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Purpose: This study investigates NASS-CDS data on basilar skull fractures by crash type and injury source for various crash scenarios to understand the injury risks, injury mechanisms and contact sources. Methods: 1993-2008 NASS-CDS data was used to study basilar skull fractures in adult front occupants by crash type and injury source. Injury risks were determined using weighted data for occupants with known injury status in 1994+ model year vehicles. In-depth analysis was made of far-side occupants in side impacts and rear crashes using the NASS electronic cases. Results: Basilar skull fractures occur in 0.507 ± 0.059% of rollovers and 0.255 ± 0.025% of side impacts. The lowest risk is in rear impacts at 0.015 ± 0.007%. The most common contact source is the roof, side rails and header (39.0%) in rollovers, the B-pillar (25.8%) in side impacts and head restraint (55.3%) in rear crashes.

This paper contains a review of current information on biological structure, material properties and failure characteristics of bone, articular cartilage, ligament and tendon. The load-deformation response of biological tissues is presented with particular reference to the microstructure of the material. Although many of the tissues have been characterized as linear, elastic and isotropic materials, they actually have a more complicated response to load, which includes stiffening with increasing strain, inelastic yield, and strain rate sensitivity. Failure of compact and cancellous bone depends on the rate, type, and direction of loading. Soft biological tissues are vlscoelastie and exhibit a higher load tolerance with an increasing rate of loading. The paper includes a discussion on the basic principles of biomechanics and emphasizes material properties and failure characteristics of biological tissues subjected to impact loading.

A “central” theory for the biomechanics of brain injury is proposed that includes the construct that acceleration of the head, per se, is not the proximate cause of injury. Rather, rapid motion of the skull causes displacement of the hard bony structures of the head against the soft tissues of the brain, which lag in their motion due to inertia and loose coupling to the skull. Relative displacement between brain and skull produces deformation of brain tissue and stretching of bridging veins, which contribute to the tissue-level causes of brain injury. The first step in an accurate interpretation of brain injury risk in dummies involves the measurement of the three-dimensional components of translational and rotational acceleration of the head.

Life threatening chest injury can involve partial or full tears of the aorta. Investigations of fatal injuries in automobile accidents indicate that aortic trauma occurs in 10-20% of the cases. The major sites of aortic trauma include the aortic isthmus, the root, and the aortic insertion at the diaphragm - all of which are points of aortic tethering. The biomechanics of the injury process involve stretching of the vessel from points of tethering and hydrodynamic increases in blood pressure, which stretch the tissue to failure at a strain of about 150%. The non-isotropic stretch response of aortic tissue is discussed with reference to the frequent transverse orientation of the laceration. Congenital and pathophysiological conditions also influence the failure characteristics of the tissue. The significant factors associated with traumatic injury of the aorta are discussed in this review paper which is based on published technical information.

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.

A case study was conducted of 123 crashes involving 144 fatally injured lap-shoulder belted front-seat occupants. The crashes occurred throughout the United States in 1985-86 and involved 97 driver and 47 right-front passenger deaths in new vehicles. A judgment was made by consensus of a safety panel on the potential for saving the victim's life by the addition of safety technology. Supplemental airbags provided the greatest potential for improving the life-saving effectiveness of current lap-shoulder belts. Overall, airbags may have prevented 12% of the belted occupant fatalities and 27% of the deaths in frontal crashes. The benefit of supplemental airbags was greater for the right-front passenger, in part, because of more females and occupants over 60 years of age in that seating position. A majority (68%) of the belted fatalities were judged unpreventable by reasonable restraint or vehicle modifications.

Obesity rates are reaching an epidemic worldwide. In the US, nearly 40 million people are obese. The automotive safety community is starting to question the impact of obesity on occupant protection. This study investigates fatality and serious injury risks for front-seat occupants by Body Mass Index (BMI). NASS-CDS data was analyzed for calendar years 1993-2004. Occupant exposure and injury was divided in seven BMI categories with obese defined as those with BMI ≥ 30 kg/m2. Injuries were studied for drivers and right-front passengers and included analysis of lap-shoulder belted and unbelted occupants. The results show that obese occupants have a higher fatality risk compared to normal BMI occupants; morbidly obese occupants (BMI ≥ 40 kg/m2) have 2.25 times higher fatality risk (1.15% v 0.51%). The fatality risk for belted obese drivers was 0.29%, which was 6.7 times lower than the 1.94% for those unbelted. These rates are similar to other BMI occupants.

Current finite element models of head impact involve a geometrically simplified fluid-filled shell composed of homogeneous, linear and (visco) elastic materials as the primary surrogate of the human skull and brain. The numerical procedure, which solves the mechanical response to impact, requires and presumes continuity of stress and displacement between elements, a defined boundary condition simulating the neck attachment and a known forcing function. Our critical review of the models discussed, primarily, the technical aspects of the approximations made to simulate the head and the limitations of the proposed analytical tools in predicting the response of biological tissue. The following critical features were identified as major factors which compromised the accuracy and objectivity of the models: - The brain was approximated by a fluid contained in an elastic or rigid shell with no provision for relative motion between the shell and fluid.

In 1995, new seat specifications were adopted by GM to provide high retention and improve occupant safety in rear crashes. With more than five years of phase-in of high retention (HR) seats, an analysis of FARS was undertaken to determine the initial field performance of HR seats in preventing fatalities. The 1991-2000 FARS was sorted for fatal rear-impacted vehicles. Using a VIN decoder, GM vehicles with HR front seats were sorted from those with baseline (pre-HR) seats. The fatal rear-impacted vehicle crashes were subdivided into several groups for analysis: 1) single-vehicle rear impacts, 2) two-vehicle rear crashes involving light striking vehicles, and 3) two-vehicle crashes involving heavy trucks and tractor-trailers, and multi-vehicle (3+) rear crashes.

Airbags and safety belts are now viewed as complements for occupant protection in a crash. There is also a view that no single solution exists to ensure safety and that a system of protective technologies is needed to maximize safety in the wide variety of real automotive crashes. This paper compares the fatality prevention effectiveness, and biomechanical principles of occupant restraint systems. It focuses on the effectiveness of various systems in preventing fatal injury assuming the restraint is available and used. While lap-shoulder belts provide the greatest safety, airbags protect both belted and unbelted occupants.

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).

Purpose: A better understanding of rear occupant fatality risks is needed to guide the development of safety improvements for 2nd and 3rd row occupants. This study investigates fatal accidents of 1st, 2nd and 3rd row occupants by principal direction of force (PDOF), irrespective of restraint use. It determined the number of fatalities, exposure and fatality risk. Methods: 1996-2005 FARS was analyzed for occupant fatalities by seating position (1st, 2nd and 3rd row) and principal direction of force (1-12 o'clock PDOF, rollover and other/unknown). Light vehicles were included with model year 1990+. 1996-2005 NASS-CDS was similarly analyzed for occupant exposure. Fatality risk was defined as the number of fatalities in FARS for a given category divided by the exposure from NASS-CDS. Results: Ten percent (9.6%) of fatalities were to 2nd row occupants in FARS. About 2,080 deaths occur to 2nd row occupants annually. 38.4% died in rollovers and 26.8% in frontal crashes.

Since more occupants are using rear seats of vehicles, a better understanding of priorities for rear occupant protection is needed as future safety initiatives are considered. A two-part study was conducted on occupant injuries in rear seating positions. In Part I, adult and teenage occupants ≥13 years of age are investigated. In Part II, children aged 4-12 years old and toddlers and infants aged 0-3 are studied separately because of the use of infant and child seats and boosters involve different injury mechanisms and tolerances. The objectives of this study on adult and teenager, rear-seated occupants (≥13 years old) are to: 1) review accident data, 2) identify the distribution of rear occupants, and 3) analyze injury risks in various crash modes, including rollovers, frontal, side and rear impacts. Three databases were investigated: NASS-CDS, GES and FARS.

This paper covers the development of the General Motors Energy Absorbing Steering System beginning with the work of the early crash injury pioneers Hugh DeHaven and Colonel John P. Stapp through developments and introduction of the General Motors energy absorbing steering system in 1966. evaluations of crash performance of the system, and further improvement in protective function of the steering assembly. The contributions of GM Research Laboratories are highlighted, including its safety research program. Safety Car, Invertube, the biomechanic projects at Wayne State University, and the thoracic and abdominal tolerance studies that lead to the development of the Viscous Injury Criterion and self-aligning steering wheel.

As part of a continuing study of thoracic injury resulting from blunt frontal loading, the interrelationship of velocity and chest compression was investigated in a series of animal experiments. Anesthetized male swine were suspended in their natural posture and subjected to midsternal, ventrodorsad impact. Twelve animals were struck at a velocity of 14.5 ± 0.9 m/s and experienced a controlled thoracic compression of either 15, 19, or 24%. Six others were impacted at 9.7 ± 1.3 m/s with a greater mean compression of 27%. For the 14.5 m/s exposures the severity of trauma increased with increasing compression, ranging from minor to fatal. Injuries included skeletal fractures, pulmonary contusions, and cardiovascular ruptures leading to tamponade and hemothorax. Serious cardiac arrhythmias also occurred, including one case of lethal ventricular fibrillation. The 9.7 m/s exposures produced mainly pulmonary contusion, ranging in severity from moderate to critical.

Biomechanical surrogates are used in various forms to study head impact response in automotive applications and for assessing helmet performance. Surrogate headforms include those from the National Operating Committee on Standards for Athletic Equipment (NOCSAE) and the many variants of the Hybrid III. However, the response of these surrogates to loading at the chin and how that response may affect the loads transferred from the jaw to the rest of the head are unknown. To address part of that question, the current study compares the chin impact response performance of select human surrogates to that of the cadaver. A selection of Hybrid III and NOCSAE based surrogates with fixed and articulating jaws were tested under drop mass impact conditions that were used to describe post mortem human subject (PMHS) response to impacts at the chin (Craig et al., 2008). Results were compared to the PMHS response with cumulative variance technique (Rhule et al., 2002).

Injury and disability associated with head (brain), neck (spinal cord) and facial injury account for 61.7% of the total societal Harm in the most recent estimate of motor-vehicle related crash injuries. This paper discusses the need for accurate information on translational and rotational acceleration of the head as the first step in critiquing the Head Injury Criterion (HIC) and other injury predictive methods, and developing a fuller understanding of brain and spinal cord injury mechanisms. A measurement system has been developed using linear accelerometers to accurately determine the 3D translational and rotational acceleration of the Hybrid III dummy head. Our concept has been to use the conventional triaxial accelerometer in the dummy's head to assess translational acceleration, and three rows of in-line linear accelerometers and a least squares analysis to compute statistical best-fits for the rotational acceleration about three orthogonal axes.

In this study, U.S. accident data was analyzed to determine interior contacts and injuries for front-seated occupants in rollovers. The injury distribution for belted and unbelted, non-ejected drivers and right front passengers (RFP) was assessed for single-event accidents where the leading side of the vehicle rollover was either on the driver or passenger door. Drivers in a roll-left and RFP in roll-right rollovers were defined as near-side occupants, while drivers in roll-right and RFP in roll-left rollovers were defined as far-side occupants. Serious injuries (AIS 3+) were most common to the head and thorax for both the near and far-side occupants. However, serious spinal injuries were more frequent for the far-side occupants, where the source was most often coded as roof, windshield and interior.

During the past decade, there has been a steady increase in studies addressing rollover crashes and injuries. Though rollovers are not the most frequent crash type, they are significant with respect to serious injury and interest in rollovers has grown with the introduction of SUVs, vans, and light trucks. A review of Occupant and Vehicle Responses in Rollovers examines relevant conditions for field roll overs, vehicle responses, and occupant kinetics in the vehicle. This book edited by Dr. David C. Viano and Dr. Chantal S. Parenteau includes 62 technical documents covering 15 years of rollover crash safety, including field crash statistics, pre- and rollover dynamics, test procedures and dummy responses.

This paper reviews issues relating to seats including design for comfort and restraint, mechanics of discomfort and irritability, older occupants, and low-back pain. It focuses on the interface between seating technology and occupant comfort, and involves a technical review of medical-engineering information. The dramatic increase in the number of features currently available on seats outreaches the technical understanding of occupant accommodation and ride comfort. Thus, the current understanding of seat design parameters may not adequately encompass occupant needs. The review has found many pathways between seating features and riding comfort, each of which requires more specific information on the biomechanics of discomfort by pressure distribution, body support, ride vibration, material breathability, and other factors. These inputs stimulate mechanisms of discomfort that need to be quantified in terms of mechanical requirements for seat design and function.