Search Results

Motor vehicle crashes involving child Vulnerable Road Users (VRUs) remain a critical public health concern in the United States. While previous studies successfully utilized the crash scenario typology to examine traffic crashes, these studies focus on all types of motor vehicle crashes thus the method might not apply to VRU crashes. Therefore, to better understand the context and causes of child VRU crashes on the U.S. road, this paper proposes a multi-step framework to define crash scenario typology based on the Fatality Analysis Reporting System (FARS) and the Crash Report Sampling System (CRSS). A comprehensive examination of the data elements in FARS and CRSS was first conducted to determine elements that could facilitate crash scenario identification from a systematic perspective. A follow-up context description depicts the typical behavioral, environmental, and vehicular conditions associated with an identified crash scenario.

With the evolution of telemetry technology in vehicles, Advanced Automatic Collision Notification (AACN), which detects occupants at risk of serious injury in the event of a crash and triages them to the trauma center quickly, may greatly improve their treatment. An Injury Severity Prediction (ISP) algorithm for AACN was developed using a logistic regression model to predict the probability of sustaining an Injury Severity Score (ISS) 15+ injury. National Automotive Sampling System Crashworthiness Data System (NASS-CDS: 1999-2015) and model year 2000 or later were filtered for new case selection criteria, based on vehicle body type, to match Subaru vehicle category. This new proposed algorithm uses crash direction, change in velocity, multiple impacts, seat belt use, vehicle type, presence of any older occupant, and presence of any female occupant.

Tanker trucks are commonly used for transporting liquid material including chemical and petroleum products. On the one hand, tanker trucks are susceptible to rollover accidents due to the high center of gravity when they are loaded and due to the liquid sloshing effects when the tank is partially filled. On the other hand, tanker truck rollover accidents are among the most dangerous vehicle crashes, frequently resulting in serious to fatal driver injuries and significant property damage, because the liquid cargo is often hazardous and flammable. Therefore, effective schemes for tanker truck rollover avoidance are highly desirable and can bring a considerable amount of societal benefit. Yet, the development of such schemes is challenging, as tanker trucks can operate in various environments and be affected by manufacturing variability, aging, degradation, etc. This paper considers the use of Learning Reference Governor (LRG) for tanker truck rollover avoidance.

Knee airbags (KABs) are one countermeasure in newer vehicles that could influence lower extremity (LEX) injury, the most frequently injured body region in frontal crashes. To determine the effect of KABs on LEX injury for drivers in frontal crashes, the analysis examined moderate or greater LEX injury (AIS 2+) in two datasets. Logistic regression considered six main effect factors (KAB deployment, BMI, age, sex, belt status, driver compartment intrusion). Eighty-five cases with KAB deployment from the Crash Injury Research and Engineering Network (CIREN) database were supplemented with 8 cases from the International Center for Automotive Medicine (ICAM) database and compared to 289 CIREN non-KAB cases. All cases evaluated drivers in frontal impacts (11 to 1 o’clock Principal Direction of Force) with known belt use in 2004 and newer model year vehicles. Results of the CIREN/ICAM dataset were compared to analysis of a similar dataset from NASS-CDS (5441 total cases, 418 KAB-deployed).

Current recommendations for restraining child occupants are based on biomechanical testing and data from national and international field studies primarily conducted prior to 2011. We hypothesized that analysis to identify factors associated with pediatric injury in motor-vehicle crashes using a national database of more recent police-reported crashes in the United States involving children under age 13 where type of child restraint system (CRS) is recorded would support previous recommendations. Weighted data were extracted from the National Automotive Sampling System General Estimates System (NASS-GES) for crash years 2010 to 2015. Injury outcomes were grouped as CO (possible and no injury) or KAB (killed, incapacitating injury, non-incapacitating injury). Restraint was characterized as optimal, suboptimal, or unrestrained based on current best practice recommendations. Analysis used survey methods to identify factors associated with injury.

Crash safety researchers have an increased concern regarding the decreased thoracic deflection and the contributing injury causation factors among the elderly population. Sternum fractures are categorized as moderate severity injuries, but can have long term effects depending on the fragility and frailty of the occupant. Current research has provided detail on rib morphology, but very little information on sternum morphology, sternum fracture locations, and mechanisms of injury. The objective of this study is two-fold (1) quantify sternum morphology and (2) document sternum fracture locations using computed tomography (CT) scans and crash data. Thoracic CT scans from the University of Michigan Hospital database were used to measure thoracic depth, manubriosternal joint, sternum thickness and bone density. The sternum fracture locations and descriptions were extracted from 63 International Center for Automotive Medicine (ICAM) crash cases, of which 22 cases had corresponding CT scans.

The purpose of this study was to use detailed medical information to evaluate thoracic injuries in elderly patients in real world frontal crashes. In this study, we used analytic morphomics to predict the effect of torso geometry on rib fracture, a major source of injury for the elderly. Analytic morphomics extracts body features from computed tomography (CT) scans of patients in a semi-automated fashion. Thoracic injuries were examined in front row occupants involved in frontal crashes from the International Center for Automotive Medicine (ICAM) database. Among these occupants, two age groups (age < 60 yr. [Nonelderly] and age ≥ 60 yr. [Elderly]) who suffered severe thoracic injury were analyzed. Regression analyses were conducted to investigate injury outcomes using variables for vehicle, demographics, and morphomics. Compared to the nonelderly group, the elderly group sustained more rib fractures.

The aging population is a growing concern as the increased fragility and frailty of the elderly results in an elevated incidence of injury as well as an increased risk of mortality and morbidity. To assess elderly injury risk, age-specific computational models can be developed to directly calculate biomechanical metrics for injury. The first objective was to develop an older occupant Global Human Body Models Consortium (GHBMC) average male model (M50) representative of a 65 year old (YO) and to perform regional validation tests to investigate predicted fractures and injury severity with age. Development of the GHBMC M50 65 YO model involved implementing geometric, cortical thickness, and material property changes with age. Regional validation tests included a chest impact, a lateral impact, a shoulder impact, a thoracoabdominal impact, an abdominal bar impact, a pelvic impact, and a lateral sled test.

This paper examines truck driver injury and loss of life in truck crashes related to cab crashworthiness. The paper provides analysis of truck driver fatality and injury in crashes to provide a better understanding of how injury occurs and industry initiatives focused on reducing the number of truck occupant fatalities and the severity of injuries. The commercial vehicle focus is on truck-tractors and single unit trucks in the Class 7 and 8 weight range. The analysis used UMTRI's Trucks Involved in Fatal Accidents (TIFA) survey file and NHTSA's General Estimates System (GES) file for categorical analysis and the Large Truck Crash Causation Study (LTCCS) for a supplemental clinical review of cab performance in frontal and rollover crash types. The paper includes analysis of crashes producing truck driver fatalities or injuries, a review of regulatory development and industry safety initiatives including barriers to implementation.

Eight whole fresh-frozen cadavers (6 female, 2 male) that were elderly and/or female were laterally impacted using UMTRI's dual-sled side-impact test facility. Cadavers were not excluded on the basis of old age or bone diseases that affect tolerance. A thinly padded, multi-segment impactor was used that independently measured force histories applied to the shoulder, thorax, abdomen, greater trochanter, iliac wing, and femur of each PMHS. Impactor plates were adjusted vertically and laterally toward the subject so that contact with body regions occurred simultaneously and so that each segment contacted the same region on every subject. This configuration minimized the effects of body shape on load sharing between regions. Prior to all tests, cadavers were CT scanned to check for pre-existing skeletal injuries. Cadavers were excluded if they had pre-existing rib fractures or had undergone CPR.

Liver injuries can be significant in vehicle crashes. In this study, the liver anatomy was quantified in both adult and pediatric populations as a function of gender and age. Five anatomical liver measurements were determined using CT scans of 260 normal livers. These measurements include the area and volume, and the length, width, and girth of the liver (IRB HUM00041441). To characterize geometrical shape, an inscribed sphere and circumscribed ellipsoid were fitted on the measurements. In the pediatric population the liver area and volume continuously increased with age. When normalized by patient weight, volume measurements show a decrease in volume with age, suggesting that the liver occupies a smaller proportion of the body with age. In the adult population, liver measurements varied with gender. The superior and inferior locations of the liver were also recorded with respect to the spine. The lower portion was at the L3 in small children and at L2 as children approached puberty.

The NASS-CDS (1998-2008) and CIREN datasets were analyzed to identify factors contributing to abdominal injury in crash environments where belt use and airbag deployment are common. In frontal impacts, the percentage of occupants sustaining abdominal injury is three times higher for unbelted compared to belted front-row adult occupants (p≺0.0001) at both AIS2+ and AIS3+ injury levels. Airbag deployment does not substantially affect the percentage of occupants who sustain abdominal injuries in frontal impacts (p=0.6171), while belt use reduces the percentage of occupants sustaining abdominal injury in both nearside and farside crashes (p≺0.0001). Right-front passengers in right-side impacts have the highest risk (1.91%) of AIS 3+ abdominal injury (p=0.03). The percentage of occupants with AIS 3+ abdominal injuries does not vary with age for frontal, nearside, or farside impacts.

In a previous study, the authors reported on the development of a finite-element model of the midsize male pelvis and lower extremities with lower-extremity musculature that was validated using PMHS knee-impact response data. Knee-impact simulations with this model were performed using forces from four muscles in the lower extremities associated with two-foot bracing reported in the literature to provide preliminary estimates of the effects of lower-extremity muscle activation on knee-thigh-hip injury potential in frontal impacts. The current study addresses a major limitation of these preliminary simulations by using the AnyBody three-dimensional musculoskeletal model to estimate muscle forces produced in 35 muscles in each lower extremity during emergency one-foot braking.

The objectives of this study were to examine the response, repeatability, and injury predictive ability of the Hybrid III small-female dummy to static out-of-position (OOP) deployments using a depowered driver-side airbag. Five dummy tests were conducted in two OOP configurations by two different laboratories. The OOP configurations were nose-on-rim (NOR) and chest-on-bag (COB). Four cadaver tests were conducted using unembalmed small-female cadavers and the same airbags used in the dummy tests under similar OOP conditions. One cadaver test was designed to increase airbag loading of the face and neck (a forehead-on-rim, or FOR test). Comparison between the dummy tests of Lab 1 and of Lab 2 indicated the test conditions and results were repeatable. In the cadaver tests no skull fractures or neck injuries occurred. However, all four cadavers had multiple rib fractures.

A finite element (FE) model with knee-thigh-hip (KTH) and lower-extremity muscles has been developed to study the potential effects of muscle tension on KTH injuries due to knee bolster loadings in frontal crashes. This model was created by remeshing the MADYMO human lower-extremity FE model to account for regional differences in cortical bone thickness, trabecular bone, cortical bone with directionally dependent mechanical properties and Tsai-Wu failure criteria, and articular cartilage. The model includes 35 Hill-type muscles in each lower extremity with masses based on muscle volume. The skeletal response of the model was validated by simulating biomechanical tests without muscle tension, including cadaver skeletal segment impact tests documented in the literature as well as recent tests of seated whole cadavers that were impacted using knee-loading conditions similar to those produced in FMVSS 208 testing.

BACKGROUND: Detailed fatal injury data following fatal motor vehicle crashes (MVC) are necessary to improve occupant safety and promote injury prevention. Autopsy remains the principle source of detailed fatal injury data. However, procedure rates are declining due to a range of technical, ethical and religious concerns. Postmortem computed tomography (PMCT) is a potential alternative or adjunct to autopsy which is increasingly used by forensic researchers. However, there are only limited data regarding the utility of PMCT for analysis of fatal MVC injuries. METHODS: We performed whole body PMCT, autopsy and complete crash reconstruction on 3 subjects fatally injured in MVC in a single county in Michigan. All injuries detected by either PMCT or autopsy were coded using the Abbreviated Injury Scale (AIS). Severe injuries, defined as AIS 3 or higher (AIS 3+), were tallied for each forensic procedure to allow a comparison of relative diagnostic performance.

Half of the car occupant deaths involved in two-vehicle crashes results from side impact collisions. In an attempt to better understand the role that vehicle mass plays in crashes and injury causation, detailed information from the NASS CDS database on injury source was distributed in three classes: contact with intrusion, contact without intrusion, and restrained acceleration or non-contact. We compared these distributions for belted drivers in side verses frontal crashes. When looking at the type of striking, or bullet, vehicle in near-side impacts, we found that intrusion injuries are more prevalent in cars hit by SUVs and pickups than by other cars. We also looked at the body region injured verses the type of striking vehicle and found head injuries to be slightly more prevalent when the striking vehicle is an SUV or pick-up. Data from the University of Michigan CIREN case studies on side impacts are presented and are consistent with the NASS CDS data.

The biomechanical behavior of a harness style 4-point seat belt system in farside impacts was investigated through dummy and post mortem human subject tests. Specifically, this study was conducted to evaluate the effect of the inboard shoulder belt portion of a 4-point seat belt on the risk of vertebral and soft-tissue neck injuries during simulated farside impacts. Two series of sled tests simulating farside impacts were completed with crash dummies of different sizes, masses and designs to determine the forces and moments on the neck associated with loading of the shoulder belt. The tests were also performed to help determine the appropriate dummy to use in further testing. The BioSID and SID-IIs reasonably simulated the expected kinematics response and appeared to be reasonable dummies to use for further testing. Analysis also showed that dummy injury measures were lower than injury assessment reference values used in development of side impact airbags.

A method has been developed to identify and document the locations of rib fractures from two-dimensional CT images obtained from occupants of crashes investigated in the Crash Injury Research Engineering Network (CIREN). The location of each rib fracture includes the vertical location by rib number (1 through 12), the lateral location by side of the thorax (inboard and outboard), and the circumferential location by five 36-degree segments relative to the sternum and spine. The latter include anterior, anterior-lateral, lateral, posterior-lateral, and posterior regions. 3D reconstructed images of the whole ribcage created from the 2D CT images using Voxar software are used to help identify fractures and their rib number. A geometric method for consistently locating each fracture circumferentially is described.

Children who are too large for harness restraints but too small to obtain good restraint from a vehicle seatbelt alone should be seated in a belt-positioning booster. Boosters have been shown to significantly reduce abdominal injuries caused by seatbelts. This effectiveness may be due in part to the fact that boosters reduce the effective seat cushion length, allowing children to sit more comfortably without slouching. NHTSA recommends that children who do not use harness restraints use boosters until they are at least 145 cm tall. In this paper, data from several sources were combined to assess how well children fit on rear seat cushions. Data from NASS-GES were analyzed to determine the age distribution of rear-seat occupants. Anthropometric data from several sources were analyzed to determine the distribution of buttock-popliteal length, a measure of thigh length that is a key determinant of seat fit, as a function of age and gender.