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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.
To date, the Trauma Registry (TraumaRegister DGU-® contains data of approximately 100.000 severely injured patients, 65% of which suffered from a road traffic crash. Thus, it is the world's largest data base for severely injured patients. The article describes the development of the registry and explains how it was rolled out over Germany using the established structure of the German Trauma Network (TraumaNetzwerk DGU-®). In addition, this article presents three typical use cases from the fields of quality management, policy making and system-wide interventions, clinical research and injury prevention. In conclusion, the TraumaRegister DGU-® is a well-established tool for various purposes related to the control and reduction of the burden of road injury. Its ongoing expansion to other countries will support the goal of international benchmarking of hospitals and trauma systems.
High demands on exhaust emissions of passenger cars and light commercial vehicles require complex technologies. The three-way catalytic converter is an essential part of state of the art emission control systems. If a catalytic converter is damaged or its effectiveness deteriorates, it can be replaced by a replacement converter. Replacement catalytic converters from the aftermarket are approved on the basis of Regulation No 103 of the UNECE - United Nations Economic Commission for Europe. According to this regulation the replacement catalytic converter shall be designed, constructed and capable of being mounted so as to enable the vehicle to comply with the provisions taken as a basis for its type approval. Furthermore the pollution emissions must be effectively limited throughout the entire normal service life of the vehicle under normal operating conditions. In the context of the research project, the durability of replacement catalytic converters was examined. A VW Golf with emission standard Euro 4, 1.4 l petrol engine (55 kW) was selected as a test vehicle. At the start of the examinations, the vehicle showed a mileage of 75,000 km. The selected vehicle was regularly serviced in accordance with the manufacturer's specifications. No emission-relevant faults were recorded by the OBD system. The initial control measurement of the vehicle in as-delivered condition with the originally installed catalytic converter showed that the corresponding emissions of the regulated pollutants were considerably below the Euro 4 emission limits to be applied. Subsequently, an original replacement catalytic converter, which was purchased from an authorised dealer, and 4 catalytic converters purchased in the independent aftermarket, were examined. The replacement catalytic converters were conditioned according to the specifications of ECE Regulation No 103 and then measured in new condition. The catalytic converters were then aged on a burner test rig. Here a total mileage of 80,000 km was simulated. After 10,000 km and 40,000 km, the ageing was interrupted and the exhaust gas emissions of the test vehicle with the aged catalytic converters were measured. The examination was ended as soon as a limit value had been exceeded. The results of the project indicate that with the replacement systems for the after-treatment of exhaust gases available in the independent aftermarket, considerable quality differences can occur. At the end of the ageing over a distance of 80,000 km only the original replacement catalytic converter and one replacement catalytic converter from the independent aftermarket complied with the Euro 4 emission limits. With one replacement catalytic converter, the Euro 4 emission limits were already exceeded in new condition. With another replacement catalytic converter, the examination was aborted after 10,000 km ageing and with a further catalytic converter after 40,000 km ageing due to the Euro 4 emission limits being exceeded. The ECE Regulation No 103 provides for a test of durability of such systems over 80,000 km, but also alternatively enables the use of fixed deterioration factors. In practice, the durability of the replacement systems for the after-treatment of exhaust gases is guaranteed by their manufacturers. However, replacement catalytic converters are rarely inspected as part of the approval. In-use compliance provisions for replacement systems for the after-treatment of exhaust gases are not mentioned in the corresponding specifications. The results of this study indicate that the requirements in the ECE Regulation No 103 are not adequate to ensure the durability of replacement catalytic converters.
Mobility plays an important role in the Federal Republic of Germany. Motorised private transport and, consequently, passenger vehicles are the crucial factor. Vehicles should be environmentally and socially compatible yet also economically efficient at the same time. The crucial factor for pollution of the environment from road traffic is the exhaust emissions of the vehicles on the road. This is why, with the Directive 98/69/EC and the related introduction of exhaust emission standard Euro 3, the testing of the conformity of passenger and light commercial vehicles (in-service conformity check) was introduced. Vehicles already on the roads are to be examined again under type examination conditions (Type I Test) after a statistical selection process. In this way it is to be ensured that the systems and components relevant for the exhaust emissions of a vehicle will also function after several thousand kilometres. This is why the vehicles are checked again during in-service conformity check with respect to their limited pollution components. Due to the ever greater significance of CO2 emissions, both the CO2 emissions and the fuel consumption were included in this research project. For the success of such a project the choice of vehicle is of critical importance. Since this is the only way it is possible to also obtain a representative result. Therefore, in addition to the selection criteria required by law, statistical and technical criteria are also considered. The vehicle owners were selected on a random basis. All test vehicles were checked with respect to their pollutant components in the emissions laboratory in accordance with their standard. By law the same testing conditions apply in an in-service conformity check as in the relevant type approval. In this research project a total of 17 vehicle types were examined. Six types were equipped with positive-ignition engines and 11 types with compression ignition engines. Both groups were to each include vehicles of the limits Euro 4 and Euro 5. For vehicle types with positive-ignition engines, there was one type with the exhaust emission standard Euro 5. All others satisfied the exhaust emission standard Euro 4. For the vehicle types with compression ignition engines, 4 types satisfied exhaust emission standard Euro 5 and 7 types fulfilled exhaust emission standard Euro 4. Among the vehicle types with compression ignition and exhaust emission standard Euro4, there were 4 types of category M1 and 3 types of category N1 of class III. The aim of the research project is to examine the exhaust emissions in-service conformity of passenger and light commercial vehicles in operation to draw conclusions concerning the durability of engine components and systems for exhaust emission treatment. Overall in this in-service conformity testing programme, we were able, in accordance with the statistical procedure, to assess all 17 of the vehicle types tested as "positive". With the exception of one vehicle type, it was possible to conclude the random test for all vehicle types tested with the minimum random sample. This means that all 3 vehicles of one type in as-delivered condition complied with or fell below the respective limits for pollutant emissions according to the criteria of the statistical procedure. In the case of one vehicle type, where the random sample had to be enlarged, it was necessary to examine a total of 8 vehicles. Furthermore, with all vehicle types the CO2-emissions and fuel consumption (Type I Test) were determined to subsequently compare the measured CO2 emissions with those of the manufacturers. Of the 17 vehicle types examined, eleven vehicle types complied with the relevant manufacturers" values or fell below them. With six vehicle types, the CO2 emissions were more than the permissible 4% above the manufacturer- value during the Type I Test.
Methods for analyzing the efficiency of primary safety measures based on real life accident data
(2009)
Primary safety measures are designed to help to avoid accidents or, if this is not possible, to stabilize respectively reduce the dynamics of the vehicle to such an extent that the secondary safety measures are able to act as good as possible. The efficiency of a primary safety measure is a criterion for the effectiveness, with which a system of primary safety succeeds in avoiding or mitigation the severity of accidents within its range of operation and in interactionwith driver and vehicle. Based on Daimler-´s philosophy of the "Real Life Safety" the reflection of the real world accidents in the systems range of operation is both starting point as well as benchmark for its optimization. This paper deals with the methodology to perform assessments of statistical representative efficiency of primary safety measures. To be able to carry out an investigation concerning the efficiency of a primary safety measure in a transparent and comparable way basic definitions and systematics were introduced. Based on these definitions different systematic methods for estimating efficiency were discussed and related to each other. The paper is completed by presenting an example for estimating the efficiency of actual "single" and "multi" connected primary safety systems.
Relevant accident related factors : risk and frequencies of contributing to road traffic accidents
(2009)
In the course of the European Project TRACE (Traffic Accident Causation in Europe) an attempt was made to analyse the cause of road traffic accidents from a factors' point of view. By literature review the most important independent risk factors for traffic accidents were identified to be speed, alcohol intake, male gender, young age, cell phone use, and fatigue. However, the impact of an accident related factor also depends on its prevalence in traffic and accidents, respectively. Available to the Partners in the TRACE Project were different accident databases. Causally contributing factors found by accident investigations that are most often coded in accident databases are connected to unadapted speed and inattention. Taking into account the risk increase and the frequency of contribution to accidents the conclusion can be drawn that the most relevant factors for accident causation are: "alcohol", "speed", and "inattention and distraction".
Females sustain Cervical Spine Distortion injury (CSD) more often than males. Most work dealing with the biomechanics background (e.g. injury mechanism/criteria) as well as the application in seat design/testing, focuses on the occupant model of an average male. Therefore the EU-Project ADSEAT (Adaptive Seat to Reduce Neck Injuries for Female and Male Occupants) is aimed at adding a female model for gender balanced research of CSD and improving seat design. An extensive literature review, searching for risk factors and injury criteria for males and females, was accompanied by the evaluation of different databases containing CSD cases. The database evaluations suggests that an anthropometry quite close to the 50%ile female anthropometry as known from crash test dummy design is appropriate. The results presented here form the basis for the future development of a computational female model and the improvement of seat design for better protection of both males and females in the frame of the ADSEAT-Project.
In the course of the EUROPEAN PROJECT TRACE all fatally injured pedestrians autopsied at the Institute for Legal Medicine in Munich in 2004 had been analysed by using the "Human Functional Failure (HFF) analysis" method. It was possible to apply this method although some restrictions have to be taken into account. The results derived from this analysis comprise first the failures the pedestrians (most often "impairment of sensorimotor and cognitive abilities") and the opponents (most often " Non-detection in visibility constraints conditions") faced in the accident, second the conflicts and tasks (pedestrian crossing the street conflicting with a vehicle from the side (which was going ahead on a straight road), the degree of accident involvement (pedestrians often the primary active part), and further the contributing factors to the accident (pedestrians most often "alcohol (> 0.05% BAC)", opponents most often "visibility constraints").
The Netherlands is on the way to change its existing skid resistance measuring method for its highway network from the Dutch RAW 72, a longitudinal force method, to the Sideway Force method. This method is described in the Technical Specification 15901-8 (SKM device) as well as 15901-6 (SCRIM device) and is in use in 9 European countries. The CEN TC 227 WG5 on Surface Characteristics is currently working on combining of these two technical Specifications into a European standard for Sideway-Force (SWF) measurement devices. The idea of this change in the Netherlands was perceived in 2013 and since then a lot of meetings have been held with the different Dutch decision makers as well as with countries which currently operate SWF devices. There was an intensive exchange of knowledge about these devices and their corresponding quality assurance systems, because the Netherlands wanted to incorporate and rely on an existing system of a neighbor country without losing their present level of quality. The Netherlands has therefore decided to incorporate the German SKM approach. The network monitoring with the new system will start in 2017. To ensure the quality of skid resistance measurements and further cooperation in this field, it has been decided to initiate an alliance between BASt and the Dutch road owner Rijkswaterstaat (RWS). This alliance will facilitate an exchange of research activities, calibration of the Dutch systems according to the existing German Standard as well as control measurements with a BASt-device on the Dutch network during the network monitoring. During 2016 also comparative measurements will be performed on a network level with the current Dutch device and with an SKM device to determine a conversion between the two and to be able to define new threshold values.
To determine whether the model "Accompanied driving from age 17" (AD17) contributes to improvement of young drivers' road safety, two large random samples of novice drivers drawn from the Central Register of Driving Licences (ZFER) held at the Federal Motor Transport Authority (KBA) were compared in terms of the rates of accident involvement and traffic offences at the start of their solo driving career. The samples comprised former participants in the AD17 model and novice drivers of the same age who had obtained a driving licence in the conventional manner immediately after their 18th birthday. Both analysis groups were contacted by post and asked to complete an online questionnaire. In response, 19,000 drivers reported on their first year of solo driving and on the occurrence of any accidents or traffic offences during this period. The analyses were repeated with two "silent" analysis groups comprising a total of 75,000 drivers, for whom any records of traffic offences were retrieved from the Central Register of Traffic Offenders (VZR), with a distinction being made between offences in connection with an accident and other offences. The AD17 model was introduced in all 16 German federal states between April 2004 and January 2008. By the end of 2009, almost one million novice drivers had participated in the model, and almost three-quarters of the target group - so-called "early beginners" who wished to commence solo driving immediately after reaching the age of 18 years - opted for the AD17 model. The phase of introduction of the model was associated with a temporary increase of around five per cent in the demand for driving licences from persons under 19 years of age. During the first year of solo driving, the rate of accident involvement for AD17 participants was 19 per cent lower and the rate of traffic offences 18 per cent lower than for drivers of the same age who had obtained their driving licence in the conventional manner. After adjustment for confounds (e.g. gender and vehicle availability), a reduction in accidents by 17 per cent and in traffic offences by 15 per cent remained as an effect attributable to the model. A comparison on the basis of the distances driven indicated 22 per cent fewer accidents and 20 per cent fewer traffic offences. The results are statistically significant and apply to both male and female drivers. The findings were confirmed in the replication study based on VZR data, with one exception: For female AD17 drivers, and here only for VZR-recorded offences excluding accidents, no significant reduction was found. On the other hand, the rate for female drivers is already lower than that of their male counterparts by three-quarters. Approximately 1,700 injury accidents were prevented by implementation of the model in 2009.
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.
In an on-going project since 2005, ADAC has been analyzing accidents documented by the ADAC air rescue service. The knowledge derived from real-life accidents serves as a basis for new test configurations and assessment criteria. In 2007, ADAC began looking into the feasibility of international data collection. The idea of Global Accident Prevention was born. Three European partner clubs have begun pioneering the project (ÖAMTC, ANWB, and RACC). The aim is to set up an international accident research network to provide a steady stream of information on road accidents. The FIA Foundation supports ADAC in developing and coordinating this initiative.
Active safety systems are aimed at accident prevention, hence the knowledge required for their development is different from that required for passive safety systems aimed at injury prevention. Particularly, knowledge about accident causation is required. When looking at existing accident causation data, it is argued it fails to explain in sufficient detail how and why the accidents occur. Therefore, there is a need for detailed micro-level descriptions of accident causation mechanisms, and also of methodologies suitable for creating such descriptions. One study addressing these needs is the Swedish project FICA (Factors Influencing the Causation of Accidents and Incidents), where an accident investigation methodology suitable for active safety is developed, and in-depth accident investigations following this methodology are carried out on-scene in the area of Gothenburg by a multidisciplinary team. A preliminary aggregated analysis of different cases shows that the methodology developed is adequate for pointing out common contributing factors and devising principal countermeasures.
In Finland all fatal motor vehicle accidents are studied in-depth on-the-spot by multidisciplinary (police, road and vehicle engineers, physician and behavioural scientist) road accident investigation teams (legislation 2001, work started 1968), which operate in every province. The purpose of the teams is to uncover risk factors that turned an ordinary driving situation into a serious accident and give safety recommendations for improving road safety. The investigation teams do not take a stand on guilt or insurance compensation. When analysing accidents the teams use the concepts of key event, immediate, background and injury risk factors. Compiled investigation folders of each case contain investigation forms from each member, preinvestigation protocol, photographs, sketches etc. About 500 items of information are collected from each accident party. The collected information is also coded into a computer database. Both the database and the investigation folders are widely utilized by researchers and authorities conducting safety work.
SEEKING is looking for answers regarding electric powered bicycles and their relation to traffic safety issues. Does a cyclist need "E"? Is it as risky as riding a moped or are E-bikes creating conflicts with other cyclists? The project described herein, funded by the Austrian Ministry of Transport, has the aim of seeking answers to these hot topics. The SEEKING-team shows an in-depth investigation of vehicle dynamic sensing, together with subjective feedback of test riders to detect similarities and differences between conventional cycling and E-biking. Following an overview on the international status quo, measurement runs and their analyses are performed to find a set of preventative measures to make (E-)biking safer. A specific focus is the detection of curve handling, stopping and acceleration phases as well as conflict studies on course-based test rides and "real world" tests on cycling paths (naturalistic riding).
Recent findings from real-world accident data have shown that fatality risks for pedestrians are substantially lower than generally reported in the traffic safety literature. One of the keys to this insight has been the large and random sample of car-to-pedestrian crashes available in the German In-Depth Accident Study (GIDAS). Another key factor has been the proper use of weight factors in order to adjust for outcome-based sampling bias in the accident data. However, a third factor, a priori of unknown importance, has not yet been properly analysed. This is the influence of errors in impact speed estimation. In this study, we derived a statistical model of the impact speed errors for pedestrian accidents present in the GIDAS database. The error model was then applied to investigate the effect of the estimation error on the pedestrian fatality risk as a function of car impact speed. To this end, we applied a method known as the SIMulation-EXtrapolation (SIMEX) method. It was found that the risk curve is fairly tolerant to some amount of random measurement error, but that it does become flattened. It is therefore important that the accident investigations and reconstructions are of high quality to assure that systematic errors are minimised and that the random errors are under control.
An approach to the standardization of accident and injury registration systems (STAIRS) in Europe
(1998)
STAIRS is a European Commission funded study whose aim is to produce a set of guidelines for a harmonised, crash injury database. The need to evaluate the effectiveness of the forthcoming European Union front and side impact directives has emphasised the need for real world crash injury data-sets that can be representative of the crash population throughout Europe. STAIRS will provide a methodology to achieve this. The ultimate aim of STAIRS is to produce a set of data collection tools which will aid decision making on vehicle crashworthiness as well as providing a means to evaluate the effectiveness of safety regulations. This paper will disseminate the up-to-date findings of the group as they try to harmonise their methods. The stage has been reached where studies into the diverse methods of the UK, French and German systems of crash injury investigation have been undertaken. An assessment has already been made of the relationships between the three current systems in order to define the areas of agreement and divergence. The conclusions reached stated that there were many areas that are already closely related and that the differences were only at the detailed level. With the emphasis on secondary safety and injury causation, core data sets were decided upon, taking into account: vehicle description, collision configuration, structural response of vehicles, restraint and airbag performance, child restraint performance, Euro NCAP, pedestrian and vehicle occupant kinematics, injury description and causation. Each variable was studied objectively, the important elements isolated and developed into a form that all partners were agreeable on. A glossary of terms is being developed as the project progresses which includes ISO standards and other definitions from the associated CAREPLUS project, which addresses the comparability of national data sets. A major consideration of the group was the data collection method to be employed. The strengths and weaknesses of each study were investigated to obtain a clear idea of which aspects offered the best way forward. The quality of this information and transference into a common format, as well as the necessary error checking systems to be employed have just been completed and are described. In tandem with this area of study the problem of the statistical relationship of each sample to the national population is also being investigated. The study proposes a mechanism to use a sample of crash injury data to represent the national and international crash injury problem
While the number of fatal accidents is diminishing every year, there is still a need of improvement and action to prevent these deaths. Basis for this purpose has to be an analysis about the factors influencing the car crash mortality. There are various studies describing the univariate influence of several factors, but crash scenarios are too complex to be described by a single variable. The multivariate analysis respects the interference of the variables and gets so to more detailed and representative results. This multivariate analysis is based on about 2,600 cases (the data have been collected by the accident research units Hannover and Dresden (during the years 1999-2003). This paper presents a multivariate model (containing ten different variables) which detects 93% of these cases properly. This means it detects the cases as truly survived and truly death.
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.
Bicyclists are minimally or unprotected road users. Their vulnerability results in a high injury risk despite their relatively low own speed. However, the actual injury situation of bicyclists has not been investigated very well so far. The purpose of this study was to analyze the actual injury situation of bicyclists in Germany to create a basis for effective preventive measures. Technical and medical data were prospectively collected shortly after the accident at the accident scenes and medical institutions providing care for the injured. Data of injured bicyclists from 1985 to 2003 were analyzed for the following parameters: collision opponent, collision type, collision speed (km/h), Abbreviated Injury Scale (AIS), Maximum AIS (MAIS), incidence of polytrauma (Injury Severity Score >16), incidence of death (death before end of first hospital stay). 4,264 injured bicyclists were included. 55% were male and 45% female. The age was grouped to preschool age in 0.9%, 6 to 12 years in 10.8%, 13 to 17 years in 10.4%, 18 to 64 years in 64.7%, and over 64 years in 13.2%. The MAIS was 1 in 78.8%, 2 in 17.0%, 3 in 3.0%, 4 in 0.6%, 5 in 0.4%, and 6 in 0.2%. The incidence of polytrauma was 0.9%, and the incidence of death was 0.5%. The incidence of injuries to different body regions was as follows: head, 47.8%; neck, 5.2%, thorax, 21%; upper extremities, 46.3%; abdomen, 5.8%; pelvis, 11.5%, lower extremities, 62.1%. The accident location was urban in 95.2%, and rural in 4.8%. The accidents happened during daylight in 82.4%, during night in 12.2%, and during dawn/dusk in 5.3%. The road situation was as follows: straight, 27.3%; bend, 3.0%; junction, 32.0%; crossing, 26.4%; gate, 5.9%; others, 5.4%. The collision opponents were cars in 65.8%, trucks in 7.2%, bicycles in 7.4%, standing objects in 8.8%, multiple objects in 4.3%, and others in 6.5%. The collision speed was grouped <31 in 77.9%, 31-50 in 4.9%, 51-70 in 3.7%, and >70 in 1.5%. The helmet use rate was 1.5%. 68% of the registered head injuries were located in the effective helmet protection area. In bicyclists, head and extremities are at high risk for injuries. The helmet use rate is unsatisfactorily low. Remarkably, two thirds of the head injuries could have been prevented by helmets. Accidents are concentrated to crossings, junctions and gates. A significant lower mean injury severity was observed in victims using separate bicycle lanes. These results do strongly support the extension or addition of bicycle lanes and their consequent use. However, the lanes are frequently interrupted at crossings and junctions. This emphasizes also the important endangering of bicyclists coming from crossings, junctions and gates, i.e. all situations in which contact of bicyclists to motorized vehicles is possible. Redesigning junctions and bicycle traffic lanes to minimize the possibility of this dangerous contact would be preventive measures. A more consequent helmet use and use and an extension of bicycle paths for a better separation of bicyclists and motorized vehicle would be simple but very effective preventive measures.