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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.

For children seated next to the struck side, real-world crash outcome was determined for the rear-seat of passenger vehicles over the entire range of side impact crash severities. The method was first to calculate the actual risk for an occupant based on field data. The data sources were non-rollover, tow-away crashes from the 1997 - 2009 National Automotive Sampling System. By limiting the struck passenger vehicle to model year 1985 or newer, field data were identified for a total of 588 children. In all crashes, the child was seated in the rear-seat area on the struck side of the passenger vehicle. A matrix of MADYMO model simulations calculated the response of child dummies over the entire range of the field data. Age-dependent, moderate-to-serious (AIS ≥ 2) injury risk curves were derived and evaluated for children in side impact. Risks to the children were calculated by combining the derived child risk curves with the MADYMO model simulations.

The National Highway Traffic Safety Administration has sponsored extensive research to improve the frontal protection of motor vehicles. Most of the research was conducted during the 1970's when belt usage rates were less than 10%. At that time, the research objectives did not anticipate the combination of air bags and three point manual belts as the restraint of choice for the 1990's. Consequently, little research was undertaken to extend the performance of this combination. However, the research conducted at that time offers opportunities for significant additional improvements in frontal protection. The purpose of this paper is to summarize some of the relevant research which was sponsored by NHTSA under the direction of the authors. Results will be highlighted which are particularly applicable to current vehicle configurations. Opportunities for further improvement, and required research are discussed.

Accident cases are examined to determine the injury mechanism for foot/ankle moderate and greater injuries in vehicle crashes. The authors examine 480 in-depth cases from the National Accident Sampling System for the years 1979 through 1987. An injury mechanism - a description of how the foot/ankle physically interacted with the interior of the vehicle - is assigned to each of the injured occupants. For the accidents in which the 480 occupants were injured, the more prominent types of vehicle collisions are characterized.

The purpose of this paper is to assess the vehicle environment that a child occupant, between the ages of seven and thirteen years old, is exposed to in a real world crash. The focus of analysis is on those child occupants that are seated at the struck side in a lateral collision. This study was based on data extracted from the National Automotive Sampling System / Crashworthiness Data System (NASS/CDS) between years 1991-2006. Analysis was based upon the evaluation of the projected consequence of injury to the child occupants. The societal costs generated as a result of occupant injuries were quantified. The societal cost, or Harm, acts as a measure of consequence of occupant exposure to the vehicle environment, when involved in a collision. The Harm was determined as a function of ΔV, principal direction of force, vehicle extent of damage, the pattern of damage to the vehicle, and the magnitude of intrusion based on the occupant seating position.

Since 1994, the New Car Assessment Program (NCAP) of the National Highway Traffic Safety Administration (NHTSA) has compiled upper neck loads for the belt and air bag restrained 50th percentile male Hybrid III dummy. Over five years from 1994 to 1998, in frontal crash tests, NCAP collected upper neck data for 118 passenger cars and seventy-eight light trucks and vans. This paper examines these data and attempts to assess the potential for neck injury based on injury criteria included in FMVSS No. 208 (for the optional sled test). The paper examines the extent of serious neck injury in real world crashes as reported in the National Automotive Sampling System (NASS). The results suggest that serious neck injuries do occur at higher speeds for crashes involving occupants restrained by belts in passenger cars.

This study assessed the primary involved physical components attributed to the head and face injuries of child occupants seated directly adjacent to the stuck side of a vehicle in a side impact collision. The findings presented in this study were based upon analysis of the National Automotive Sampling System/Crashworthiness Data System (NASS/CDS) for the years 1993–2007. Injury analysis was conducted for those nearside child occupants aged between 1–12 years-old. The involved children were classified as toddler-type, booster-type, or belted-type occupants. These classifications were based upon the recommended restraint system for the occupant. Injury mechanisms were assessed for the child occupants in each of the three groups. A detailed study of NASS/CDS cases was conducted to provide a greater understanding of the associated injury mechanisms.

Real world crashes in NASS/CDS 1997 to 2000 were examined individually in order to find patterns in single vehicle rollover crashes. Typical maneuver induced rollovers of SUV's were reconstructed using the HVE model. From HVE and roll event reconstructions, the values of longitudinal, lateral, and vertical displacement, and roll, pitch, and yaw angle, for the pre-roll and rollover event were calculated. These values were used as inputs to a MADYMO model for simulated vehicle motion to predict occupant kinematics. Both near-side and far-side rollovers were simulated. The MADYMO model provided estimates of head velocity for the various rollover scenarios for a belted driver. In both near-side and far-side rollovers of the type reconstructed, the lateral component of head velocity was the greatest. Maximum head velocities of 5.3 m/s were predicted. The simulations were for two complete rollovers. The highest head velocity occurred during the first three quarter turns.

This paper presents an analysis of the National Automotive Sampling System (NASS) and the Fatal Accident Reporting Systems (FARS) data for the combined years 1988–97 with respect to side impacts. Accident variables, vehicle variables, occupant variables and their interactions have been considered, with special emphasis on occupant injury patterns. The crash modes considered are car-to-car, car-to-LTV (light trucks and vans) and car to narrow object, with special emphasis on the latter two. This study was undertaken to obtain a better understanding of injury patterns in lateral impacts, their associated causation factors, and to obtain information that will assist in prioritizing crash injury research problems in near side impacts. Of particular interest is the increase in the population of light trucks and vans and their influence on side impact priorities. Conclusions will be drawn regarding the frequency and injury severity of car-to-LTV’s and car to narrow objects.

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.

NHTSA conducted seventy-six side impact FMVSS No. 214 compliance tests from 1994 through 1997. The compliance tests are nearly right angle side impacts with low longitudinal components of change of velocity (Δv). Frontal air bag deployments were found to have occurred for 34% of the driver bags and 32% of the front passenger bags in these compliance-tested passenger cars. In 1997, NHTSA began testing passenger cars 'in side impact in the New Car Assessment Program (NCAP). The NCAP crash tests are conducted at a higher speed than the compliance tests. The cars in the NCAP side impact tests also had low longitudinal components of Δv. Approximately 40% of the twenty-six passenger cars tested in the 1997 Side Impact NCAP had their frontal air bags deploy. Real world crash data were examined to determine if frontal air bags are deploying in right angle side impacts on the roads of the US.

A multidisciplinary, automobile crash investigation team at the Jackson Memorial Hospital/Ryder Trauma Center in Miami, Florida, is conducting a detailed medical and engineering study. The focus is restrained (seatbelts and/or air bag) occupants involved in frontal crashes, who have also been severely injured. More than 60 crashes have been included in the study to date. Analysis of the initial data indicates that restraint systems are working to reduce many of the head and chest injuries which unrestrained occupants suffer. However, internal injuries among air bag-protected occupants may be unrecognized in the field providing new challenges in triage and injury diagnosis. In other cases, survival in extremely high severity crashes presents trauma management challenges due to the extent and complexity of the multiple injuries which result. The paper provides case examples to illustrate types of chest and abdominal injuries associated with air bag cases.

Sixty-three simulated frontal impacts using cadaveric specimens were performed to examine and quantify the performance of various contemporary automotive restraint systems. Test specimens were instrumented with accelerometers and chest bands to characterize their mechanical responses during the impact. The resulting thoracic injury severity was determined using detailed autopsy and was classified using the Abbreviated Injury Scale. The ability of various mechanical parameters and combinations of parameters to assess the observed injury severities was examined and resulted in the observation that belt restraint systems generally had higher injury rates than air bag restraint systems for the same level of mechanical responses. To provide better injury evaluations from observed mechanical parameters without prior knowledge of what restraint system was being used, a dichotomous process was developed.

This paper is based on the crash and casualty experience compiled by the National Highway Traffic Safety Administration's (NHTSA) National Accident Sampling System, Crashworthiness Data (NASS/CDS 1988-1992), and by the William Lehman Injury Research Center (University of Miami/Jackson Memorial Hospital/Ryder Trauma Center) crash data files. The NASS/CDS files provide data on injuries to occupants in all types of tow-away crashes. The William Lehman Injury Research Center files provide detailed crash analysis and injury documentation of more than 100 restrained occupants with injuries from frontal crashes. These files provide a basis for recognizing injury patterns among restrained occupants and postulating their causes. The purpose of this paper is to report on an observed pattern of liver and spleen injuries suffered by drivers wearing shoulder belts without the lap belt fastened.

The William Lehman Injury Research Center has conducted multi-disciplinary investigations of fifty crashes involving drivers protected by air bags. In all cases, serious injuries were suspected. Nine cases involved fatal injuries. These cases are not representative of crashes in general. However, when used in conjunction with NASS/CDS they provide insight into the most severe injuries in crashes of vehicles equipped with air bags. A comparison with data from the National Accident Sampling System; Crashworthiness Data System (NASS/CDS) shows that head injury and abdominal injury make up a larger fraction in the Lehman data than in NASS/CDS. Examination of fatal cases indicates that head injuries are frequently caused by intruding structure or by unfavorable occupant kinematics among the unrestrained population.

A study of frontal collisions using the NASS data base showed that there were four times as many arm injuries to belt restrained drivers who had an air bag deploy than for the drivers who were simply belted. By far, the distal forearm/hand was the most commonly injured region. Hard copy review identified two modes of arm injury related to the deploying air bag: 1) The arm is directly contacted by the air bag module and/or flap cover, and 2) The arm is flung away and contacts an interior car surface. Based on the field studies, a mechanical device called the Research Arm Injury Device (RAID) was fabricated to assess the aggressivity of air bags from different manufacturers. Results from static air bag deployment tests with the RAID suggested that the RAID was able to clearly distinguish between the aggressive and non-aggressive air bags. Maximum moments ranging between 100 Nm and 650 Nm, and hand fling velocity ranging between 30 and 120 km/h were measured on the RAID in these tests.

Automobile insurance claims of two popular midsize cars with different air bag deployment frequencies -- the Dodge/Plymouth Neon and Honda Civic -- were examined to determine performance in higher severity crashes (the upper 30 percent of crashes ranked by adjusted repair cost). Previously, it was found that drivers sustained more, mainly minor, injuries in the Neon which had a higher deployment frequency in low speed crashes. This study examined, for these two cars, whether there was any trade-off associated with a higher deployment threshold. It was found that even at higher speeds, the Neon had a greater frequency of air bag deployments, which in turn resulted in a greater likelihood of driver injury. Once again upper extremity injuries were most prevalent for Neon drivers and were highest for female drivers. At the same time, there was little evidence that driver protection was compromised in the Civic in the more important high speed crashes.

This paper describes the results of a 2 year study into the field accident performances of two basic designs of energy-absorbing steering assemblies. The two basic designs are the axial-collapse type of steering column used in conjunction with a shear capsule and the self-aligning energy-absorbing steering wheel mounted on a nonstroking column. The study identifies major injury causation factors for these two types of steering assemblies. The analysis was performed on 161 accident cases selected for unrestrained drivers in frontal accidents in two vehicle types.

Frontal sled tests of the Part 572, APR, and Hybrid III dummies were conducted in a three-point restraint system at 50 km/hr velocity change. The tests were conducted to evaluate the dummy responses in a tightly controlled systems environment, and to compare the dummy responses to previously established cadaver responses from the same environment. The Hybrid III dummy measurement repeatability was found to be better than either the Part 572 or APR dummies, although the thoracic acceleration responses from all three are shown to be quite similar to cadavers. Correlation of the dummy measurements are made to a limited amount of both the cadaver data and accident data from the National Crash Severity Study.

Development of an aspirator air bag has been completed at Calspan Corporation. The aspirator air bag has been developed through computer simulations and sled tests, and has been evaluated in a 41.6 MPH crash of a standard Volvo into a flat barrier. This evaluation included both out-of-position and normally seated occupants. This paper describes the aspirator system and presents results of the sled tests and the car crash. This research was conducted under U. S. Department of Transportation, National Highway Traffic Safety Administration, Contract No. DOT-HS-5-01254.