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This investigation addresses and evaluates: (1) belted drivers in frontal crashes; (2) crashes divided into low, medium, and high severity; (3) air-bag-equipped passenger vehicles separated into either model years 1985 - 1997 (with airbags) or model years 1998 - 2008; (4) rate of Harm as a function of crash severity and vehicle model year; and (5) injury patterns associated with injured body regions and the involved physical components, by vehicle model year. Comparisons are made between the injury patterns related to drivers seated in vehicles manufactured before 1998 and those manufactured 1998 or later. The purpose of this comparative analysis is to establish how driver injury patterns may have changed as a result of the introduction of more recent safety belt technology, advanced airbags, or structural changes.

A common injury type among foot and ankle injury is the Lisfranc trauma, or injury to the forefoot. The Lisfranc injury indicates abnormal alignment of the tarsal-metatarsal joints with the loss of their normal spatial relationships. In 2003, Smith completed a laboratory study of this injury mechanism at Wayne State University [1, 2]. He found Lisfranc trauma was correlated with impact force to the forefoot. He proposed a probability of injury function that is based on the applied force to the forefoot. This study examined the instrumentation in the foot of the dummies in the USA New Car Assessment Program (NCAP) and Insurance Institute of Highway Safety (IIHS) frontal crashes. Nineteen different passenger vehicles representing four different vehicle classes were selected based mostly on a large presence in the USA vehicle fleet. Both NCAP and IIHS crashed these nineteen makes and models.

This study assessed the primary involved physical components attributed to the head and face injuries of child occupants seated directly adjacent to the stuck side of a vehicle in a side impact collision. The findings presented in this study were based upon analysis of the National Automotive Sampling System/Crashworthiness Data System (NASS/CDS) for the years 1993–2007. Injury analysis was conducted for those nearside child occupants aged between 1–12 years-old. The involved children were classified as toddler-type, booster-type, or belted-type occupants. These classifications were based upon the recommended restraint system for the occupant. Injury mechanisms were assessed for the child occupants in each of the three groups. A detailed study of NASS/CDS cases was conducted to provide a greater understanding of the associated injury mechanisms.

Since 1966 the federal government, through the National Highway Traffic Safety Administration, has promulgated regulations governing the crash safety of motor vehicles, with particular attention to passenger cars. However, during the next four years, most of the regulations will also apply to light trucks and vans. There are now 53 Federal Motor Vehicle Safety Standards (FMVSS). These standards primarily regulate the safety of new vehicles. For many disabled persons, especially those confined to wheelchairs, vehicles must be extensively modified to allow them to drive, or to ride as passengers. The objective of this paper is to examine the safety level intended to be afforded to able bodied persons by the crashworthiness FMVSS and to make observations on the special requirements of modified vehicles to afford the same level of safety to disabled persons. We will emphasize the safety needs of those who use vans since vans are the vehicles most extensively modified.

This paper uses the National Automotive Sampling System/Crashworthiness Data System (NASS/CDS) to estimate the population of front seat occupants exposed to far-side crashes and those with MAIS 3+ and fatal injuries. Countermeasures applicable to far-side planar crashes may also have benefits in some far-side rollovers. The near-side and far-side rollover populations with MAIS 3+ injuries and fatalities are also calculated and reported. Both restrained and unrestrained occupants are considered. Populations are subdivided according to ejection status – not ejected, full ejection, partial ejection and unknown ejection. Estimates are provided for the annual number of MAIS 3+ injuries and fatalities that occur each year in each category for the following belt use scenarios: (1) belt use as reported in NASS and (2) 100% belt use. In scenario 1, the exposure and casualties for the unbelted population are also shown. About 34% of the MAIS 3+F injuries in side crashes are in far-side crashes.

This paper is based on the crash and casualty experience compiled by the National Highway Traffic Safety Administration's (NHTSA) National Accident Sampling System, Crashworthiness Data (NASS/CDS 1988-1992), and by the William Lehman Injury Research Center (University of Miami/Jackson Memorial Hospital/Ryder Trauma Center) crash data files. The NASS/CDS files provide data on injuries to occupants in all types of tow-away crashes. The William Lehman Injury Research Center files provide detailed crash analysis and injury documentation of more than 100 restrained occupants with injuries from frontal crashes. These files provide a basis for recognizing injury patterns among restrained occupants and postulating their causes. The purpose of this paper is to report on an observed pattern of liver and spleen injuries suffered by drivers wearing shoulder belts without the lap belt fastened.

The William Lehman Injury Research Center has conducted multi-disciplinary investigations of fifty crashes involving drivers protected by air bags. In all cases, serious injuries were suspected. Nine cases involved fatal injuries. These cases are not representative of crashes in general. However, when used in conjunction with NASS/CDS they provide insight into the most severe injuries in crashes of vehicles equipped with air bags. A comparison with data from the National Accident Sampling System; Crashworthiness Data System (NASS/CDS) shows that head injury and abdominal injury make up a larger fraction in the Lehman data than in NASS/CDS. Examination of fatal cases indicates that head injuries are frequently caused by intruding structure or by unfavorable occupant kinematics among the unrestrained population.

This paper examines the crash involvement and occupant safety record of sport utility vehicles (SUV’s) in comparison with those of cars, vans, and pickups. The investigation is based on the crash experience of the cited vehicles on the US roads, from 1988 to 1996, as compiled in the National Highway Traffic Safety Administration’s (NHTSA’s) records. In comparison with passenger car occupants, SUV occupants are exposed to significantly lower crash severities in planar crashes and they are younger. SUV occupants are underrepresented in crashes with other vehicles, but they are more frequently exposed to rollovers (8.7% vs. 33%). The overall belt use rate in SUV’s is about the same as for passenger cars. The overall belt use rate in rollover crashes is much lower than in planar crashes -51% for rollover vs. 62% for planar.

In this paper the characteristics of rear impact crashes are examined. General information about rear impact collisions is derived from recent data from the National Automotive Sampling System, General Estimates System (NASS/GES) and Fatality Analysis Reporting System (FARS) as reported in the annual National Highway Traffic Safety Administration (NHTSA) Traffic Safety Facts. Additional details about the frequency, severity, type, and cause of injuries to front seat outboard occupants is analyzed using the National Automotive Sampling System, Crashworthiness Data System (NASS/CDS) data from 1997 to 2005. Serious head and neck injuries are focused on for further analysis. Specific cases from the CDS database that meet this classification are examined. Federal Motor Vehicle Safety Standard (FMVSS) 301-R test data is used to analyze occupant, seat, and vehicle kinematics in single impact rear collisions and to look at the occupant rebound velocity.