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Rupture of the thoracic aorta is a leading cause of rapid fatality in automobile crashes, but the mechanism of this injury remains unknown. One commonly postulated mechanism is a differential motion of the aortic arch relative to the heart and its neighboring vessels caused by high-magnitude acceleration of the thorax. Recent Indy car crash data show, however, that humans can withstand accelerations exceeding 100 g with no injury to the thoracic vasculature. This paper presents a method to investigate the efficacy of acceleration as an aortic injury mechanism using high-acceleration, low chest deflection sled tests. The repeatability and predictability of the test method was evaluated using two Hybrid III tests and two tests with cadaver subjects. The cadaver tests resulted in sustained mid-spine accelerations of up to 80 g for 20 ms with peak mid-spine accelerations of up to 175 g, and maximum chest deflections lower than 11% of the total chest depth.

The causes for 131 fatal crashes of lap-shoulder belted occupants were analyzed for crash causation and avoidance opportunities. Fourteen crash scenarios were determined to depict the situation and circumstance of the accidents. Each scenario is discussed in relation to driver age, actions, behavior, errors and aggressiveness, as well as crash type and other factors influencing the crash. Nearly a third of crashes involved a rapid, unpredictable onset by reckless action or mistake of another driver. The remainder were caused by the driver of the case-vehicle. Some were single vehicle crashes primarily related to excessive speed, aggressive driving, and drifting out of lane. The others were multi-vehicle crashes due primarily to inadvertent errors. The most common errors were right-of-way violations at an intersection, loss of control on wet roads, impact of a stationary vehicle, and lane changing errors.

Fatal crash circumstances for 48 belted female drivers were studied in-depth and compared to those of 83 belted male drivers in a similar population of vehicles. Women had a higher incidence of crashes on slippery roads, during lane changes and passing maneuvers than men who had a higher rate of aggressive driving and speed related crashes (χ2 = 10.47, p < 0.001). Driver-side damage was significantly more frequent in female than male crashes (χ2 = 5.74, p < 0.025) and women had a higher fraction of side impacts (45.9% v 31.4%) and crashes during daylight (87.0% v 72.3%, χ2 = 3.65, p < 0.05) than men. Women also had a higher fraction of potentially avoidable crashes than men (57.5% v 39.0%) and a lower involvement related to aggressive driving (10.6% v 25.6%). These differences were statistically significant (χ2 = 5.41, p < 0.025).

As the driving population ages, there is a need to understand the accident patterns of older drivers. Previous research has shown that side impact collisions, usually at an intersection, are a serious problem for the older driver in terms of injury outcome. This study compares the frequency of side impact, intersection collisions of different driver age groups using state and national police-reported accident data as well as an in-depth analysis of cases from a fatal accident study. All data reveal that the frequency of intersection crashes increases with driver age. The state and national data show that older drivers have an increase frequency of intersection crashes involving vehicles crossing paths prior to the collision compared to their involvement in all crash types. When taking into account traffic control devices at an intersection, older drivers have the greatest involvement of multiple vehicle crashes at a signed intersection.

Injury to the thorax is the predominant cause of fatalities in crash-involved automobile occupants over the age of 65, and many elderly-occupant automobile fatalities occur in crashes below compliance or consumer information test speeds. As the average age of the automotive population increases, thoracic injury prevention in lower severity crashes will play an increasingly important role in automobile safety. This study presents the results of a series of sled tests to investigate the thoracic deformation, kinematic, and injury responses of belted post-mortem human surrogates (PMHS, average age 44 years) and frontal anthropomorphic test devices (ATDs) in low-speed frontal crashes. Nine 29 km/h (three PMHS, three Hybrid III 50th% male ATD, three THOR-NT ATD) and three 38 km/h (one PMHS, two Hybrid III) frontal sled tests were performed to simulate an occupant seated in the right front passenger seat of a mid-sized sedan restrained with a standard (not force-limited) 3-point seatbelt.