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The research question investigated in this study is what are the key attributes of foot and ankle injury in the between-rail frontal crash? For the foot and ankle, what was the type of interior surface contacted and the type of resulting trauma? The method was to study with in-depth case reviews of NASS-CDS cases where a driver suffered an AIS=2 foot or ankle injury in between-rail crashes. Cases were limited to belted occupants in vehicles equipped with air bags. The reviews concentrated on coded and non-coded data, identifying especially those factors contributing to the injuries of the driver's foot/ankle. This study examines real-world crash data between the years 1997-2009 with a focus on frontal crashes involving 1997 and later model year vehicles. The raw data count for between-rail crashes was 732, corresponding to 227,305 weighted, tow-away crashes.

An evaluation of the four injury risk curves proposed in the NHTSA NCAP for estimating the risk of AIS≻=3 injuries to the head, neck, chest and AIS≻=2 injury to the Knee-Thigh-Hip (KTH) complex has been conducted. The predicted injury risk to the four body regions based on driver dummy responses in over 300 frontal NCAP tests were compared against those to drivers involved in real-world crashes of similar severity as represented in the NASS. The results of the study show that the predicted injury risks to the head and chest were slightly below those in NASS, and the predicted risk for the knee-thigh-hip complex was substantially below that observed in the NASS. The predicted risk for the neck by the Nij curve was greater than the observed risk in NASS by an order of magnitude due to the Nij risk curve predicting a non-zero risk when Nij = 0. An alternative and published Nte risk curve produced a risk estimate consistent with the NASS estimate of neck injury.

Evaluation of safety benefits is an essential task during design and development of pedestrian protection systems. Comparative evaluation of different safety concepts is facilitated by a common metric taking into account the expected human benefits. Translation of physical characteristics of a collision, such as impact speed, into human benefits requires reliable and preferably evidence-based injury models. To this end, the dependence of injury severity of body regions on explanatory factors is quantified here using the US Pedestrian Crash Data Study (PCDS) for pedestrians in frontal vehicle collisions. The explanatory and causal factors include vehicle component characteristics, physiological and biomechanical variables, and crash parameters. Severe to serious injuries most often involve the head, thorax and lower extremities.

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.

This paper examines injuries and injury mechanisms in side impact crashes being addressed by the United States standard, FMVSS 214. In this side impact protection standard, a moving deformable barrier impacts the occupant compartment of a vehicle being tested. The moving barrier is crabbed at an angle of 23 degrees measured relative to the side of the struck vehicle. The standard assesses the crash protection provided in a vehicle-to-vehicle crash to an occupant seated on the struck side, in the vicinity of the maximum intrusion. The National Automobile Sampling System /Crashworthiness Database System (NASS/CDS) data indicates that 75% AIS 3+ injuries occur in vehicle-to-vehicle crashes, 66% occur to the struck side occupants and 94% occur in crashes with damage to the occupant compartment. Crash directions of 10 and 2 o’clock are the most common injury producing crashes.

The William Lehman Injury Research Center has conducted multi-disciplinary investigations of one hundred seventy-eight crashes involving adult occupants protected by safety belts and air bags. In all cases, serious injuries were suspected. Nine cases involved serious heart injuries. These cases are not representative of crashes in general. However, when used in conjunction with National Accident Sampling System; Crashworthiness Data System (NASS/CDS) they provide insight into the most severe injuries suffered by restrained occupants in frontal crashes. Heart injuries are rare, but when they occur they are usually life threatening. NASS/CDS shows that heart injuries comprise about 0.2% of the injuries in frontal tow-away crashes. In the NHTSA file of Special Crash Investigations (SCI) of air bag cases, heart injuries are reported in 1% of the occupants over 15 years of age. Twenty-five percent of the fatally injured occupants had heart injuries, and 83% of those with heart injury died.