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Im Jahr 1983 wurde eine Untersuchung zur Organisation des Rettungsdienstes im Saarland durchgeführt (vergleiche FP 7.8223, Anwendung des Simulationsmodells Rettungswesen im Saarland). Ein erstes Ziel dieses neuen Projektes war es, die seit der letzten Untersuchung des Rettungsdienstes im Saarland zwischenzeitlich realisierten Maßnahmen (Aufhebung der Krankentransportstellen, Ausbau der Notarztsysteme, etc.) zusammenzustellen und mit der 1983 vorgefundenen Situation zu vergleichen. Es sollte außerdem überprüft werden, ob die festgestellte Zunahme der Notarzteinsätze zu einer Verschiebung der Indikationsstruktur geführt hat beziehungsweise ob der Nachweis geführt werden kann, dass tatsächlich medizinisch begründet der Ausbau der Notarztsysteme sinnvoll war. Der Vergleich der Infrastruktur des Rettungsdienstes im Saarland zeigt, dass im Jahr 1988 25 Rettungswachen existieren, also eine weniger als 1983. Dagegen hat sich die Anzahl der Krankentransportstellen um 4 von 12 auf 16 erhöht. Die Anzahl der bodengebundenen Notarztstandorte hat sich gegenüber 1983 verdoppelt (14 gegenüber 7), wobei die Anzahl der Kompaktsysteme (NAW) mit 5 unverändert blieb. Im Jahr 1984 wurde vorgeschlagen neben den bereits damals geplanten neuen Notarztstandorten zusätzlich in St. Wendel und Lebach Notarztstationen zu errichten. Dieser Vorschlag wurde zwischenzeitlich realisiert. Ebenso ist die damals vorgeschlagene Verlegung der Rettungswache Marpingen nach Tholey in die Realität umgesetzt worden. Im Untersuchungszeitraum 1988 liegt ein um 30 % höheres Einsatzaufkommen als 1983 vor. Einsatzklassenspezifisch ergibt sich hierbei die höchste Zuwachsrate für Notarzteinsätze mit +175 % gefolgt von Krankentransporten (+24 %) und Notfällen (+9%). Betrachtet man Notarzt und Notfalleinsätze zusammen ergibt sich eine Zuwachsrate von 40 %. Für die Gesamtheit der Notfalleinsätze (mit und ohne Notarztindikation) zeigt sich, dass 1988 eine höher qualifizierte Bedienung erfolgt. Während 1983 nur 18,5 % dieser Einsätze als Notarzteinsätze bedient wurden, beträgt 1988 der entsprechende Wert 36,4 %. 1988 hat sich demnach der Anteil der mit Notarzt versorgten Notfalleinsätze verdoppelt. Der Vergleich der Indikationsstellung bei Notarzteinsätzen für die Jahre 1984 bis 1987 hat gezeigt, dass der Anteil der nicht indizierten Notarzteinsätze kontinuierlich über die Jahre 1984 bis 1987 abnimmt. Während 1984 noch 12,2 % dieser Einsätze als nicht indiziert eingestuft wurden, gilt dies 1987 noch für 8,9 % der Einsätze. Gegenüber 1984 ist der Anteil dieser Einsätze somit um 27 % gesunken. Diese Tatsache kann als ein Indiz dafür gewertet werden, dass die in der Rettungsleitstelle getroffenen Entscheidungen über Einstufung der Einsätze aufgrund des Meldebildes zunehmend präziser wurden. Gleichzeitig hat über die Jahre der Anteil der absolut indizierten Notarzteinsätze von 54,3 % im Jahr 1984 auf 57,2 % im Jahr 1987 zugenommen.
Das FE-Projekt verfolgt das Ziel, Erhebungsverfahren zur Bestimmung des Befolgungsgrades von Alternativroutenempfehlungen an Netzbeeinflussungsanlagen (NBA) vorzuschlagen. Dazu wurde - nach der Ermittlung relevanter Faktoren auf das individuelle Entscheidungsverhalten - das Spektrum bekannter Methoden und Verfahren systematisch analysiert, und daraus schlüssige und handhabbare Empfehlungen für eine praktische Umsetzung abgeleitet. Wesentliche Untersuchungsergebnisse sind: Neben den Anzeigen auf Schildern einer NBA haben folgende Faktoren starken Einfluss auf die Entscheidung zur Befolgung einer Empfehlung: die Struktur des zulaufenden Verkehrsstromes (z.B. Quellen und Ziele der Fahrten, Fahrtzwecke), die Informationslage (Informationen aus Verkehrsfunk, Navigationssystem, eigener Beobachtung), die Umfeldsituation (z.B. Wetter und Sicht, die Qualität des Verkehrsflusses im Vorfeld der NBA sowie am Entscheidungspunkt) sowie Merkmale der Kfz-Nutzer (z.B. Ortskenntnis, Präferenzen/Motive). Die Heterogenität der individuellen, situativen und verkehrlichen Einflüsse im Umfeld jeder einzelnen NBA sowie starke zufällige Schwankungen der Zusammensetzung des zu beeinflussenden Verkehrsstromes erschweren die Bestimmung des Befolgungsgrades mit einem allgemein gültigen und auf unterschiedliche Anlagen übertragbaren Verfahren. Die Untersuchung von Verfahren der Beobachtung und Befragung ergab hohe zu erwartende Aufwendungen für die Erhebungsdurchführung bei gleichzeitig begrenzter Verbesserung erzielbarer Ergebnisse. Eine pragmatische Möglichkeit zur Ermittlung von Befolgungsgraden ist die Auswertung von Verkehrsdaten (Fahrzeugmengen), die in einem engen Zeitraum von höchstens 15 Minuten vor und nach Einschalten einer Empfehlung an Ein- und Ausfahrten eines beeinflussten Knotenpunkts erfasst werden. Die Übertragbarkeit der auf diese Weise ermittelten Werte auf andere Anlagen ist jedoch nur unter Berücksichtigung definierter Vergleichskriterien möglich. Die tatsächliche Wirksamkeit von Beeinflussungsanlagen kann bei Anwendung statistischer Testverfahren durch kurzzeitige Versuchsschaltungen nachgewiesen werden. Zur Bestimmung der Befolgungsgrade von NBA wird empfohlen, Stated-Response-Methoden (Messung individueller Präferenzen) anzuwenden. Diese Methode bietet den zusätzlichen Nutzen der Berücksichtigung von Effekten relevanter Einflussfaktoren bei der Interpretation festgestellter Befolgungsgrade.
Estimation of the benefits for the UK for potential options to modify UNECE Regulation No. 95
(2010)
The side impact problem in Europe remains substantial. UK data shows that between 22% and 26% of car occupant casualties are involved in a side impact, but this rises to between 29% and 38% for those who are fatally injured. This indicates the more injurious nature of side impacts compared with frontal impacts. The European Enhanced Vehicle safety Committee (EEVC) has performed work to address the side impact issue since 1979. As part of its continuing work, it has recently investigated potential options for regulatory changes to improve side impact protection in cars further. To support this work the UK undertook an analysis to estimate the benefit for potential options to modify UNECE Regulation 95. The analysis used the UK national STATS19 and detailed Co-operative Crash Injury Study (CCIS) accident databases. Of the potential options reviewed, it was found that the addition of a pole test offered the greatest benefit.
Das Sicherheitsaudit stellt einen wesentlichen Bestandteil des Sicherheitsmanagements von Straßen in der Planungsphase dar. Ein aktueller systematischer Überblick über die Auditpraxis in den Ländern sowie über die Verbreitung in Kommunen lag jedoch bisher nicht vor. Ziel war es daher, zunächst Wissenslücken bezüglich der tatsächlichen Anwendung und der organisatorischen Verankerung des Sicherheitsaudits zu schließen. Hierfür erfolgten zunächst eine Recherche zur Anwendung von Sicherheitsaudits auf Länder- und kommunaler Ebene sowie eine Erhebung zu durchgeführten Audits. In diesem Zusammenhang erfolgte auch ein Erfahrungsaustausch mit Auditoren von Straßenbauverwaltungen der Länder sowie mit Auditoren von Stadtverwaltungen. Darüber hinaus wurden jeweils 200 Auditberichte zu außer- und innerörtlichen Maßnahmen einschließlich der zugehörigen Stellungnahmen ausgewertet. Darauf aufbauend erfolgte die detaillierte Untersuchung ausgewählter auditierter Maßnahmen, die bereits realisiert und unter Verkehr waren und für die ein Unfallgeschehen von mindestens drei Jahren nach Verkehrsfreigabe vorlag. Während die Gespräche zum Erfahrungsaustausch weitestgehend übereinstimmende Aussagen im Hinblick auf die Auditierung von außer- und innerörtlichen Maßnahmen erbracht haben, haben die Auswertungen der jeweils 200 Audits wie auch die Detailauswertung der Audits von Außerorts- und Innerortsstraßen zu unterschiedlichen Erkenntnissen geführt. Abschließend wurden Empfehlungen zur Weiterentwicklung der Auditpraxis in Deutschland sowie zur Übernahme in die Fortschreibung der ESAS abgeleitet. Der wesentliche Baustein im Zusammenhang mit der Fortschreibung der ESAS war die Erarbeitung von Defizitlisten, die zukünftig in elektronischer Form zur Verfügung stehen sollen und anhand derer ein Audit auf Vollständigkeit überprüft werden kann. Ferner sollen sie für eine Dokumentation und Auswertung der Auditergebnisse genutzt werden können.
The primary goal of this investigation was to determine the relative risk of traffic accidents in students. In a two year period, a survey amongst 2,325 students was carried out, and 3,645 injuries sustained by students treated at our hospital were analyzed. Moped-riding in adolescents were associated with a 23.75-fold increased risk for injury as compared to biking. Children who ride bicycles have a 2.2-fold increased risk for an injury sustained by traffic accidents compared to pedestrians. None of 50 injured bicycle riders with helmet had an AIS for head injuries of more than 2. 24 of 233 injured bicycle drivers without helmet had an AIS for head injuries of more than 2. The use of a protective helmet significantly reduced the severity of head injuries. The level of awareness towards danger and a history of previous accidents correlate with the likelihood of future accidents. Due to the severity of traffic accidents, more adequate prevention measures (wearing of bicycle helmets and better education for moped riders) are urgently needed.
Aim of the study was to evaluate the protective effect of bicycle helmets particularly considering injuries to the head and to the face. Accidents with the participation of bicyclists which occurred from 2000 to 2007 were chosen from GIDAS. We observed that injuries to the head and face were more severe in the group of non-helmeted riders. There seems to be no significant difference in injuries with AIS 3-6. Altogether 26 cyclists were killed. 2 of them wore a helmet (1% of helmeted cyclists), 24 did not (1% of non-helmeted cyclists). Only one killed rider (without helmet) did not suffer from polytrauma (only head injuries recorded). The findings seem to support the thesis of a preventive effect of the bicycle helmet, however the two groups are different in their characteristics related to riding speed. Necessarily we need a multivariate model to evaluate the effect of helmets.
The paper gives an overview of the recent (mostly 2012) figures of killed bus/coach occupants (drivers and passengers) in 27 Member States of the European Union as reported by CARE. The Evolution of the figures of bus/coach occupants killed in road accidents urban, rural without motorway and on motorways from 1991 to 2010 in 15 Member States of the EU supplements this information. More detailed are the figures reported for Germany by the Federal Statistics. The paper displays long-term evaluations (1957 to 2012) for killed, seriously and slightly injured occupants in all kinds of buses/coaches. Midterm evaluations (1995 to 2012) of the figures of fatalities and casualties are displayed for different busses according to their identification of road using as coaches, urban buses, school buses, trolley buses and "other buses". To be able to compare the evolutions of the safety of vehicle occupants it is customary to use different risk indicators. Calculations and illustrations for three often used indicators with their development over time are given: fatalities, seriously injured and slightly injured per 100,000 vehicles registered, per 1 billion (109) vehicle-kilometres travelled and per 1 billion (109) person-kilometres. These indicators are shown for occupants of cars, goods vehicles and buses/coaches. For the period from 1957 until 2012 it is obvious, that for all three vehicle categories analysed there was a clear long-term trend towards more occupant safety in terms of casualties per vehicles registered and per vehicle mileage. This was most significant for car occupants but it can be seen for bus/coach occupants and goodsvehicle occupants as well. Figures of killed occupants and of casualties related to person-kilometres are calculated and displayed for the shorter period 1995 to 2012. Here it becomes obvious that the bus/coach is still the safest mode of transport for the occupants of road vehicles. Graphs for the casualty risk indices still show significantly higher risks for car occupants despite the corresponding curve moved sustainable downwards. It is remarkable, that the risks of being killed or injured for the occupants of urban buses is growing whereas the corresponding risk for the occupants of coaches in line traffic tends downwards. The article ends with a short comparison and discussion of the risk indicators which are actually published for the occupants (driver and passengers) of cars and the passengers of buses/coaches, railroads, trams and airplanes. The interpretation of such information depends on the perception and it seems that for a complete view not only one indicator should be used and the evolutions of the indicator values during longer periods (as displayed with examples in the paper) should also be taken into account.
Since 2005, the motorcycle crash fatalities in the US exceeded 10% of the overall annual traffic fatalities. Consequently, it has become critical to gain in-depth understanding of the factors and characteristics contributing to motorcycle crashes. Unfortunately, there currently exists no database gathering the necessary information for an in-depth analysis of the US motorcycle crashes. So this study utilizes the NASS/CDS database (National Automotive Sampling System, Crashworthiness Data System) in order to gain insights into the patterns and factors leading to a NASS/CDS motorcycle crash, from 1997 to 2007. NASS/CDS samples about 5,000 passenger car tow-away crashes per year. Each case includes photographs and detailed data on crash and pre-crash characteristics, vehicle types, trajectories, types of impact, and other pertinent roadway and crash scene information, allowing an in-depth investigation of the crash mechanisms. However, the NASS/CDS sampling process specifically focuses on passenger car crashes, so the cases extracted only correspond to crashes in which a passenger vehicle was towed, and a motorcycle was somehow involved. Thus, a by-hand in-depth review of about 200 cases allowed retrieving 106 relevant crashes for this study, tending to represent the severe passenger vehicle(s) versus motorcycle(s) crashes on US roads. The findings lead to the conclusion that these crashes mostly result from the low conspicuity of the motorcycle, and from the inability of the car drivers to fully appreciate and anticipate the behavior of a motorcycle. Indeed, it has been shown that, first, the car drivers involved in these cases did not attempt any avoidance maneuver, second, they were largely of ages under 25, and finally, the majority of the crashes were in an intersection scenario. In addition, the two major scenarios unveiled were the car attempting a left turn from the opposite direction and the car attempting a left turn from the right. The paper mentions several solutions to enhance the motorcycle- conspicuity and to allow the car drivers to better anticipate its behavior, which seem to be key factors in the intersection-related crashes (and more generally in the passenger vehicle(s) versus motorcycle(s) crashes).
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).
New vehicle types are extensively tested to check almost all factors that influence ride and handling. With reference to the Association of German Car Tuners" (VDAT e.V.) valuations, approximately 10% of all cars in Germany are being modified by their owners. 28 % of those modifications" sales are divergent wheel-tire combinations, 13 % are tuning measures on the chassis suspension or wheel spacers. In almost all cases the singular modifications present a general permission for specific vehicles they have been tested in. Combined tuning measures, however, are often checked by just one inspector, following a procedure of mostly subjective assessment criteria. Today, critical attributes are only being observed, in case a vehicle is involved in an accident and the modifications are identified as crash causal factors or as a cofactor on the development of a crash. For the first time, a field study allows a survey of safety affecting chassis modifications. The test layout has to comply with some basic conditions. Different vehicle concepts with a wide margin of modifications are required to get a high transferability of the results. A total amount of more than 150 tested vehicles serves the same purpose. The tests are limited concerning the installation time of measurement techniques and the requirement that no damage, defilement or immoderate wear of the vehicles are accepted by their owners. Due to such factors as well as the driver Ìs acceptance, the vehicles are controlled by its owners instead of robots or test drivers. For keeping down the driver- influence, the lane has narrow boundaries and the driver has to drive in strictly adherence to the given instructions. After gathering all modifications, as well as static and kinematic parameters like the toe and camber angle, dynamic testing of predominantly lateral dynamics is conducted. Besides standardized tests like the ISO 3888-2 (Obstacle Avoidance) or the ISO 14512 (Braking on Surfaces with Split Coefficient of Friction), to test the influence of modified kingpin offsets caused by wheel spacers, some deviant tests are conducted. Those are required due to the demand of objective test results for road tests with vertical induced stimulation of the chassis suspension. Hence, new tests on corner braking with and without vertical stimulation have been developed. The interpretation of data includes thresholds, e.g. the maximum entrance velocity without hitting cones, on the one hand, and the analysis of characteristics of data concerning time and frequency range, "1-second values" and peak response times on the other hand. Besides the thresholds as indicators for the achievable velocities, which are mainly affected by friction coefficients, the vehicle reaction in the course of time characterizes the vehicle reaction in the threshold range and consequently the operational demands on the driver. The field study has started and promises the first long-range analysis of chassis modifications. The results offer a basis for hypothesis and resultant further test layouts for oncoming studies of the identified critical tuning measures.
In der Bundesrepublik ereignen sich jährlich ca. 2 Millionen polizeilich erfasste Straßenverkehrsunfälle. Hiervon sind weniger als 1.000 Unfälle als Großunfälle einzuschätzen. Eine der zentralen Erkenntnisse der Untersuchung besteht darin, dass "Quantensprünge" in der Vermeidung und Bewältigung von Großunfällen erst zu erwarten sind, wenn alle beteiligten Organisationen und Institutionen die anstehenden Aufgaben als organisations- und beteiligtenübergreifendes Managementproblem betrachten und demgemäß handeln. Deshalb stand die Entwicklung des Organisationskonzepts für ein Großunfall-Management Straßenverkehr im Mittelpunkt der Fragestellung. Fallanalysen haben deutlich gezeigt, dass weder Maßnahmen zur Vermeidung noch Strategien zur Bewältigung von Großunfällen räumlich eng begrenzt werden können. Selbst Kreisgrenzen, die beispielsweise im Katastrophenfall von besonderer Bedeutung sind, eignen sich als Bezugsraum nur bedingt. Deshalb empfiehlt sich die "Region", die im politisch-administrativen System der Bundesrepublik begrifflich nicht eindeutig festgelegt ist, als Basiseinheit. Das Großunfall-Management wird in Abhängigkeit von den vorhandenen Risikostrukturen bedarfsgerecht zugeschnitten. Besonderer Wert wurde des weiteren auf eine angemessene Definition und Typisierung von Großunfällen, auf die empirische Analyse von Großunfällen sowie auf die Bewertung der gesetzlichen Grundlagen der Unfallvermeidung und -bewältigung gelegt. Ein differenzierter Katalog von Maßnahmen für die Vermeidung und Bewältigung von Großunfällen rundet die Untersuchung ab.
In India, heavy truck crashes on national highways account for a number of fatalities. But due to lack of in-depth crash data, detailed analysis is not possible to determine injury mechanisms, and to identify infrastructure, vehicle and human factors affecting these crashes. Over the past two years, researchers in India have established a crash investigation network, with the co-operation of the police and hospitals, to conduct crash investigations and in-depth crash data collection on national highways in the state of Tamil Nadu. This pioneering effort has resulted in the development of a heavy truck crash investigation methodology, the outcome of which is scientific and reliable crash data that has been able to provide good insight into truck crashes and their causes. This paper explains the need for truck crash investigations, the methodology, conclusions of the data analyzed up to date, and the need to focus on truck driver working conditions.
This study updates previous IIHS studies comparing estimated delta Vs for crash tested vehicles to the distribution of estimated delta Vs in the National Automotive Sampling System (NASS) Crashworthiness Data System (CDS). The delta V estimates for 232 frontal crash tests at 64.4km/h into a deformable barrier with 40 percent overlap are compared with estimates from frontal offset crashes in the 1997-2004 NASS database. All delta V estimates were based on SMASH, the delta V estimating program used by NASS since 1997. Results indicated that for all vehicles tested by IIHS, SMASH delta Vs were, on average, 32 percent lower than impact speeds and about 28 percent lower than the expected delta V. Almost 80 percent of all real-world frontal crashes resulting in AIS 3+ injuries and just over 60 percent of all fatal crashes occur at or below the average estimated delta V calculated for crash tested vehicles.
Cyclists are more likely to be injured in fatal crashes than motorised vehicles. To gain detailed and precise behavioural data of road users, i.e. trajectories, a measuring campaign was conducted. Therefore, a black-spot for accidents with cyclists in Berlin, Germany was selected. The traffic has been detected by a fully automated traffic video analysis system continuously for twelve hours. The video surveillance system is capable of automatically extracting trajectories, classifying road user types and precise determining and positioning of conflicts and accidents. Additionally, pre-conflict and pre-accident situations could be analysed to provide further in-depth understanding of accident causation. The evaluation of the measuring campaign comprised the investigation of traffic parameters, e.g. traffic flow, as well as traffic-safety related parameters based on Surrogate Safety Measures (SSM). Furthermore, the spatial and temporal distributions of conflicts involving cyclists were determined. As a result, three possible conflict clusters could be identified, of which one cluster could be confirmed by detailed video analysis, showing conflicts caused by right turning vehicles.
The NHTSA-sponsored Crash Injury Research and Engineering Network (CIREN) has collected and analyzed crash, vehicle damage, and detailed injury data from over 4000 case occupants who were patients admitted to Level-I trauma centers following involvement in motor vehicle crashes. Since 2005, CIREN has used a methodology known as "BioTab" to analyze and document the causes of injuries resulting from passenger vehicle crashes. BioTab was developed to provide a complete evidenced-based method to describe and document injury causation from in-depth crash investigations with confidence levels assigned to the causes of injury based on the available evidence. This paper describes how the BioTab method is being used in CIREN to leverage the data collected from in-depth crash investigations, and particularly the detailed injury data available in CIREN, to develop evidence-based assessments of injury causation. CIREN case examples are provided to demonstrate the ability of the BioTab method to improve real-world crash/injury data assessment.
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.
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.
The number of injuries sustained by car occupants involving the head, thorax, spine, pelvis and the upper limbs have been reduced significantly during recent years. This is probably due to better safety features in the cars, especially the availability and usage of safety belts, airbags etc. Therefore one can notice clinically a relative increase in survivors of severe frontal crashes, but many of them have injuries to the lower extremities. To verify this, we analyzed the foot and ankle injuries of front seat passengers.
Europe has benefited from a decreasing number of road traffic fatalities. However, the proportion of older road users increases steadily. In an ageing society, the SENIORS project aims to improve the safe mobility of older road users by determining appropriate requirements towards passive vehicle safety systems. Therefore, the characteristics of road traffic crashes involving the elderly people need to be understood. This paper focuses on car occupants and pedestrians or cyclists in crashes with modern passenger cars. Ten crash databases and four hospital statistics from Europe have been analysed to answer the questions on which body regions are most frequently and severely injured in the elderly, and specific injuries sustained by always comparing older (65 years and above) with midâ€aged road users (25â€64 years). It was found that the body region thorax is of particularly high importance for the older car occupant with injury severities of AIS2 or AIS3+, where as the lower extremities, head and the thorax need to be considered for older pedestrians and cyclists. Further, injury risk functions were provided. The hospital data analysis showed less difference between the age groups. The linkage between crash and hospital data could only be made on a general level as their inclusion criteria were quite different.
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.