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Commotio Cordis (CC) is the second leading cause of mortality in youth sports. Impacts occurring directly over the left ventricle (LV) during a vulnerable period of the cardiac cycle can cause ventricular fibrillation (VF), which results in CC. In order to better understand the pathophysiology of CC, and develop a mechanical model for CC, appropriate injury criteria need to be developed. This effort consisted of impacts to seventeen juvenile porcine specimens (mass 21-45 kg). Impacts were delivered over the cardiac silhouette during the venerable period of the cardiac cycle. Four impact speeds were used: 13.4, 17.9, 22.4, and 26.8 m/s. The impactor was a lacrosse ball on an aluminum shaft instrumented with an accelerometer (mass 188 g - 215 g). The impacts were recorded using high-speed video. LV pressure was measured with a catheter. Univariate binary logistic regression analyses were performed to evaluate the predictive ability of ten injury criteria.

Side impact pendulum tests were conducted on Eurosid I and Biosid to assess the biofidelity of the thorax, abdomen and pelvis, and determine injury tolerance levels. Each body region was impacted at 4.5, 6.7, and 9.4 m/s using test conditions which duplicate cadaver impacts with a 15 cm flat-circular 23.4 kg rigid mass. The cadaver database establishes human response and injury risk assessment in side impact. Both dummies showed better biofidelity when compared to the lowest-speed cadaver response corridor. At higher speeds, peak force was substantially higher. The average peak contact force was 1.56 times greater in Biosid and 2.19 times greater in Eurosid 1 than the average cadaver response. The Eurosid I abdomen had the most dissimilar response and lacks biofidelity. Overall, Biosid has better biofidelity than Eurosid I with an average 21% lower peak load and a closer match to the duration of cadaver impact responses for the three body regions.