Search Results

This study presents a design concept for a multi-configuration modular medical evacuation fixture that can be used to retrofit standard utility vehicles for emergency medical transport. The fixture has been designed so that when installed in a vehicle and configured for litter transport, it provides mounting structure for a single patient on a North Atlantic Treaty Organisation (NATO) style litter as well as for a variety of emergency medical equipment. When installed in a vehicle and configured for ambulatory patient transport, the device provides safe seating for multiple patients as well as mounting surfaces for medical equipment. When not installed, the fixture can be collapsed for ease of shipping and warehousing. A survey of potential host vehicles was conducted to evaluate the feasibility of the proposed design. Given a preliminary concept, factors such as expected patient anthropometry, and physical data of medical equipment were used to perform basic structural analyses.

Significantly, more fatalities and serious injuries occur due to ejection in roll over accidents. The present study was conducted to determine the occupant retention and head-neck injury potential aspects of laminated glass in roll over accidents. The head injury and neck parameters were obtained from Hybrid III 50% male dummy test device impacting on various types of side windows with laminated glass. Results indicated that the glass contained the dummy assembly and the head neck biomechanical parameters were below the critical value injury tolerance limits in simulated rollover accidents.

Phase I, Phase II, Caterpillar, Allis-Chalmers, Clark, Hyster, Toyota, and Entwistle fork lift upset studies have been conducted with Hybrid II dummies, Side Impact Dummies, and stunt men. The investigations concluded that the dummy lacks the ability to brace itself, hold on, and does not have adequate biofidelity to represent the human in a fork lift upset. Crushing injuries and death typically occur when the operator is thrown or jumps from the overturning forklift and is pinned by the overhead guard or canopy. The dummy studies demonstrated a wide range of Head Injury Criteria (HIC) values that were not reproducible. Furthermore, other injury producing variables such as angular acceleration, angular velocity or induced brain stress were not investigated. The injury level of 1000 for the HIC for the mid-sized male, small female, and 6 year-old has been recommended by the National Highway Transportation Safety Administration (NHTSA).

Determination of human tolerance to injury is difficult because of the physical differences between humans and animals, dummies and cadaver tissue. Certain human volunteer testing has been done but at subinjurious levels [STAP 86] [EWIN 72] Considerable biomechanical engineering injury studies exist for the adult human cadaver however little is available for the pediatric population [SANC 99] [KLEI 98b]. Studies have been made of pediatric skull bone modulus, fetal tendon and early pediatric studies of the newborn during delivery, however, a paucity of information still exists in these areas. A number of dummies have recently been made available principally for airbag testing to bridge the gap between the 50 percentile Hybrid III male dummy and the 95 percentile male dummy.

The Federal Motor Vehicle Safety Standard 571.201 discusses occupant protection with interior impacts of vehicles. Recent rule making by the National Highway Traffic Safety Administration (NHTSA) has identified padding for potential injury reduction in vehicles. Head injury mitigation with padding on vehicular roll bars was evaluated. After market 2 to 2.5 cm thick padding and metal air gap padding reduced the head injury criterion (HIC) and angular acceleration compared to the stock foam roll bar padding. Studies were conducted with free falling Hybrid 50% male head form drops on the fore head and side of the head. Compared to the stock roll bar material, a nearly 90% reduction in HIC was observed at speeds up to 5.4 m/s. A concomitant 83% reduction in angular acceleration was also observed with the metal air gap padding. A 2 to 2.5 cm thick Simpson roll bar padding produced a 70 to 75% reduction in HIC and a 59 to 73% reduction in angular acceleration.

The objective of the study was to investigate the biomechanical response of the intact cranium. Unembalmed human cadavers were used in the study. The specimens were transected at the base of the skull leaving the intracranial contents intact; x-ray and computed tomography (CT) scans were obtained. They were fixed in a specially designed frame at the auditory meatus level and placed on the platform of an electrohydraulic testing device via a six-axis load cell. Following radiography, quasistatic loading to failure was applied to one of the following sites: frontal, vertex, parietal, temporal, or occipital. Retroreflective targets were placed in two mutually orthogonal planes to record the localized temporal kinematics. Applied load and piston displacement, and the output generalized force (and moment) histories were recorded using a modular digital data acquisition system. After the test, x-ray and CT images were obtained, and defleshing was done.

In the present investigation a tractor wheel runover accident was simulated to obtain biomechanical information relating to mechanism of injury. Twelve cadaver porcine specimens were runover with the right front wheel of a tractor. Specimens were placed on a six-axis force plate and thorax contours were recorded temporally. Results indicated up to 68% compression of the chest occurred during the runover event. The shear force in the direction of travel was a significant factor in the type of fractures that occurred to the rib cage. Pathology determined from x-ray revealed multiple fractures per rib in the area directly below the path of the tire. Autopsy evaluation revealed soft tissue contusion on the left side in the area of wheel path. There was often extra blood in the pericardial space and examination of the brain showed petechial hemorrhaging subdurally.

The objective of the present study was to determine the biomechanics of the human thorax in a simulated frontal impact. Fourteen unembalmed human cadavers were subjected to deceleration sled tests at velocities of nine or 13 m/s. Air bag - knee bolster, air bag - lap belt, and air bag - three-point belt restraint systems were used with the specimen positioned in the driver's seat. Two chest bands were used to derive the deformation patterns at the upper and lower thoracic levels. Lap and shoulder belt forces were recorded with seatbelt transducers. After the test, specimens were evaluated using palpation, radiography, and a detailed autopsy. Thoracic trauma was graded according to the Abbreviated Injury Scale based on autopsy findings. Peak thoracic deformations were normalized with respect to the initial chest depth to facilitate comparison between the specimens.

The automotive safety community has grown increasingly aware of the societal costs of injury impairment and disability resulting from automobile accidents. A significant portion of this impairment can be attributed to lower extremity trauma. An accident data study was conducted to determine lower extremity injury frequencies and mechanisms for restrained front-seat occupants in frontal collisions. A query of the 1988-1990 NASS (National Accident Sampling System) data provided information on pelvis, femur, knee, leg, and ankle and foot injuries. Age, gender, seating position, and delta-V were examined for their effect on the data. Lower extremity injury data were compared with injury data of similar severity (AIS ≥ 2) for the head, chest, thorax, and abdomen. The NASS data was supplemented with injury impairment information which, combined with anthropomorphic and biomechanical data, provides a prioritization scheme for the design of dummy lower extremities and instrumentation.

The objective of the study was to document the thoracic deformation contours in a simulated frontal impact. Unembalmed human cadavers and the Hybrid III anthropomorphic manikins were tested. Data from the newly developed External Peripheral Instrument for Deformation Measurement (EPIDM) was used to derive deformation patterns at upper and lower thoracic levels. Deceleration sled tests were conducted on three-point belt restrained surrogates positioned in the driver's seat (no steering assembly) using a horizontal impact test sled at velocities of approximately 14.0 m/s. Lap and shoulder belt forces were recorded with seat belt transducers. The experimental protocol included a Hybrid III manikin experiment followed by the human cadaver test. Both surrogates were studied under similar input and instrumentation conditions, and identical data acquisition and analysis procedures were used. All six testedcadavers demonstrated multiple bilateral rib fractures.

Engineering efforts directed at better occupant safety require a thorough understanding of available epidemiologic data. Epidemiologic studies using clinical as well as accident information facilitates the prioritization of biomechanics research so that controlled laboratory experimentation and/or analytical models can be advanced. This information has also value in dictating levels and types of injury that are critical to the development of anthropomorphic test devices used in crash environments. In this paper, motor vehicle accident related (excluding pedestrians, bicyclists, and motorcyclists) epidemiologic data were obtained from clinical and computerized accident (National Accident Sampling System-NASS) files. Clinical data were gathered from patients admitted to the Medical College of Wisconsin Affiliated Hospitals, and fatalities occurring in Milwaukee County, State of Wisconsin. NASS database with specific focus on spinal injuries of motor vehicle occupants was also used.

Studies were conducted on twenty-two fresh human cadavers to determine the probability of facial bone fracture following dynamic contact with steering wheel assemblies of both standard (a commercially available) and energy absorbing (EA) types. Using a specially designed and validated vertical-drop impact test system, either zygoma was impacted once onto the junction of the lower left spoke and rim with velocities ranging from 2.0 to 6.9 m/s. Generalized force histories were recorded with a six-axis load cell placed below the hub. The wheel was inclined 30 degrees to the horizontal. Steering wheel deformations were recorded with a system of potentiometers placed below the impact site on the wheel. Dynamic forces at the zygoma (impact site) were computed using transformation principles. A triaxial accelerometer was placed at the posterior parietal region of the specimen opposite to the impact site to record acceleration histories. High speed photography documented the kinematics.

Lower limb injuries among motor vehicle occupants are relatively common and are one of the principle causes of permanent disability. The author has reviewed the current literature and his own experience as an orthopaedic surgeon and research accident investigator concerning lower limb injuries among motor vehicle occupants. An unreported series of knee, thigh, hip, pelvis injuries with indepth accident investigation is reported. Incidence rates for specific injury diagnoses are not available. Gross tabulations reveal that lower limb injury is second only to head injury in frequency among injured motor vehicle occupants. Lower limb injuries are possibly the commonest cause of permanent disability and impairment resulting from motor vehicle accidents.

The FMVSS were established to provide the public with uniform safety equipment and design standards based on sound research. Ongoing evaluation is essential to maintain the effectiveness and safety of FMVSS and to ensure that current technology is incorporated in standards development. Serious injury (AIS 3 or greater) reporting by NASS should be upgraded to facilitate standards evaluation and development. Although cost effectiveness is a mandated criteria for standards evaluation, the protection of human life and limb must remain the principle criteria for measuring effectiveness. A citizen's advisory panel, similar to the NMVSAC should be established to assist NHTSA in establishing priorities for standards evaluation, development and promulgation.

In a crash, impact against the steering assembly can be a major cause of serious and fatal injury to drivers. But the interrelationship between injury protection and factors of surface area, configuration, padding, relative position of the spokes, and number and stiffness of spokes and rim is not clear. This paper reports a series of high-G sled tests conducted with anesthetized animal subjects in 30 mph impacts at 30 G peaks. A total of eight tests were conducted, five utilizing pig subjects, one a female chimpanzee, one an anthropomorphic dummy, and one test with no subject. Instrumentation included closed circuit TV, a tri-axial load cell mounted between the steering wheel and column, seat belt load measurement, six Photo-Sonics 1000 fps motion picture cameras, and poloroid photography. Medical monitoring pre, during and post-impact was followed by gross and microscopic tissue examination.

Accurate data on the body dimensions of truck drivers are needed and such data are not presently available. This paper provides basic source data and an anthropometrical overview of the usefulness and limitations of existing data bases; discusses the influence of population factors, including age, sex, and demographic variables; and reviews population sampling problems. Heavy truck drivers as a whole appear to represent a physically different population from that of either the U.S. general population or other professional groups. Future anthropometric surveys must provide information for improved accommodation for the increasing range of physical size of users, and for obtaining data more useful to engineers involved in heavy truck interior cab design.

Whiplash is a poorly defined term including ligamentous and muscle strains, hematomas, disc injuries, and less frequently, brain, eye and ear injuries. Diagnosis is difficult because clinical signs and Xrays, electromyography and electroencephalography findings are few. Protection and rest will cure most patients within a year but approximately 2/5th of patients have permanent symptoms and disability. Rear-end impact accidents cause the head and neck to hyperextend over the seat back. Whiplash occurs in 38% of exposed occupants. Head rests give protection but differential rebound may occur producing injurious hyperextension and whiplash. The larynx, trachea and esophagus, in front of the spine, are injured by impact against the dash or steering wheel. Airway obstruction may occur and cause death if not restored quickly. Permanent disability can occur because of scarring and partial airway or esophageal obstruction or vocal cord damage.

This paper presents an analysis of 67 neck injuries incurred in diving and sliding accidents in swimming pools. The accidents were investigated to establish the appropriate medical and mechanical factors involved. A mathematical model was developed to allow the prediction of the trajectory and velocity of the subjects prior to their injury. Nine of the accidents were selected for real life simulation. The simulation included the selection of test subjects of similar physical build to the accident victims who then performed the maneuvers leading to the injury, but in deeper water. High speed movies (200 frames per second) were taken, above and below the water, to measure the motion. A frame by frame analysis provided data to determine the trajectory and velocity profiles of the test subject. The maneuvers studied included diving from the pool edge, diving from various board types and sliding down various sliding board configurations.

A study of free-fall accidents and resulting injuries was conducted to determine how useful these types of data could be in establishing human injury tolerance limits. “Tolerance” was examined primarily for children at two levels - reversible injury and threat to survival. The specific objectives were to investigate specific free-falls in sufficient depth to permit biomedical or mathematical reconstruction of the fall, simulate selected free-falls to estimate impact response, and compare predicted responses with observed injuries as a means of estimating human tolerance levels. From more than 2100 reported free-falls, 110 were investigated on-site. Seven head-first and three feet-first falls were then simulated using the MVMA 2-D Crash Victim Simulator. Newspaper reports of free-falls showed that males fell six times as often as females and most often while at work. Children fell from windows and balconies more often than from any other hazard.

The basic physical mechanisms underlying recent experimentally observed anomalous behavior in the impact performance of safety helmets evaluated with soft (human-like) and hard (magnesium alloy) headform surrogates are qualitatively and quantitatively explained in this paper. The principal and physical mechanisms brought to light in the headform surrogate investigation are directly applicable to the utilization of other forms of surrogates (head -neck, thorax, whole body). In particular the results raise a serious question as to the validity of using non-human responding surrogates, with human generated injury tolerance data, for the purpose of assessing safety system performance. The implications of the results are that good crash-impact protective devices (helmets, restraints, etc.) could be penalized and, equally important, less safe crash-impact protective system designs could result from improper assessment of safety system performance.