Background: The improvement of vulnerable users' protection has become an essential objective for our society. Injury assessments observed in clinical traumatology have led researchers and manufacturers to understand the mechanisms involved and to design safe vehicles (to reduce the severity of pedestrian injuries).
Methods: In all, 137 crash tests between 1979 and 2004 with postmortal human subjects (PMHS) were performed at the Laboratory of Applied Biomechanics to access pedestrian protection. A retrospective analysis of these experimental tests, pedestrian/car impacts (full scale or subsystems), performed at the laboratory is thus proposed. This document focuses on injury mechanisms investigation on the evolution of the experimental approach, as well as on the vehicles' technological improvements performed by car manufacturers.
Results: The analysis of experimental results (injury assessment, kinematics, vehicle deformations, etc.) shows the complexity and variety of injury mechanisms. The injury assessment shows the need to improve lower-limb joints protection, as well as head and spine segments, because of the difficulties of surgical repair of these injuries.
Conclusions: Experimental tests contribute to evaluate the automobile safety evolution in the field of pedestrian protection. The main induced car improvements concern considerable efforts on vehicle material behavior and their capacity to dissipate energy during shocks (replacement of the convex rigid bumpers by deformable structures, modification of the windscreen structure). They also concern the suppression of all aggressive structures for the pedestrian (spare wheel initially placed on the front part of the vehicle, protection of the heels of windscreen wiper, etc.).
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http://dx.doi.org/10.1097/01.ta.0000229985.33611.df | DOI Listing |
N Z Med J
December 2024
Clinical Director, Te Manawa Taki Trauma System, Te Whatu Ora - Health New Zealand Waikato, Hamilton, Aotearoa New Zealand; Honorary Associate Professor, Faculty of Medical and Health Sciences, Surgery, University of Auckland, Aotearoa New Zealand.
Aim: To examine the ethnic variations in trauma hospitalisations in a health region of Aotearoa New Zealand over a 10-year period.
Methods: A retrospective, observational study utilised data from the Te Manawa Taki (TMT) regional trauma registry to identify individuals of all ages and injury severities who were hospitalised due to injuries between 2013 and 2022. This investigation focusses on the epidemiology of trauma, examining factors such as ethnicity, gender, Injury Severity Score (ISS) and injury characteristics.
Traffic Inj Prev
August 2024
Department of Forensic Sciences, Oslo University Hospital, Oslo, Norway.
Objective: Using alcohol or psychoactive drugs before driving a motor vehicle may increase the risk of crash involvement, injury, and death. This is better documented for alcohol than for drugs. The aim of this study was to expand a previous case-control study on substance use and driver fatality by doubling the number of cases and controls, and hence improve the statistical power and enable the analysis of combined substance use.
View Article and Find Full Text PDFTraffic-related pedestrian deaths in the United States reached a 40-year high in 2021. Each year, pedestrians also suffer nonfatal traffic-related injuries requiring medical treatment. Near real-time emergency department visit data from CDC's National Syndromic Surveillance Program during January 2021-December 2023 indicated that among approximately 301 million visits identified, 137,325 involved a pedestrian injury (overall visit proportion = 45.
View Article and Find Full Text PDFJAMA Netw Open
April 2024
Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Importance: Mood disorders are prevalent among adolescents and young adults, and their onset often coincides with driving eligibility. The understanding of how mood disorders are associated with youth driving outcomes is limited.
Objective: To examine the association between the presence of a mood disorder and rates of licensing, crashes, violations, and suspensions among adolescents and young adults.
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