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This contribution introduces a number of psychological methods of analysis that are based on the practice-oriented collection of information directly at the site of an accident and that allow for an analysis and coding of the accident causes. Investigation examples and examples of the data combinations with basic medical and technical data are outlined. Objective of the collection is the inter-disciplinary investigation of human factors in the causes of accidents ("human-factor-analysis"). The psychological data are incorporated according to an integrative model for accident causes based on empiric algorithms in the data base of the accident research, where the clustered evaluation potential of comprehensive factors of the accident development can be illustrated. The central theoretical concept for the basic model of the progress of the accident from a psychological point of view comprises psychological indicators for the evaluation of the site of the accident for the analysis of the perception conditions as well as a classification of the gleaned data into the accident progress model according to chronological and local criteria. Perception conditions, action intentions and executions as well as conditions limiting perception and actions are acquired, using a questionnaire for persons involved in an accident, and are also integrated into the data structure concerning weighted feature characteristics as well as combined with other relevant features. Suitable systematization tools for the collection and coding of psychological accident development parameters have to be provided, which require primarily a model image of the corresponding processes from the persons involved in the accident (perceptions, expectations, decisions, actions). The interactive accident model contains components of the models by KÜTING 1990, MC DONALD 1972, SURREY 1969 and RASMUSSEN 1980. Based on the inter-action of the three partial systems "person", "vehicle" and "environment", the first step is the assessment of the situation by the persons involved in the accident. This is dependent on the personal attitudes and motives, on experiences and expectations concerning the progress of the situation. Subsequently, data concerning the manner of the coping with the ambiguous state as well as with the instable state (emergency reaction immediately before the accident occurs) are collected. The factors relating to the persons involved in the accident are gathered on several levels using corresponding questionnaires. The coding of the found and collected characteristics is conducted in a multidimensional evaluation relating to the technical results of the accident reconstruction and of the psychological classification, which are subsequently integrated in coded form into the data base of the accident research. The result of this analysis is a description of the development of the accident depicted on a chronological vector from a perception and decision theoretical perspective. This is explained in detail using exemplary cases.
The "Seven Steps Method" is an analysis and classification system, which describes the human participation factors and their causes in the temporal sequence (from the perceptibility to concrete action errors) taking into consideration the logical sequence of individual basic functions. By means of the "seven steps" it is possible to describe the relevant human causes of accidents from persons involved in the accident in an economic way with a sufficient degree of exactitude, because the causes can be further differentiated in their value (e.g. diversion as external diversion with regard to impact due to surroundings) and their sub values (e.g. external diversion with regard to impact due to surroundings in the shape of a "capture" of the perception by a prominent object of the traffic environment). Theoretically it is possible that one or more causing moments can be assigned to a person involved in an accident in each of the "seven steps"; however it is also possible to sufficiently clarify the cause in only one level (examples for this are described). In the practice of accident investigation at the site of the accident, the sequence chart is also relevant. With its assistance the questioning of the people involved in an accident can be accomplished in a structured way by assigning a set of questions to each step.
The incidence and treatment of sternal fractures among traffic accidents are of increasing importance to ensure best possible outcomes. Analysis of technical indicators of the collision, preclinical and clinical data of patients with sterna fractures from 1985-2004 among 42,055 injured patients were assessed by an Accident Research Unit. Two time groups were categorized: 1985-1994 (A) vs. 1995-2004 (B). 267/42,055 patients (0.64%) suffered a sterna fracture. Regarding the vehicle type, the majority occurred after car accidents in 0.81% (251/31,183 pts), followed by 0.19% (5/2,633pts) driving motorbike, and 0.11% (4/3,258pts) driving a truck. 91% wore a safety belt. Only 13% of all passengers suffering a sternal fracture had an airbag on board (33/255 car/trucks), with an airbag malfunction in 18%. The steering column was deformed in 39%, the steering wheel in 36%. Cars in the recent years were significantly older (7.67-±5 years (B) vs. 5.88-±5 years (A), p=0.003). Cervical spine injuries are frequent (23% vs. 22%), followed by multiple rib fractures (14% vs. 12%) and lung injuries (12% vs. 11%). We found 9/146 (6%) and 3/121 patients (3%) with heart contusion among the 267 sternal fractures. MAIS was 2.56-±1.3 vs. 2.62-±1.3 (A vs. B, p=0.349). 18% of patients were polytraumatized, with 11.2% dying at the scene, 2.3% in the hospital. Sternal fractures occur most often in old cars to seat-belted drivers often without any airbag. Severe multiple rib fractures and lung contusion are concomitant injuries in more than 10% each indicating the severity of the crash. Over a twentyyear period, the injury severity encountered was not different with 18% polytrauma patients suffering sternal fractures.
This study aimed to identify the occurrence, type and mechanisms of the traumatic injuries of the vulnerable road users in vehicle collisions, and to determine the effects of human, engineering, and environment factors on traffic accidents and injuries. The pedestrian accident cases were collected in the years 2000 to 2005 from Changsha Wujing hospital China and Accident Research Unit at Medical University Hannover in Germany. A statistic analysis was carried out using the collected accident data. The results from analysis of Changsha data were compared with results from analysis of GIDAS data Hannover. The injury severities were determined using AIS code and ISS values. The results were presented in terms of cause of injuries, injury distributions, injury patterns, injury severity. The factors influenced the injury outcomes were proposed and discussed for the vehicle transport environment and road users. The results were discussed with regard to accident data collection, accident sampling and injury distributions etc. In the urban area of Changsha, motorcycles and passenger cars are most frequently involved in vehicle pedestrian accidents. Head and lower extremities injuries are the predominant types of pedestrian injuries. The pedestrian accidents were identified as vital issue in urban traffic safety and therefore a high priority should be given to this road user group in research of safe urban transportation. In Hannover area, cars are most frequently involved in traffic accidents, injured pedestrians are involved in road traffic of Germany in 13% of all causalities only in 2005 and have nearly the same number as motorcyclists, but the half of bicyclists.
In the context of this study, different data sources for accident research were examined regarding their possible data access and evaluated concerning the individual quality and extent of the data. Analyses of accidents require detailed and comprehensive information in particular concerning vehicle damages, injury patterns and descriptions of the accident sequence. The police documentation supplies the basic accident statistics and is amended in the context of the forensic treatment by further information, e.g. by medical and technical appraisals and witness questionings. As a new approach to the data acquisition for the analysis of fatal traffic accidents, the information was made usable which was collected by the police and by the investigations of the public prosecutor. The best strategy for obtaining reliable, extensive and complete data consists of combining the information from these two sources: the very complete, but elementary statistic data of the Niedersächsisches Landesamt für Statistik (Lower Saxony State Authority of Statistics), based on the police documentation as well as the very extensive accident information resulting from the investigation documentation of the public prosecutor after conclusion of the procedure, the so-called Court Records. Of all 715 fatal traffic accidents, which happened in the year 2003 in the German State of Lower Saxony, 238 cases were selected by means of a statistically coincidental selective procedure based on a statistically representative manner (every third accident). These cases cover the investigation documents of the 11 responsible public prosecutor- offices, which were requested and evaluated while preserving the data security. Of the 238 cases 202 cases were available, which were individually coded and stored in a data base using 160 variables. Thus a data base of a sample of representative data for fatal accidents in Lower Saxony was set up. The data base contains extensive information concerning general accident data (35 variables), concerning road and road surface data (30 variables), concerning vehicle-specific data (68 variables) as well as concerning personal and injury data (27 variables).
Description of road traffic related knee injuries in published investigations is very heterogeneous. The purpose of this study was to estimate the risk of knee injuries in real world car impacts in Germany focusing vulnerable road users (pedestrians, bicyclists and motorcyclists) and restrained car drivers. The accident research unit analyses technical and medical data collected shortly after the accident at scene. Two different periods (years 1985-1993 and 1995-2003) were compared focusing on knee injuries (Abbreviated Injury Scale (AISKnee) 2/3). In order to determine the influences type of collision, direction and speed as well as the injury pattern and different injury scores (AIS, MAIS, ISS) were examined. 1.794 pedestrians, 742 motorcyclists, 2.728 bicyclists and 1.116 car drivers were extracted. 2% had serious ligamentous or bony injuries in relation to all injured. The risk of injury is higher for twowheelers than for pedestrians, but knee injury severity is higher for the latter group. Overall the current knee injury risk is low and significant reduced comparing both time periods (27%, p<0,0001). Severe injuries (AISKnee 2/3) were below 1%). Improved aerodynamic design of car fronts reduced the risk for severe knee injuries significantly (p=0,0015). Highest risk of injury is for motorcycle followed by pedestrians, respectively. Knee protectors could prevent injuries by reducing local forces. The classically described dashboard injury was rarely identified. The overall injury risk for knee injuries in road traffic is lower than estimated and reduced comparing both periods. The aerodynamic shape of current cars compared to older types reduced the incidence and severity of knee injuries. Further modification and optimization of the interior and exterior design could be a proper measurement. Classic described injury mechanisms were rarely identified. It seems that the AIS is still underestimating extremity injuries and their long term results.
Der Vergleich der Ergebnisse aus drei von der Bundesanstalt für Straßenwesen (BASt) durchgeführten Studien ergab, dass keiner der bisher gewählten Ansätze optimal erscheint, um als Grundlage für eine langfristige Untersuchungsreihe zu schwerstverletzten Unfallopfern zu dienen. Dagegen verspricht die Verknüpfung der Daten des Traumaregisters der Deutschen Gesellschaft für Unfallchirurgie mit polizeilichen Unfalldaten einen Fortschritt. Somit könnten die Primärdaten zweier bereits etablierter Dokumentationssysteme für die künftige Untersuchung der Schwer(st)verletztenproblematik effizient genutzt werden. Zu einem ähnlichen Ergebnis kommt eine aktuelle Studie der Rheinisch-Westfälischen Hochschule Aachen und der Universitätsklinik Aachen aus dem Jahr 2009. Hierdurch wurde der viel versprechende Erkenntnisgewinn zur Verletzungsschwere und Verletzungsmustern belegt, der durch eine Zusammenführung der Daten der laut amtlicher Unfallstatistik Schwerstverletzten mit denjenigen der nach medizinischen Krankenakten ermittelten schweren Unfälle bestätigt.
Der vorliegende Bericht befasst sich mit den Auswirkungen von teilasphärischen Außenspiegeln von Kraftfahrzeugen auf das Unfallgeschehen. Es wird untersucht, ob die Vorteile teilasphärischer Spiegel (größeres Sichtfeld, Reduzierung des "toten Winkels") mit Nachteilen durch die optisch bedingten Verzerrungen des Spiegels verbunden sind (zum Beispiel fehlerhafte Distanz- oder Geschwindigkeitsschätzungen). Hierzu wird ein mehrstufiges Vorgehen gewählt, dass aus der Bestimmung des derzeitigen Ausrüstungsstands, einer Zusammenstellung und vergleichenden Betrachtung nationaler und internationaler Richtlinien und einer umfangreichen Literaturrecherche zur bisherigen Spiegelforschung besteht. Auf der Grundlage dieser Informationen wird der aktuelle Wissensstand zur seitlichen und rückwärtigen Sicht aus Kraftfahrzeugen unter besonderer Berücksichtigung der verschiedenen Arten von Außenspiegeln (plan, sphärisch konvex und teilasphärisch) ermittelt und systematisiert. Ergänzend wird im Rahmen von Unfallanalysen untersucht, ob die Verwendung neuartiger Spiegelsysteme einen messbaren Einfluss auf die Unfallstatistik hat. Besondere Relevanz haben in diesem Zusammenhang Unfälle bei AbbiegevorgÃ-¤ngen und Fahrspurwechseln, also Unfalltypen, bei denen der so genannte "tote Winkel" eine maßgebliche Rolle spielen könnte. Zusätzlich wird die Verwendung unterschiedlicher Spiegelsysteme und der Stand der Technik in der derzeitigen Fahrzeugpopulation ermittelt und eine Prognose für die weitere Entwicklung erarbeitet. Diese Erhebungen dienen als Basis für die Durchführung von drei Experimenten, die Informationen zum Einfluss teilasphärischer Spiegel auf die Wahrnehmung liefern sollen. Experiment 1 beschäftigt sich mit Distanzschätzungen durch plane, sphärische und teilasphärische Spiegel. Experiment 2 untersucht die Fähigkeit von Versuchspersonen, mit Hilfe eines planen, sphärischen oder teilasphärischen Außenspiegels die Distanz- und Geschwindigkeit eines sich nähernden Fahrzeugs einzuschätzen und so den Kollisionszeitpunkt zu bestimmen. Während die ersten beiden Experimente eher Nachteile teilasphärischer Spiegel zu entdecken versuchen, widmet sich Experiment 3 explizit der Frage nach den Vorteilen dieser Spiegel. Es wird daher untersucht, ob das größere Sichtfeld trotz optischer Verzerrungen genutzt werden kann und sich somit Fehleinschätzungen bei der Objekterkennung im "toten Winkel" signifikant reduzieren lassen. Die Experimente können keine Belege für sicherheitsrelevante Nachteile teilasphÃ-¤rischer Außenspiegel finden, sie zeigen jedoch, dass ein größeres, rückwärtiges Sichtfeld genutzt werden kann. Die EinfÃ-¼hrung teilasphärischer Außenspiegel wird daher befürwortet und es wird erwartet, dass diese positive Auswirkungen auf das Unfallgeschehen haben werden.