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Der Beitrag setzt sich mit folgenden Fragestellungen auseinander: 1. Stellen ältere Kraftfahrer ein Sicherheitsrisiko für den Straßenverkehr dar? 2. Wie wurden diese Frage und die "Fahreignung und Fahrtüchtigkeit älterer Kraftfahrer" in den vergangenen 50 Jahren wissenschaftlich bewertet - insbesondere bei Kongressen der Deutschen Gesellschaft für Verkehrsmedizin und den Deutschen Verkehrsgerichtstagen? 3. Wie haben in den vergangenen 50 Jahren Juristen, Behörden und Gesetzgeber die "Fahreignung älterer Kraftfahrer" gesehen und umgesetzt? 4. Werden morbiditäts- und altersbedingte Beeinträchtigungen der Leistungsfähigkeit rechtzeitig und richtig durch ältere Kraftfahrer erkannt? 5. Wie gehen ältere Kraftfahrer mit erkannten Leistungsmängeln um? 6. Benötigen ältere Verkehrsteilnehmer Aufklärung, Beratung, Fortbildung und Vorsorge- oder Kontrolluntersuchungen? Insgesamt kann festgestellt werden, dass allein aus normalem Altersabbau und hohem Alter kein Rückschluss auf die Fahruntauglichkeit gezogen werden kann. Das wichtigste gesellschaftliche Ziel für die Teilnahme älterer Menschen am Straßenverkehr ist - angesichts der demographischen Entwicklung - die Einsichtsfähigkeit in das altersbedingt verminderte Leistungsvermögen und den Veränderungswillen zu Kompensationsmechanismen bei älteren Verkehrsteilnehmern zu schärfen. Der behandelnde Arzt, Angehörige und sonstige Bezugspersonen sollten alles tun, um den bejahrten Kraftfahrer zu motivieren, sich seiner Selbstverantwortung bewusst zu werden und demgemäß zu handeln.
Trauma management (TM) covers two types of medical treatment: the initial one provided by Emergency Medical Services (EMS) and a further one provided by permanent medical facilities. There is a consensus in the professional literature that to reduce the severity and the number of road crash victims, the TM system should provide rapid and adequate initial care of injury, combined with sufficient further treatment at a hospital or trauma centre. Recognizing the important role of TM for reducing road crash injury outcome, it was decided, within the EU funded SafetyNet project, to develop road safety performance indicators (SPIs) which would characterize the level of TM systems" performance in European countries and enable country comparisons. The concept of TM SPIs was developed based on a literature study of performance indicators in TM, a survey of available practices in Europe and data availability examinations. A set of TM SPIs was introduced including 14 indicators which characterize five issues such as: availability of EMS stations; availability and composition of EMS medical staff; availability and composition of EMS transportation units; characteristics of the EMS response time, and availability of trauma beds in permanent medical facilities. Basic information on the TM systems was collected in close cooperation with the national expert group. A dataset with TM SPIs for 21 countries was created. It was demonstrated that the countries can be compared using selected TM SPIs. Moreover, a more general comparison of the TM systems' performance in the countries is possible, using multiple ranking and statistical weighting techniques. By both methods, final estimates were received enabling the recognition of groups of countries with similar levels of the TM system's performance. The results of various trials were consistent as to the recognition of countries with high or low level of the TM systems" performance, where in grouping countries with intermediate levels of the TM system's performance some differences were observed. The SafetyNet project's practice demonstrated that data collection for estimating TM SPIs is not an easy task but is realizable for the majority of countries. The TM SPIs" message is currently limited to the availability of trauma care services. Further development of the TM SPIs should focus on characteristics of actual treatment supplied, based on combined police and medical road crash related databases.
Although the annual traffic accident statistics published by the national police is available in public, the detailed traffic accident data has not been released in Korea. Recently the Ministry of Land, Infrastructure and Transport recognized the importance of in-depth accident data to enhance road traffic safety and initiated a research project to establish a collection of the detailed accident data. The main objective of the project is a feasibility study to establish KIDAS (Korea In-Depth Accident Study). Within this project, three university hospitals which are located in mid-size cities have been selected to collect accident data. Annually, more than 500 cases of accidents have been collected from the in-patient's interviews and diagnosis. Unlike GIDAS (German In-Depth Accident Study), currently on-site investigation can"t be performed by the Korean police. The only available data is patient medical records, patient's description of accident circumstances and the damaged vehicle. Occasionally the police provide the accident investigation reports containing very brief information on accident causation and vehicle safety. In a first step, the concept of KIDAS is to adopt the format of iGLAD (Initiative for the Global Harmonization of Accident Data) for harmonization. Since the currently collected accident information is extremely limited compared with GIDAS, the other sources of data and calculations such as KNCAP vehicle data, pc-crash simulations, vehicle registration information, insurance company data are utilized to complete the iGLAD template. Results from KIDAS_iGLAD and the cases of assessment of active safety devices such as AEBS, ESC, and LDWS will be evaluated.
Road accidents are typically analyzed to address influences of human, vehicle, and environmental (primarily infrastructure) factors. A new methodology, based on a "Venn diagram" analysis, gives a broader perspective on the probable factors, and combinations of factors, contributing both to the occurrence of a crash and to sustaining injuries in that crash. The methodology was applied to 214 accidents on the Mumbai-Pune expressway. Factors contributing to accidents and injuries were addressed. The major human factors influencing accidents on this roadway were speeding (30%) and falling asleep (29%), while injuries were primarily due to lack of seat belt use (46%). The leading infrastructure factor for injuries was impact with a roadside manmade structure (28%), and the main vehicle factor for injuries was passenger compartment intrusion (73%). This methodology can help identify effective vehicle and infrastructure-related solutions for preventing accidents and mitigating injuries in India.
Injury severity of e.g. pedestrians or bikers after crashes with cars that are reversing is almost unknown. However, crash victims of these injuries can frequently be seen in emergency departments and account for a large amount of patients every year. The objective of this study is to analyze injury severity of patients that were crashed into by reversing cars. The Hannover Medical School local accident research unit prospectively documented 43,000 road traffic accidents including 234 crashes involving reversing cars. Injury severity including the abbreviated injury scale (AIS) and the maximum abbreviated injury scale (MAIS) was analyzed as well as the location of the accident. As a result 234 accidents were included into this study. Pedestrians were injured in 141 crashes followed by 70 accidents involving bikers. The mean age of all crash victims was 57 -± 23 years. Most injuries took place on straight stretches (n = 81) as well as parking areas (n = 59), entries (n = 36) or crossroads (n = 24). The AIS of the lower extremities was highest followed by the upper extremities. The AIS of the neck was lowest. The mean MAIS was 1.3 -± 0.6. The paper concludes that the lower extremities show the highest risk to become injured during accidents with reversing cars. However, the risk of severe injuries is likely low.
The main focus of the benefit estimation of advanced safety systems with a warning interface by simulation is on the driver. The driver is the only link between the algorithm of the safety system and the vehicle, which makes the setup of a driver model for such simulations very important. This paper describes an approach for the use of a statistical driver model in simulation. It also gives an outlook on further work on this topic. The build-up process of the model suffices with a distribution of reaction times and a distribution of reaction intensities. Both were combined in different scenarios for every driver. Each scenario has then a specific probability to occur. To use the statistical driver model, every accident scene has to be simulated with each driver scenario (combinations of reaction times and intensities). The results of the simulations are then combined regarding the probabilities to occur, which leads to an overall estimated benefit of the specific system. The model works with one or more equipped participants and delivers a range for the benefit of advanced safety systems with warning interfaces.
The study aimed at estimating the impact of pedelecs (with an assumed higher speed than bicycles) on the traffic accident severity in Germany for different penetration rates. The analysis shows that in many real situations (68%) an electrical support of bicycles has no influence on the sequence of accident events. Taking into account a number of unreported "single bicycle accidents", the adoption of similar traffic behavior and similar age distribution, the authors determined a shift of 400 former slightly to seriously injured cyclists in Germany per year. Overall this would be an increase of approximately 2.3% in case of 10% of pedelec penetration with the pessimistic assumption of 10 km/h speed increase although first natural driving studies predict a much lower average speed increase of pedelecs. The hypothesis verbalized in the initial question whether a higher distribution of pedelecs will result in more severe accidents in Germany is not verified. The study shows that electrical support didn"t result in higher collision speed in general. In many accident situations, the speed of pedelecs has only a minor influence on the accident severity. Further research focusing on a possible change of driver behavior especially in new target groups (elderly people) will be needed.
Analysis of pedestrian leg contacts and distribution of contact points across the vehicle front
(2015)
Determining the risk to pedestrians that are impacted by areas of the front bumper not currently regulated in type-approval testing requires an understanding of the target population and the injury risk posed by the edges of the bumper. National statistics show that approximately 10% of all accident casualties are pedestrians, with 20% to 30% of these pedestrian casualties being killed or seriously injured. However, the contact position across the front of the bumper is not recorded in national statistics and so in-depth accident databases (OTS, UK and GIDAS, Germany) were used to examine injury risk in greater detail. The results showed that some injury types and severities of injuries appear to peak around the bumper edges. Although there are sometimes inconsistencies in the data, generally there is no evidence to suggest that the edges of the bumper are less likely to be contacted or cause injury.
The United Nations Economic Commission for Europe Informal Group on GTR No. 7 Phase 2 are working to define a build level for the BioRID II rear impact (whiplash) crash test dummy that ensures repeatable and reproducible performance in a test procedure that has been proposed for future legislation. This includes the specification of dummy hardware, as well as the development of comprehensive certification procedures for the dummy. This study evaluated whether the dummy build level and certification procedures deliver the desired level of repeatability and reproducibility. A custom-designed laboratory seat was made using the seat base, back, and head restraint from a production car seat to ensure a representative interface with the dummy. The seat back was reinforced for use in multiple tests and the recliner mechanism was replaced by an external spring-damper mechanism. A total of 65 tests were performed with 6 BioRID IIg dummies using the draft GTR No.7 sled pulse and seating procedure. All dummies were subject to the build, maintenance, and certification procedures defined by the Informal Group. The test condition was highly repeatable, with a very repeatable pulse, a well-controlled seat back response, and minimal observed degradation of seat foams. The results showed qualitatively reasonable repeatability and reproducibility for the upper torso and head accelerations, as well as for T1 Fx and upper neck Fx. However, reproducibility was not acceptable for T1 and upper neck Fz or for T1 and upper neck My. The Informal Group has not selected injury or seat assessment criteria for use with BioRID II, so it is not known whether these channels would be used in the regulation. However, the ramping-up behavior of the dummy showed poor reproducibility, which would be expected to affect the reproducibility of dummy measurements in general. Pelvis and spine characteristics were found to significantly influence the dummy measurements for which poor reproducibility was observed. It was also observed that the primary neck response in these tests was flexion, not extension. This correlates well with recent findings from Japan and the United States showing a correlation between neck flexion and injury in accident replication simulations and postmortem human subjects (PMHS) studies, respectively. The present certification tests may not adequately control front cervical spine bumper characteristics, which are important for neck flexion response. The certification sled test also does not include the pelvis and so cannot be used to control pelvis response and does not substantially load the lumbar bumpers and so does not control these parts of the dummy. The stiffness of all spine bumpers and of the pelvis flesh should be much more tightly controlled. It is recommended that a method for certifying the front cervical bumpers should be developed. Recommendations are also made for tighter tolerance on the input parameters for the existing certification tests.
Die Bundesanstalt für Straßenwesen (BASt) hat 2009 eine Pilotstudie initiiert, an der sich vier Autobahnmeistereien aus Niedersachsen und Nordrhein-Westfalen beteiligt haben und deren Schlussbericht nun vorliegt. Grund dafür waren die immer stärker spürbaren psychischen Belastungen, die sich aus der gefährlichen und stressreichen Arbeit ergeben, die die Frauen und Männer in der orangefarbenen Arbeitskleidung auf der Straße verrichten. Bundesweit kommen nach Angaben des Bundesverbandes Deutscher Straßenwärter jedes Jahr acht bis zehn Straßenwärter ums Leben. Die Zahl der Verletzten ist hoch. Zu der Arbeit in unmittelbarer Nähe des fließenden Verkehrs auf der Fahrbahn oder im direkt angrenzenden Seitenbereich von Straßen und Autobahnen kommen Belastungen durch die immer knapper werdende Personalausstattung der Meistereien und den daraus resultierenden Überstunden hinzu, besonders im Winter. Diese ziehen oft gesundheitliche Einschränkungen und persönliche Krisen nach sich. Probleme, mit denen sich viele Kollegen allein gelassen fühlen. Der "Burn-out" ist praktisch schon vorprogrammiert. Das Ergebnis der Studie muss realistisch betrachtet werden. Die angebotenen Trainingseinheiten können die Belastungen der Straßenwärter, denen sie Tag für Tag ausgesetzt sind, zwar nicht weiter senken, aber sie können lernen, mit den daraus resultierenden Beanspruchungen deutlich besser fertig zu werden. Vor allem, indem sie miteinander und mit ihren Vorgesetzten sprechen und die Last des Einzelnen nötigenfalls auf mehrere Schultern verteilen.