSS 208 for the Hybrid III 3 and 6-year-old ATDs. This paper principally reports on apparent artifacts associated with the Hybrid III 3 and 6-year-old ATDs, which complicated investigating the appropriateness of the in-position and out-of-position neck IARVs. In tests using 3-point belt restraints, these apparent artifacts included: 1) High neck extension moments, which produced the peak Nij values, without significant observed relative head-to-neck motion, 2) Neck tension forces well in excess of the IARVs that occurred when the ATD's chin contacted the chest.