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Bei Straßenverkehrsunfällen werden volkswirtschaftliche Ressourcen vernichtet und die Leistungsfähigkeit des Wirtschaftssystems entsprechend beeinträchtigt. Die Bewertung der volkswirtschaftlichen Schäden ist unerlässlich, um Maßnahmen zur Verringerung von Straßenverkehrsunfällen beurteilen zu können. Das Bewertungsverfahren zur Ermittlung der volkswirtschaftlichen Kosten durch Straßenverkehrsunfälle wurde in den letzten Jahren sowohl für Personen- als auch für Sachschäden überarbeitet. Mit dem neuen Verfahren wurde das Unfallgeschehen von 1995 bis 1998 bewertet. Die Entwicklung der Unfallkosten zeigt, dass eine erfolgreiche Verkehrssicherheitspolitik zu einer erheblichen Kostenentlastung der Volkswirtschaft und entsprechender Steigerung der Lebensqualität beitragen kann. Allein im betrachteten Zeitraum von 4 Jahren haben Straßenverkehrsunfälle volkswirtschaftliche Kosten in Höhe von fast 280 Milliarden DM verursacht. Diese Kosten sind ein Beleg dafür, dass die Verbesserung der Verkehrssicherheit eine verkehrspolitische Daueraufgabe ersten Ranges bleibt. Gleichzeitig wurden nach Ortslagen differenzierte Unfallkostensätze ermittelt, die als Eingangsdaten für gesamtwirtschaftliche Wirtschaftlichkeitsanalysen von Straßenverkehrsmaßnahmen - zum Beispiel nach den "Empfehlungen für Wirtschaftlichkeitsuntersuchungen von Straßen" (EWS 97) - dienen.
The European Enhanced Vehicle-safety Committee wants to promote the use of more biofidelic child dummies and biomechanical based tolerance limits in regulatory and consumer testing. This study has investigated the feasibility and potential impact of Q-dummies and new injury criteria for child restraint system assessment in frontal impact. European accident statistics have been reviewed for all ECE-R44 CRS groups. For frontal impact, injury measures are recommended for the head, neck, chest and abdomen. Priority of body segment protection depends on the ECE-R44 group. The Q-dummy family is able to reflect these injuries, because of its biofidelity performance and measurement capabilities for these body segments. Currently, the Q0, Q1, Q1.5, Q3 and Q6 are available representing children of 0, 1, 1.5, 3 and 6 years old. These Q-dummies cover almost all dummy weight groups as defined in ECE-R44. Q10, representing a 10 year-old child, is under development. New child dummy injury criteria are under discussion in EEVC WG12. Therefore, the ECE-R44 criteria are assessed by comparing the existing P-dummies and new Q-dummies in ECE-R44 frontal impact sled tests. In total 300 tests covering 30 CRSs of almost all existing child seat categories are performed by 11 European organizations. From this benchmark study, it is concluded that the performance of the Q-dummy family is good with respect to repeatability of the measurement signals and the durability of the dummies. Applying ECE-R44 criteria, the first impression is that results for P- and Q-dummy are similar. For child seat evaluation the potential merits of the Q-dummy family lie in the extra measurement possibilities of these dummies and in the more biofidelic response.
When assessing the consequences of accidents normally the injury severity and the damage costs are considered. The injury severity is either expressed within the police categories (slight injury, severe injury or fatal injury) or the AIS code that rates the fatality risk of a given injury. Both injury metrics are assessing the consequences of the accident directly after the accident. However, not all consequences of accidents are visible directly after the accident and the duration of the consequences are different. Besides a physiological reduction of functionality social and psychological implications such as reduced mobility options, problems to continue the original job etc. are happening. In order to assess long term consequences of accidents the MHH Accident Research Unit established a brief questionnaire that is distributed to accident involved people of the Hannover subset of the GIDAS data set approx. one year after the accident beginning with the accident year 2013. The basic idea of using a brief questionnaire (in fact only one page) is to obtain a relatively large return rate because the questionnaire appears to be simple and quickly answered. This appears to be important because it is believed that the majority of accident involved people will not report long term consequences. In order to allow a more detailed survey amongst those responders that are reporting long term consequences they are asked for a written consent for the additional questionnaire that will be distributed at a time that is not yet defined. Long term consequences are reported for all addressed areas, medical, physiological, psychological and sociological by people without injuries, with minor injuries and with severe injuries.
To improve vehicle safety in frontal collisions, the crash compatibility between the colliding vehicles is crucial. Compatibility aims to improve both the self and partner protection properties of vehicles. Although compatibility has received worldwide attention for many years, no final assessment approach has been defined. Within the Frontal Impact and Compatibility Assessment Research (FIMCAR) project, different frontal impact test procedures (offset deformable barrier [ODB] test as currently used for Economic Commission for Europe [ECE] R94, progressive deformable barrier test as proposed by France for a new ECE regulation, moveable deformable barrier test as discussed worldwide, full-width rigid barrier test as used in Federal Motor Vehicle Safety Standard [FMVSS] 208, and full-width deformable barrier test) were analyzed regarding their potential for future frontal impact legislation. The research activities focused on car-to-car frontal impact accidents based on accident investigations involving newer cars. Test procedures were developed with both a crash test program and numerical simulations. The proposal from FIMCAR is to use a full-width test procedure with a deformable element and compatibility metrics in combination with the current offset test as a frontal impact assessment approach that also addresses compatibility. By adding a full-width test to the current ODB test it is possible to better address the issues of structural misalignment and injuries resulting from high acceleration accidents as observed in the current fleet. The estimated benefit ranges from a 5 to 12 percent reduction of fatalities and serious injuries resulting from frontal impact accidents. By using a deformable element in the full-width test, the test conditions are more representative of real-world situations with respect to acceleration pulse, restraint system triggering time, and deformation pattern of the front structure. The test results are therefore expected to better represent real-world performance of the tested car. Furthermore, the assessment of the structural alignment is more robust than in the rigid wall test.
The share of high-tensile steel in car bodies has increased over the last years. While occupant safety has generally benefited from this measure, there is a potential risk that, as a result, rescue time may increase considerably. In more than 60% of all car occupant fatalities a technical rescue has been necessary. These are in particular those cases where occupants die immediately at the accident scene. Therefore, in these cases "rescue time" is a very sensitive parameter. In addition to the general analysis of the need of technical rescue and the actual rescue time depending on model years, the injury pattern of occupants requiring technical rescue will be analysed to provide advice for rescue teams. Furthermore, a detailed analysis of rescue measures for the most popular car models depending on the safety cell design is given.
An increased use of bicycles comes along with an increased number of bicycle accidents. Bicycle accidents are more frequent than recorded by the police. To evaluate the real number of bicycle accidents during 12 months in Münster, Germany, injuries were collected by the Police and in each emergency unit anonymously. 2,153 patients had to be treated in a hospital, nearly triple the number of accidents that were registered by the police. Beside fractures of the upper extremities with major surgery, traumatic brain injuries were the leading cause for hospital admission. Bicycle helmet use can reduce traumatic brain injuries and the related number of deaths and hospital admissions. Laws on bicycle helmet might decrease the use of bicycles and therefore the reduction of positive health benefits. Other methods of accident prevention may lead to positive effects as helmet legislation as well, while having no reduction in bicycle use.
Although the statistics show a decreasing rate of child injuries and fatalities in German road accidents more efforts can be made to protect children in cars e.g. by developing appropriate child restraint systems. An important part in of this work can be achieved with the help of crash tests using child dummies. However these crash tests cannot completely reflect the situation of real world crashes as factors like children moving out of the optimal position or children incorrectly fastened by their parents are difficult to predict. Therefore this study gives an overview over the current accident and injury situation of child occupants in cars in German road accidents.
Durch die Einführung des Airbags als zusätzliches Rückhaltesystem zum Sicherheitsgurt hat sich die Sicherheit für die Fahrzeuginsassen weiter erhöht. Die Airbagtechnologie wird nunmehr seit mehr als zehn Jahren serienmäßig verbaut. Nach wie vor berichten die Autofahrer aber immer wieder auch über Probleme mit dieser Technologie. Ziel dieser Arbeit ist es, geeignetes Datenmaterial aus dem realen Unfallgeschehen zu sammeln und daraus aktuelle Aussagen zur Schutzwirkung der Airbag-Technologie zu gewinnen. Darüber hinaus sollen aus dem Material auch Erkenntnisse über die Art, Häufigkeit und Ursachen der Probleme abgeleitet und damit Vorschläge für weitere Verbesserungen entwickelt werden. Die Datenbeschaffung erfolgt über eine Umfrage in den Zeitschriften der europäischen Automobilclubs. Zusammen mit dem Airbagmaterial der Versicherer stehen insgesamt 692 Fälle für die Auswertung zur Verfügung. Es ergibt sich, dass bei schweren Frontalkollisionen der Anteil an schweren bis tödlichen Verletzungen sowohl für den Fahrer als auch für den Beifahrer um gut 20 % niedriger ist als bei vergleichbaren Unfällen ohne Airbag. Auch die Seiten- und Kopfseiten-Airbags zeigen in Einzelfällen eine gute Schutzwirkung. Wegen der geringen Fallzahlen ist aber noch keine allgemeingültige Aussage möglich. Das Datenmaterial beinhaltet 78 Problemfälle im Zusammenhang mit der Airbag-Auslösung. Es handelt sich zum einen um ungerechtfertigte Auslösungen ohne Unfall oder bei geringer Unfallschwere, und zum anderen um Nichtauslösungen bei hoher Unfallschwere. Besonders auffällig sind hier die Nichtauslösungen beim Unterfahrunfall. Im Rahmen dieser Arbeit wurde auch ein Unterfahr-Test entwickelt, der in Zukunft im Rahmen der Airbag-Optimierung mit eingesetzt werden sollte. Im Datenmaterial befinden sich auch 92 Problemfälle mit Airbag-Aggressivität. Der häufigste Fall ist hier der Gehörschaden und zwar durch die Auslösung der Front-Airbags. Über gezielte Maßnahmen zur Schallpegelreduzierung bei der Airbag-Entfaltung, durch mehrstufige Airbagauslössung in Abhängigkeit von der Unfallschwere sowie durch Sitzbelegungserkennung könnten hier Verbesserungen erreicht werden. Zur Minimierung des Out-of-Position-Risikos sollte der FMVSS 208-Test mit 5 % Dummy in der vordersten Sitzposition bei die Airbag-Abstimmung eingesetzt werden. Die Airbag-Technologie hat die Insassensicherheit nachhaltig erhöht. Es ist aber noch ein großes Entwicklungspotential für weitere Verbesserungen vorhanden.
The fact that ADAC Air Rescue handles approximately 4,000 road accident missions every year gave rise to set up an accident research programme for which ADAC Air Rescue provides its data. This data is of initial informational quality and will be supplemented by data from the police, experts, fire brigades as well as hospitals and forensic institutes. Although the number of cases is still rather low, certain tendencies can be identified. The causes for most accidents occur when joining or intersecting traffic, followed by speeding in road bends and tailgating. Many accidents involve HGV rear end collisions, often causing serious injuries, considerable damage and technical problems for the rescue operations. With regard to the various impact types, it has become obvious that most of the extremely serious injuries are inflicted during a passenger car side impact. In addition, access to and removal of trapped passengers is becoming more and more complicated, partly due to the increasing use of high-strength materials, and rescue operations tend to be more time consuming.
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.