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Over half of the 1.2 million annual traffic fatalities worldwide are pedestrians struck by motor vehicles [ 1 ]. Medical databases, such as the National Inpatient Sample (NIS), have been utilized to ascertain injury patterns in the general population of injured pedestrians [ 2 - 3 ]. However, the authors are not aware of any studies investigating how factors, such as physical impairments, intoxication, and pre-existing medical implants (e.g. hip replacement, artificial knee, etc.) affect the prevalence of pedestrian accidents or injury outcomes. Five to eight million inpatient hospitalization records are included in the NIS annually, and this large sample size allows for analyses that are not possible with smaller data sets on pedestrian injuries. The current study utilizes the NIS to evaluate how several factors such as blindness, deafness, intoxication, and pre-existing medical implants affect injury patterns when compared to the general population of hospitalized pedestrians.

Pediatric pedestrians are frequently involved in Pedestrian versus Motor Vehicle Collisions (PMVCs). While in recent years, the automotive industry has worked towards making cars less aggressive to pedestrians, the efforts have mainly focused on adult pedestrian safety. When they have included considerations for children, only head injuries have been evaluated. The development of automotive counter-measures that provide protection for both adult and pediatric pedestrians requires access to injury criteria for the entire body that specifically account for both the age-dependent tissue properties and the pedestrian's size. The objective of the present study is to derive lateral injury criteria for the head, neck, thorax, abdomen and pelvis that can be used in finite element and multi-body simulations of PMVCs involving the 6-year-old pedestrian (corresponding injury criteria for the upper and lower extremities are derived in part II of this study).

Previous studies have suggested injury assessment reference values (IARVs) for lower neck injury based on scaled upper neck values. This study developed independent flexion and extension IARVs for the lower neck by matching Anthropomorphic Test Device (ATD) data to impact-tested post-mortem human subjects (PMHSs) with mid- to low-cervical spine injuries. Pendulum and sled tests with Hybrid III midsize male and small female ATDs were run under conditions mimicking those of published PMHS torso drop-sled tests and other PMHS studies. Measurements included upper and lower neck forces and moments, head acceleration, head rotation rate, and head/neck angles for the pendulum tests. Rear impacts corresponding to rigid seatback tests without a head restraint produced lower neck extension moments that increased dramatically with test severity, as measured by increasing delta-V and/or decreasing pulse duration.

Disc herniations in the spine are commonly associated with degenerative changes, and the prevalence increases with age. Though rare, spinal disc herniations can also be caused by trauma. With increasing number of older drivers on U.S. roads, there is an expected proportionate increase in clinical findings of disc herniations in occupants involved in vehicle impacts. Our goal in this study is to determine whether there is a causal relationship between frontal impacts and the occurrence of disc herniations in the occupants of these impacts. We further aim to determine the prevalence of different types of spinal injury and to evaluate the effects of crash severity and other parameters on different types of spinal injury in such impacts. Using data from the National Automotive Sampling System - Crashworthiness Data System (NASS-CDS) database from 1993 through 2014, we examined the reported occurrence of all spine injuries for adult occupants in frontal impact.