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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.