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Although ATV accidents account for numerous deaths in the US and Australia, the role in traffic accidents and hospital admissions in Germany is unknown. At a level I trauma centre, hospital and crash charts were analysed for medical and technical parameters of ATV accidents. ATV drivers were 0.1% of emergency trauma patients. The mean total hospital stayrnwas 15 days; there were 1.5 stays per patients with 2.0 surgical procedures needed. One patient died, only two recovered fully. 14 cases of ATV accidents out of 18990 (0.1%) were documented within 10 years. The mean impact velocity was 35 km/h. Car collisions were predominant. The upper extremity was the predominant injured region (AIS 0.7), Mean maximum AIS was 1.4. ATV accidents in Germany are rare but pose high risk for severe injuries. Possible reasons are low active and passive security, limited experience and risky driving behaviour. Preventive measures are discussed.rn
This study aims to analyze spine injuries in motor vehicle accidents. Between 1985 and 2004 the Hannover accident research unit documented 18353 accidents. We identified 161 front passengers (0.53%) with cervical spine injuries, 84 (0.28%) with thoracic and 95 (0.31%) with lumbar injuries. Technical and medical data was reviewed. Patients" records were retrieved. X-rays were evaluated and fractures were classified according to the Magerl classification. 68% and 57% of thoracic and lumbar fractures occurred in accidents with multiple impacts. Delta-v was 50, 40 and 40 kph in passengers with cervical, thoracic and lumbar spine, resp. Passengers with spinal fractures frequently showed numerous concomitant injuries, e.g. additional vertebral fractures. The influence of seat belts and airbags is discussed. Patient work-up has to include a thorough investigation for additional injuries.
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.
Although road infrastructure is developed extensively Brazil is still one of the countries with the most dangerous roads in the world. In order to stop the increasing trend of traffic fatalities of the last few years and to improve traffic safety on Brazilian roads a pilot study on behalf of SAE Brazil started in March 2016 with the goal to lay the foundations for a long-term research activity. Piloting for an in-depth accident investigation the city of Campinas, roughly 100 km north of São Paulo was chosen. The pilot project was carried out with the local partner, the Empresa Municipal de Desenvolvimento de Campinas (EMDEC). The paper reports on the initial training of evidence based accident data collection on-spot, the implementation of the new digital database, the data collection and the first results. An outlook on the planned long-term accident investigations is given.
The increasing economics in India has an enormous growth of its road traffic. As observed from official Indian accident statistics the number of road fatalities are one of the highest worldwide. In contrast to most industrialized nations they have an rapidly increasing trend. To come along with this trend it becomes more than essential to understand the traffic accident situation. The official Indian accident statistics gives a glimpse of only basic information. Therefore more detailed data is needed. By using In-depth accident data and officially representative statistics the current accident situation can be evaluated in India, if a suitable weighting methodology is considered. Hence in 2009/2010 a pilot study with the collaboration partner JP-Research India pvt. Ldt. was gathered in Tamil Nadu in south of India. In-depth accident investigations were done around the Coimbatore area on four highways. At first, the collected data is evaluated. Due to consequent and continuous further development based on the first approach a methodology similar to NASS/CDS/GES in the US and GIDAS in Germany was developed. Of course all relevant accident related parameters including pictures and severity information were collected. As a matter of fact based on scaled sketches and reconstruction benefit analyses can be done in order to analyze the accident scenery in India. As a first outcome influence from infrastructure, missing education and vehicle safety were identified as key parameters in order to reduce the number of accidents and casualties. To compare the accident situation against international standards an accident classification for left hand traffic was developed based on the German Insurance classification system. Looking into detail additional accident types were identified and added to create an Indian accident type catalogue. The positive results encouraged several OEMs to participate in this investigation and together with BOSCH a consortium was established in 2010/11. Within one year from beginning in May 2011 about 200 highway accidents were collected, reported and reconstructed using the new standard. Hence a first good overview of the accident situation is available for the Coimbatore Tamil Nadu area. The major target for establishing accident investigations is the extension towards other states of India and urban areas to achieve a better overview of the accident scenery. Therefore local and national authorities have to be embedded in order to strengthen the awareness against traffic safety.
Ziel der Untersuchung war, die Frage zu klären, inwieweit die Verwendung von fluoridhaltigen Blutentnahmesystemen einen Vorteil in Begutachtungsfragen bei Cocain-Konsumenten bringen kann. In einigen Bundesländern werden diese Blutentnahmesysteme bereits seit Jahren angewendet, um einer Zersetzung von Cocain entgegenzuwirken (Inhibition der Esterasen im abgenommenen Blut). Entsprechende Empfehlungen finden sich auch in den Richtlinien der Gesellschaft für Toxikologische und Forensische Chemie (GTFCh). Bei der Verwendung Fluorid-stabilisierter Blutentnahmesysteme fanden sich in mehr als 50 Prozent der Fälle neben dem nicht aktiven Stoffwechselprodukt Benzoylecgonin (BE) auch Cocain (ein Beleg des zeitnahen Konsums) im Blut. Seit Mitte 2007 ist neben dem Stoffwechselprodukt BE auch die Muttersubstanz Cocain im Anhang zu Paragraf 24a Straßenverkehrsgesetz (StVG) aufgeführt. Aus forensisch-toxikologischer Sicht ist die Verwendung fluorid-stabilisierter Entnahmesysteme zwingend anzuraten, da nur dann ein Nachweis der aktiven Muttersubstanz Cocain selbst ermöglicht wird.
In der Akutphase eines Rausches durch Stimulanzien sind die erwünschten Wirkungen nicht zwingend mit einer Beeinträchtigung der Fahrsicherheit in Verbindung zu bringen. Eine gesteigerte physische Leistungsfähigkeit kann sogar zumindest kurzfristig mit einer Verbesserung der Fahrleistung einhergehen. Es sind eher die unerwünschten Akutwirkungen, insbesondere aber die Nachwirkungen eines Rausches, die Einfluss auf die Fahrsicherheit nehmen können. Ziel der Untersuchung war es, Konzentrationsbereiche und verkehrsmedizinisch relevante psychophysische Auffälligkeiten von Fahrzeuglenkern zusammenzuführen und zu überprüfen, in welcher Rauschphase eine Teilnahme am Straßenverkehr erfolgt ist beziehungsweise kritisch zu sein scheint. 8.824 Fälle, bei denen eine aktive Teilnahme am Straßenverkehr erfolgt war, wurden daraufhin untersucht. Im Vergleich zu anderen (zentral dämpfenden) Substanzklassen sind bei Amphetaminen weniger psychophysische Leistungsdefizite bei der Polizei und dem Blutentnahmearzt dokumentiert, allerdings werden Personen prinzipiell sowohl in der Akutphase als auch in der nachfolgenden Ermüdungsphase auffällig. Die Ergebnisse bestätigen, dass nach dem Konsum von Amphetaminen generell keine eindeutigen Konzentrations-Wirkungsbeziehungen zu beobachten sind.
Nowadays, traffic accidents are recorded in historical databases. Regarding the huge quantity of data, the use of data mining tools is essential to help Experts, for automatically extracting relevant information in order to establish and quantify relations between severity and potential factors of accidents. An innovative approach is here proposed for an in depth investigation of real world accidents data base. Mutual information ratio based on conditional entropies is used to quantity the association strength between an accident outcome descriptor (injury severity) and other potential association factors. Information theoretic methods help to select automatically groups of factors mostly responsible of the severity of accident.
A lack of representative European accident data to aid the development of safety policy, regulation and technological advancement is a major obstacle in the European Union. Data are needed to assess the performance of road and vehicle safety and is also needed to support the development of further actions by stakeholders. This short-paper describes the process of developing a data collection and analysis system designed to partly fill these gaps. A project team with members from 7 countries was set up to devise appropriate variable lists to collect fatal crash data under the following topic levels: accident, road environment, vehicle, and road user, using retrospective detailed police reports (n=1,300). The typical level of detail recorded was a minimum of 150 variables for each accident. The project will enable multidisciplinary information on the circumstances of fatal crashes to be interpreted to provide information on a range of causal factors and events surrounding the collisions.
The purpose of this work is to investigate the association between the injuries in motorcycle accident and the main accident configurations. The data were provided by a multicentric case-control study MAIDS regarding the risk of crash and injuries of motorcyclists. Chi-square test was used to evaluate the relationship between the variables and a logistic regression was performed to evaluate the association of injury severity with some variables supposed to be predictive factors. Lesive patterns characterized by internal haemorrhages are mainly associated with fronto-lateral crashes, above all in urban areas. Lacerations or abrasions, mainly reported in torso and lower extremities, are mostly associated with single crashes or accidents in queue also for crashes occurred to low speed (< 50 km/h). The severity of injuries is highly associated with impact speed, regardless of the crash configuration. Fractures and haemorrhages play an important role in determining the severity of injuries. The upper extremities are the most frequently traumatised anatomic areas.