Pedestrian vehicle accidents account for a considerable proportion of all automobile related injuries and deaths each year. Due to the large difference in mass between the pedestrian and the vehicle, pedestrian injury reduction is a formidable task. In spite of these difficulties, world attention is beginning to focus on pedestrian injuries and methods to quantitatively evaluate a vehicle for its pedestrian injury potential. This paper reviews the status of work in the United States on devices and methods for measuring pedestrian impact response. Where data is available test device response is summarized. The state of pedestrian accident research is also reviewed in the light of national and International interest in reducing pedestrian injuries.