Sonstige
Die Unfallzahlen für das Jahr 2008 zeigen, dass die intensiven Anstrengungen für die Verkehrssicherheit weiterhin Früchte tragen. Nachdem im Jahr 2007 mit 220 Toten auch in Rheinland-Pfalz der geringste Stand seit Einführung der Unfallstatistik registriert wurde, konnte dieser Trend auch im Jahr 2008 bestätigt werden. Die Verkehrssicherheitsarbeit in Rheinland-Pfalz sieht sich dabei zunächst im Kontext des anspruchsvollen Ziels der EU, die Zahl der Verkehrstoten bis 2010 zu halbieren. Im Mittelpunkt steht dabei die Frage, wie die Risiken im Verkehrsverhalten der Menschen minimiert werden können. Vorhandene Sicherheitspotenziale sollen genutzt werden, Maßnahmen sind gezielt auf die Brennpunkte im Verkehrsgeschehen auszurichten. Neben Sicherheitsaktionen und Trainings für die Verkehrsteilnehmer sowie der Polizeiarbeit ist einer der wichtigsten Ansätze die Verbesserung der Infrastruktur. Zu den Maßnahmen auf diesem Gebiet zählen neue Ansätze beispielsweise bei der Überprüfung sicherheitsrelevanter Aspekte schon in der Planung, beim Bau moderner Verkehrsbeeinflussungsanlagen oder bei der Sicherheit an Bahnübergängen und in Tunnels. Ein Fokus liegt jedoch auf der Unfallkommissionsarbeit. Sie ist ein wesentlicher Bestandteil der Gesamtkonzeption zur Verbesserung der Verkehrssicherheit. Das Land Rheinland-Pfalz verfügt seit nunmehr über 35 Jahren über institutionalisierte Erfahrungen auf diesem Gebiet, die auch als Beispiel für die bundesweite Entwicklung dienten. In einem weiteren Schritt werden seit kurzem in einer landesweiten Unfallkonferenz nunmehr Programmschwerpunkte wie beispielsweise die Bekämpfung von Motorradunfällen oder Baumunfällen definiert. Zudem wurden mit einem aufwändigen Programm allen der etwa 400 Unfallkommissionsmitglieder in Rheinland-Pfalz Schulungen angeboten. Eine permanente Nachschulung garantiert dabei einen gleichbleibend hohen Wissensstand. Beispielgebend ist allerdings auch die zentrale Unfallauswertestelle beim Landesbetrieb Mobilität in Koblenz, die es in dieser Form so nur noch in Bayern gibt. Mit ihr steht seit vielen Jahren ein Instrument zur Verfügung, das nicht nur die Grundlagen für gezielte und effektive Verkehrssicherheitsmaßnahmen schafft, sondern auch landesweite Controllings durchführt. Ohne eine finanzielle Ausstattung ist jedoch eine effektive Unfallkommissionsarbeit nicht möglich. Aus diesem Grund wurde als Novum ein spezieller Haushaltsansatz geschaffen, der gezielt ausschließlich im Sinne der Verkehrssicherheit - derzeit mit dem Schwerpunkt Baumunfälle und Motorradsicherheit - eingesetzt wird. Dabei wurde auch in einem Bewertungsverfahren zum Ausbauplan für Landesstraßen die Verkehrssicherheit so gewichtet, dass speziell Unfallhäufungsstellen in die Prioritätenreihung gelangen. Diese Ansätze mit Strategien aus einer Landesunfallkonferenz, gezielter Schulung, finanzieller Ausstattung sowie Unterstützung und Controlling durch eine zentrale Unfallauswertestelle sind zugleich Chance und Herausforderung für eine künftige Verkehrssicherheitsarbeit.
The following paper presents the nature and mechanism of injuries sustained in frontal impacts, focusing on car to car impacts. It was found that the body regions most frequently sustaining severe to fatal injuries were the legs and the thorax. The nature and mechanism of the injury sustained was investigated only for the thorax injuries, due to their potentially life threatening nature. The analysis revealed that the most frequent cause of the injury recorded was the seatbelt for low severity injuries and the front structure of the vehicle for higher severity injuries. An analysis of the effect of load limiter technology in the restraint system showed that the proportion of occupants who sustained "no thorax injury" did not increase when a load limiter was fitted to the restraint system. However, a decrease in the "organ" and "organ and skeletal" injuries was observed in the load limiter sample. Sample size and variation mean that these findings are not conclusive.
Motorcycle riders are one of the most vulnerable road users. Annually, on estimate 6000 people are killed in motorcycle accidents in the former 15 EU countries. The objective of this research was to investigate and analyze the main aspects and causes of this vulnerability and the accidents in general. For this aim around 70 accidents in The Netherlands were investigated in the framework of an international research program (MAIDS). Also a control group of motorcycles with riders was investigated so that exposure could be taken into account. An important result is that human failure is in 82% of the cases the main cause of the accident, in 52% this is due the other vehicle driver. Perception and decision failures are the most common failures. The most injuries are caused by the environment but they are typically only less severe (AIS1). Injuries caused by the car (front and side) are typically severe injuries (AIS4+). Previous convictions of the MC rider seem to be related to the chance to get involved in an accident. It was shown that the Dutch and the total MAIDS accident sample are comparable.
While many medical studies have dealt with the incidence, nature and treatment of polytrauma the injury-causing accident mechanisms are rarely discussed in detail, mostly due to the lack of documentation of the technical aspects. The present prospective study was started in late 2007 and collects data from traffic accidents with most severely injured in six south- German counties and two larger cities for the duration of one year. It is aimed at identifying and documenting all polytrauma cases (ISS ≥ 16) caused by traffic accidents and their crash circumstances. The data collection is based on an interdisciplinary concept to include both the police, emergency dispatch centers, hospitals and fire departments in the region and is completely anonymous. Potentially relevant cases where an emergency physician was called to the scene of a traffic accident are provided by the dispatch center. All three hospitals in the region suited for the treatment of polytraumatised patients record injuries, major diagnostic and surgery data. Data and images from the accident scene are provided by the police and by fire departments. The latter provide information which is usually not available from the police, like deployed airbags, vehicle extrication measures and detailed views of car interiors. The main objective of the study is to determine the structure of road users who sustain a polytrauma, their crash opponents and the injury patterns found in relation to the collision configuration and the protection by seat belts, air bags and other devices. With detailed documentation of vehicle damage and extrication measures the study is also intended to support the development of injury predictors for pre-hospital treatment and provide field data regarding further improvement of technical rescue.
A total survey of road traffic accidents involving most severely injured, defined as sustaining a polytrauma or severe monotrauma (ISS > 15) or being killed, was conducted over 14 months in a large study region in Germany. Data on injuries, pre-clinical and clinical care, crash circumstances and vehicle damage were obtained both prospectively and retrospectively from trauma centers, dispatch centers, police and fire departments. 149 patients with a polytrauma and eight with a severe monotrauma were recorded altogether. 22 patients died in hospital. Another 76 victims had deceased at the accident scene. In 2008, 49 % of patients treated with life-threatening injuries were car or van occupants, 21 % motorcyclists, 18 % cyclists and 10 % pedestrians. Among fatalities at the scene, vehicle occupants constituted an even larger portion. The number of road users with life-threatening trauma in the region was extrapolated to the German situation. It suggests that 10 % among the "seriously injured" as defined in national accident statistics are surviving accident victims with a polytrauma or severe monotrauma.
Pelvic fracture, cracking or breaking of a portion of the pelvis are extremely common injuries in the side impact collisions of motor vehicles. Due to both its shape and structural architecture, mechanics of the pelvic bone is complicated. There is a lack of knowledge regarding the dynamic behavior of the pelvis and its biomechanical tolerance under impact environment. Hence this study is aimed at the understanding of the mechanical response of the human pelvis with three-dimensional finite element (FE) models, under side impact load, applied through a structure, equivalent to a car door. The door structure was modeled, considering few layers, consisting of foam (Styrodur®, 3035 CS), plastic (UHMWPE), steel, glass and steel, putting them in series. A soft tissue layer (equivalent to fat) was also considered on the greater trochanter location. These FE models (with and without the car door structure) were analyzed with ANSYS-LS-DYNA-® dynamic finite element software to compare the effect of the car door padding system for shock absorption. It was observed that with proper combination of shock absorbing material (foam, etc.) and its thickness, the transmission of impact load to the body part (pelvis, etc.) from the outer surface of the car door could be reduced.
This paper reviews briefly the evolution of the investigation of transport accidents from the early beginnings when individual events were studied but systematic data was not collected. In the transport modes other than on the roads, accident investigation early on, even of single events, was important in introducing safety improvements. Road accidents, however, evolved enormously with the growth of car ownership without any comparable political response to the consequent deaths and injuries, equivalent to what happened with the other modes. From the 1950s data bases started to contribute to our knowledge of the epidemiology of road traffic injuries, and in-depth sample studies have contributed much to the body of knowledge in the last 30 years. However, even the basic input and output variables of a crash, its severity and the seriousness of the outcomes in terms of injuries and their consequences are not complete or agreed upon. Issues of experimental design and sampling are discussed. It is proposed that the most important area for current research to address is the effect of population variations on injury outcomes. The need for the establishment of good data bases for active safety issues is emphasised with the consequent need for better links between the research community and the police.
Verkehrspsychologische Nachschulungen stellen Maßnahmen zur Rehabilitierung von im Straßenverkehr auffälligen Kraftfahrerlnnen dar. Diese gesetzlich verankerten psychologischen lnterventionsprogramme werden mit hohem Aufwand konzipiert und sind bei der täglichen Durchführung mit beträchtlichen Kosten verbunden. Daraus ergibt sich die Notwendigkeit, die Effektivität der Nachschulungsmodelle durch eine wissenschaftliche Evaluation zu klären. Um die Effektivität der Nachschulungskurse der AAP (Austrian Applied Psychology) zu überprüfen wurde eine Fragebogenstudie mit Pre-Posttest-Designs durchgeführt. Die Ergebnisse der Alkoholkurse zeigen positive Auswirkungen hinsichtlich Einstellungsänderung, spezifischer Selbstwirksamkeitserwartung, interner Attributionen, Wissen und Gesamtbeurteilung.
Im Jahr 2005 wurde mit dem Bau der Niederrheinbrücke Wesel der Bau der Ortsumgehung Wesel begonnen. Der Beitrag berichtet über einige Ausführungsdetails der im Jahr 2009 fertiggestellten Baumaßnahme: die Herstellung des Pylons in hochfestem Beton, die Montage der Strombrücke, der Einsatz von Parallellitzenbündeln.
This study aimed at developing an injury estimation algorithm for AACN technologies for Germany and compared them to findings based on Japanese data. The data to build and to verify the algorithm was obtained from the German in-depth Accident Database (GIDAS) and split into a training and a validation dataset. Significant input variables and the generalized linear regression model to predict severe injuries (ISS>15) were selected to maximize area under the receiver operating characteristic curve (AUC). Probit regression with the input parameter multiple impact, delta v, seatbelt use and impact direction gave the largest AUC of 0.91. Sensitivity of the algorithm was validated at 90% and specificity at 76% for an injury risk threshold of 2%. It appears that no major differences between Japan and Germany exist for injury estimation based on delta v and impact direction. However, far side impact and multiple crash events appear to be associated with a larger risk increase in the German data.