Airbag Deployment Research Articles

Investigating factors affecting injury severity of single-vehicle run-off-road crashes

This study aimed to identify and investigate the contributing factors influencing injury severity in single-vehicle run-off-road (ROR) crashes, which are known for their high severity. The primary objective was to analyze and compare the impact of these factors across three distinct vehicle classes: passenger cars, sport utility vehicles (SUVs), and pickups. A mixed logit model with heterogeneity in mean and variance was developed to analyze the injury severity outcomes in ROR crashes for the three vehicle classes. The model accounted for the potential variations in the impact of contributing factors across different vehicle types. The study revealed several significant variables consistently influencing injury severity across all three vehicle classes. These included driver age, alcohol or drug usage, seatbelt utilization, airbag deployment, higher travel speeds, and the vehicle model year post-2010. Notably, as driver age increased, the impact on changes in injury severity outcomes was more pronounced for pickup drivers compared to those operating passenger cars and SUVs. Among the common findings was the highly effective role of seatbelt usage in mitigating injury severity in ROR crashes. Additionally, passenger cars were associated with increased injury severity, particularly at relatively higher travel speeds exceeding 75 mph when contrasted with SUVs and pickups traveling between 61 and 75 mph. The study highlights the importance of considering vehicle class-specific factors in analyzing injury severity in ROR crashes. Recommendations include further in-depth investigations into distinct factors contributing to injury severity within each vehicle class and utilizing more extensive crash datasets to gain additional insights for enhancing road safety.

Analysis of Head Movement in KPSIT Dummies and the Impact of Seats and Seat Belts during Low-Speed Collisions 20 km/h.

The aim of this study was to compare the head displacement of the KPSIT C50 dummy, representing a 50th percentile male, with the KPSIT C5 dummy, representing a 5th percentile female, during low-speed collisions. Low-speed collisions, such as those occurring in urban traffic jams, are increasingly common. The research was conducted on a dedicated educational workstation designed to measure forces in seat belts. This study is part of a comprehensive research project on crash tests involving both volunteers and physical KPSIT dummies. The tests were conducted at a speed of 20 km/h to simulate real-world low-speed collision scenarios. The findings demonstrate that using a sports bucket seat with four-point or five-point harnesses significantly reduces head displacement compared with standard car seats. Such seating configurations enhance safety by minimizing the risk of head injuries, which can occur when airbags do not deploy during low-speed collisions. Moreover, the study highlights that standard three-point seat belts allow for greater forward head movement, increasing the risk of head contact with the vehicle's interior during collisions at speeds too low to trigger airbag deployment.

Computer Modelling Study of Volume Kinetics in Intraocular Segments Following Airbag Impact Using Finite Element Analysis.

We have previously studied the physiological and mechanical responses of the eye to blunt trauma in various situations using finite element analysis (FEA). In this study, we evaluated the volume kinetics of an airbag impact on the eye using FEA to sequentially determine the volume change rates of intraocular segments at various airbag deployment velocities. The human eye model we created was used in simulations with the FEA program PAM-GENERISTM (Nihon ESI, Tokyo, Japan). Different airbag deployment velocities, 30, 40, 50, 60 and 70 m/s, were applied in the forward direction. The volume of the deformed eye impacted by the airbag was calculated as the integrated value of all meshes in each segment, and the decrease rate was calculated as the ratio of the decreased volume of each segment at particular timepoints to the value before the airbag impact. The minimum volume of the anterior chamber was 63%, 69% and 50% at 50, 60 and 70 m/s airbag impact velocity, respectively, showing a curve with a sharp decline followed by gradual recovery. In contrast to the anterior chamber, the volume of the lens recovered promptly, reaching 80-90% at the end of observation, except for the case of 60 m/s. Following the decrease, the volume increased to more than that of baseline at 60 m/s. The rate of volume change of the vitreous was distributed in a narrow range, 99.2-100.4%. In this study, we found a large, prolonged decrease of volume in the anterior chamber, a similar large decrease followed by prompt recovery of volume in the lens, and a time-lag in the volume decrease between these tissues. These novel findings may provide an important insight into the pathophysiological mechanism of airbag ocular injuries through this further evaluation, employing a refined FEA model representing cuboidal deformation, to develop a more safe airbag system.

Airbag Deployment and Tinnitus Emergence Following Car crash, a Case Report and a Brief Literature Review

Automatic airbag deployment during car accidents undoubtedly plays a vital role in preventing injuries. However, it may occasionally lead to aural damage, including noise-induced hearing loss, tympanic membrane perforation, and tinnitus. Here, we present a case of left curtain airbag deployment immediately following a low-speed car accident, which resulted in the driver experiencing tinnitus. In addition to the case presentation, we have included a brief literature review on potential otologic and nonotologic injuries caused by airbags

Identifying the influence of airbag structure on driver injury during a crash using a dummy model

This study undertakes the analysis of collision scenario using a car model with a dummy and airbags, in the event of a direct collision with a hard wall, one of the necessary studies of passive safety. To describe in detail, the input conditions, a simulation problem of the driver's seat displacements was performed and this displacements data was exported as boundary conditions for the collision simulation. The results simulation crash show that the calculated energy values and simulation results are approximately the same (7.381E+07 and 7.367E+07), energy is converted from kinetic energy into internal energy of the elements. The airbag deployment simulation results are similar to NHTSA's previous research, both in terms of graph shape and maximum value. The impact of the collision incident on the driver is not excessively large, as evidenced by surveys on head (HIC 300), thigh (F 2.8 kN), and neck (F3,098 kN; T 190 Nm) injuries. However, the study proceeds to further analyze and assess the airbag's structure, examining its influence on these metrics, concluding that changes in the exhaust valve size (increase from 1000 mm2 to 2000 mm2) lead to a reduction in the evaluated parameters. These results suggest changes to the airbag structure to enhance driver safety, as well as a simpler simulation model to save analysis time

Blunt Trauma Neck with Thyroid Cartilage Subluxation with no External Sign

Trauma to the neck can produce catastrophic results as neck houses plethora of vital structures and is relatively an unprotected anatomical territory. Blunt trauma to the neck, excluding cervical spine injuries, represents only 5% of all neck trauma, but can be very challenging to assess since its presentation is often delayed. Penetrating injuries, on the other hand, are more common, and even when they seem to be only superficial and minor, always need thorough investigation and observation. Primary stabilization of the patient followed by an extensive evaluation needs to be done in all cases of neck trauma. CECT neck and thorax along with fibreoptic laryngoscopy remain the main modalities of diagnosis following a neck trauma. The initial approach to any kind of neck injury, whether penetrating or blunt, is performed according current Advanced Trauma Life Support (ATLS) or European Trauma Course (ETC) protocols, which both use the structured ‘ABCD’ approach. A motor vehicle accident (MVA) remains the most common cause of blunt neck injury, causing direct pressure to the anterior neck from the dashboard, steering wheel or airbag deployment. Direct pressure to the neck is transduced to the trachea and causes compression of the oesophagus against the cervical spine. Laryngotracheal trauma continues to be a rare entity and is the second most common cause of death in patients with head and neck trauma after intracranial injury. Only 0.5% of multiple trauma patients were reported to have injury to the airway at any level. Stabilize the airway first. Immediate surgical airway procedure can be necessary in less familiar circumstances and environments. If possible, define landmarks before the procedure. Defining anatomical zones is useful in penetrating injuries, although these do not guide diagnostic or therapeutic management completely. In unstable patients, elective surgical exploration is recommended instead of extensive diagnostic work-up. Unstable patients still need immediate exploration, whereas all stable patients will first be assessed with clinical examination and CT angiography and fibreoptic laryngoscopy. Thus the take home message is to consider all neck injuries an emergency and proceed with the diagnosis and management without delay.

Motor vehicle collision characteristics and hospitalization outcomes associated with mild traumatic brain injury and concomitant whiplash injury.

Few large studies have investigated the factors and outcomes related to concomitant injuries occurring alongside mild traumatic brain injury (mTBI) after motor vehicle collisions (MVCs). Thus, the objective of this study was to assess whether MVC characteristics predict which patients with mTBI will have concomitant whiplash injury, and whether concomitant whiplash injury affects care utilization for these patients. This retrospective cohort study included 22,213 patients with mTBI after MVC identified from the American College of Surgeons Trauma Quality Programs dataset. A hierarchical logistic regression model was constructed to investigate patient and MVC factors associated with concomitant whiplash injury. Propensity score matching on whiplash status, in conjunction with a multivariable logistic regression model, assessed if concomitant whiplash affected odds of hospitalization. In the subgroup of patients who were hospitalized, associations with hospital length of stay (LOS) and discharge disposition were investigated. The median (IQR) age was 34 (24-51) years, with a median Glasgow Coma Scale score at presentation of 15 (15-15). Patients with concomitant whiplash were older (median 36 years vs 34 years, p = 0.03) and had higher rates of hospitalization (75% vs 64%, p < 0.001). In the hierarchical model for associations with concomitant whiplash injury, patients with blood alcohol content (BAC) greater than the federal driving limit had lower odds of concomitant whiplash (OR 0.63, 95% CI 0.49-0.81) along with those who had airbag deployment (OR 0.80, 95% CI 0.68-0.95), but seatbelt use was associated with greater odds (OR 1.41, 95% CI 1.16-1.71). After matching, concomitant whiplash was independently associated with increased odds of hospitalization (OR 1.67, 95% CI 1.40-1.99) while seatbelt use was associated with decreased odds (OR 0.88, 95% CI 0.81-0.95). Among hospitalized patients, concomitant whiplash was not associated with hospital LOS or discharge disposition. MVC characteristics such as alcohol consumption and airbag deployment were protective toward development of concomitant whiplash for mTBI patients, while seatbelt use was associated with higher risk. Concomitant whiplash increases the odds of hospitalization for mTBI patients but does not affect hospital LOS or discharge disposition, while seatbelt use is associated with lower rates of hospitalization and a more favorable hospital course. These findings provide context to injury patterns and care provision after a common mechanism of injury.

BIKE RIDER SAFETY SYSTEM USING STM 32 MICROCONTROLLER

This study focuses on the development of an innovative safety jacket designed for horse riders, high-altitude workers, and particularly two- wheeler riders to mitigate the impact of accidents and enhance life-saving measures. Given the high incidence of road accidents in India, with 499,628 reported in 2010 leading to 134,513 fatalities and over 500,000 injuries, the need for improved safety mechanisms is critical. The proposed safety jacket integrates a micro controller-based system to detect falls and trigger an emergency response, inflating air cushions around the jacket to cushion impacts. Additionally, the system incorporates an alcohol sensor and a helmet detection sensor to ensure the bike starts only if the rider is sober and wearing a helmet. Visibility issues for riders are also addressed, with the jacket featuring turn indicators and other visibility enhancements to alert other road users. The jacket is designed to be water-resistant and washable, ensuring durability and ease of maintenance. The Bike Rider Safety System (BRSS) further enhances safety through real-time monitoring and adaptive response to potential hazards, using accelerometer, gyroscopes, and proximity sensors. The Arduino-based system comprises four main functionalities: helmet and alcohol detection, accident detection, airbag deployment, and live location transmission to authorities. In summary, the smart jacket aims to significantly reduce the risks faced by riders by incorporating advanced technology and a robust design to ensure their safety on the road.

Simulation of Changes in Tensile Strain by Airbag Impact on Eyes After Trabeculectomy by Using Finite Element Analysis.

We studied the kinetic phenomenon of an airbag impact on eyes after trabeculectomy using finite element analysis (FEA), a computerized method for predicting how an object reacts to real-world physical effects and showing whether an object will break, to sequentially determine the responses at various airbag deployment velocities. A human eye model was used in the simulations using the FEA program PAM-GENERISTM (Nihon ESI, Tokyo, Japan). A half-thickness incised scleral flap was created on the limbus and the strength of its adhesion to the outer sclera was set at 30%, 50%, and 100%. The airbag was set to hit the surface of the post-trabeculectomy eye at various velocities in two directions: perpendicular to the corneal center or perpendicular to the scleral flap (30° gaze-down position), at initial velocities of 20, 30, 40, 50, and 60 m/s. When the airbag impacted at 20 m/s or 30 m/s, the strain on the cornea and sclera did not reach the mechanical threshold and globe rupture was not observed. Scleral flap lacerations were observed at 40 m/s or more in any eye position, and scleral rupture extending posteriorly from the scleral flap edge and rupture of the scleral flap resulting from extension of the corneal laceration through limbal damage were observed. Even in the case of 100% scleral flap adhesion strength, scleral flap rupture occurred at 50 m/s impact velocity in the 30° gaze-down position, whereas in eyes with 30% or 50% scleral flap adhesion strength, scleral rupture was observed at an impact velocity of 40 m/s or more in both eye positions. An airbag impact of ≥40 m/s might induce scleral flap rupture, indicating that current airbags may induce globe rupture in the eyes after trabeculectomy. The considerable damage caused by an airbag on the eyes of short-stature patients with glaucoma who have undergone trabeculectomy might indicate the necessity of ocular protection to avoid permanent eye damage.

Advancements in Bicycle Safety: Integrating Control Sensors and Artificial Intelligence for Enhanced Airbag Innovation

Abstract: Motorcycle safety is a critical concern in traffic systems worldwide. This paper introduces a novel approach to enhancing rider safety through the integration of airless tires and advanced airbag systems, underpinned by artificial intelligence (AI) and control sensors. Airless tires contribute to vehicle stability by eliminating the risk of sudden deflation, while AI-driven airbag systems promise dynamic protection for riders during collisions. The study begins with an analysis of airless tire technology, emphasizing its impact on motorcycle stability and safety. It then transitions to the development of motorcyclespecific airbag systems, which utilize AI to process sensor data and make real-time decisions regarding airbag deployment. The effectiveness of these systems is validated through crash simulation tests and impact force measurements, demonstrating a substantial reduction in injury severity. Challenges such as cost, user acceptance, and technical constraints are thoroughly examined. The paper concludes with a discussion on future trends, including the potential for AI to predict and prevent accidents before they occur, thereby setting a new standard for motorcycle safety.

Interobserver variability in preclinical assessment of collision variables following traffic accidents

PurposeTraffic accidents persist as a leading cause of death. European law mandates the integration of automatic emergency call systems (eCall). Our project focuses on an automated injury prediction device for car accidents, correlating technical and epidemiological input data, such as age, gender, seating position, impact on the passenger compartment, seatbelt usage, impact direction, EES, vehicle class, and airbag deployment. This study aims to explore interobserver variability in data collection quality in real accident scenarios. The assessment will evaluate the impact of user training and measure the time needed for data collection to inform user recommendations for the prehospital assessment.Insights from this study can aid in evaluating the ability of different professional groups to identify potential accident-independent parameters at accident scenes. This includes, among other things, relaying information to dispatchers at rescue control centers, also within the context of telemedicine approaches.MethodsDuring group sessions, real accident scenarios were presented both before and after a training presentation. Participants, including laypersons, accident research staff, emergency services, hospital physicians, and emergency physicians, visually assessed injury prediction parameters within a time limit. Training involved defining and explaining parameters using accident images. The study analyzed participant demographics, prediction accuracy, and time required, comparing assessment quality between professional groups and before and after training.ResultsIn summary, the study demonstrates that training had a significantly positive impact on the quality of assessment for technical accident parameters. The processing time decreased significantly after training. A notable training effect was observed, particularly for the parameters of rigid collision object, affected passenger compartment, energy equivalent speed (EES), and front and side airbags. It was recommended that individuals without prior knowledge should receive training on assessing EES. Overall, it was evident that technical parameters following a traffic accident can be well assessed through training, irrespective of the professional group.ConclusionSignificant differences in the assessment quality of technical accident parameters were observed based on technical and medical expertise. After user training, interdisciplinary differences were reconciled, and all professional groups yielded comparable results, indicating that training can enhance the assessment abilities of all participants in the rescue chain, while the time required for assessing accident parameters was significantly reduced with training.

Estimation of Injury Limits at Vulnerable Impact Locations Along the Forearm Via THUMS AM50 Finite Element Model at Airbag Loading Rates.

Side and frontal airbag deployment represents the main injury mechanism to the upper extremity during automotive collisions. Previous dynamic injury limit research has been limited to testing the forearm at either the assumed most vulnerable location to fracture, the distal 1/3rd, or the midpoint. Studies have varied the surface to which impacts were applied, with no clear consensus on the site of greatest vulnerability. The unpredictability of airbag impact location, especially with altered hand positioning, limits the effectiveness of existing forearm injury limits determined from impacts at only one location. The current study quantified the effect of impacts at alternative locations on injury risk along the forearm using the THUMS FE model. Airbag-level impacts were simulated along the forearm on all four anatomical surfaces. Results showed the distal 1/3rd is not the most vulnerable location (for any side), indicating forearm fracture is not solely driven by area moment of inertia (as previously assumed). The posterior forearm was the weakest, suggesting that current test standards underestimate the fracture risk of the forearm. Linear regression models showed strong correlation between forearm fracture risk and bone geometry (cross-sectional area and area moment of inertia) as well as soft-tissue depth, potentially providing the ability to predict forearm injury tolerances for any location or forearm size. This study demonstrated the forearm's vulnerability to fracture from airbag deployments, indicating the need for safety systems to better address injury mechanisms for the upper limb to effectively protect drivers.

IJCM_198A: Effectiveness of a video assisted awareness program on knowledge and practices of road safety among Medical students of Kakinada, Andhra Pradesh: An Interventional Study.

Background: Road safety is an issue of great concern across the world. In the last year 1,354,840 road users have died equivalent to 3712 deaths per day in the world. It is crucial to create awareness about the road safety to instill responsible behavior among citizens. Objectives: To assess baseline knowledge and practices of road safety among medical students. To compare the change in knowledge and practices assessed one month after a video assisted awareness program. Methodology: An interventional study was conducted among medical students from 1st professional year to final year, interns at Rangaraya medical college, Kakinada. Considering prevalence of 58.3% from previous study, allowable error 10%, sample size is calculated by using 4PQ/L2 as 287. Out of 1450 medical students, 287 were selected using Probability Proportionate to size sampling and 40, 50, 50, 48, 50, 49 from 2018-2023 batches using Simple Random Sampling. Students who gave written consent were included; non-drivers were excluded. Pre-tested semi-structured questionnaire was prepared and google form was shared to the study participants. A pilot study was done among 30 students. The study was approved by Institutional Ethics Committee. Data was analyzed using SPSS software Version 21. After baseline study, intervention will be done using a video assisted awareness program. Post-intervention results will be presented at the conference. Results: Among the participants, males and females were 46.5%, 53.5% respectively. Majority of them (77.7%) drive a two-wheeler. 70.3% have poor knowledge regarding airbag deployment during a crash, poor knowledge about vehicle maintenance (70.7%). About 77.7% do not use helmet, 44.9% do not use seat belt, 45.3% had distracted driving. Conclusion: The knowledge of participants was found to be fair and the practices were found to be poor.

Finite Element Analysis of Changes in Deformation of Intraocular Segments by Airbag Impact in Eyes of Various Axial Lengths.

We studied the kinetic phenomenon of an airbag impact on eyes with different axial lengths using finite element analysis (FEA) to sequentially determine the physical and mechanical responses of intraocular segments at various airbag deployment velocities. The human eye model we created was used in simulations with the FEA program PAM-GENERISTM. The airbag was set to impact eyes with axial lengths of 21.85 mm (hyperopia), 23.85 mm (emmetropia) and 25.85 mm (myopia), at initial velocities of 20, 30, 40, 50 and 60 m/s. The deformation rate was calculated as the ratio of the length of three segments, anterior chamber, lens and vitreous, to that at the baseline from 0.2 ms to 2.0 ms after the airbag impact. Deformation rate of the anterior chamber was greater than that of other segments, especially in the early phase, 0.2-0.4 ms after the impact (P < 0.001), and it reached its peak, 80%, at 0.8 ms. A higher deformation rate in the anterior chamber was found in hyperopia compared with other axial length eyes in the first half period, 0.2-0.8 ms, followed by the rate in emmetropia (P < 0.001). The lens deformation rate was low, its peak ranging from 40% to 75%, and exceeded that of the anterior chamber at 1.4 ms and 1.6 ms after the impact (P < 0.01). The vitreous deformation rate was lower throughout the simulation period than that of the other segments and ranged from a negative value (elongation) in the later phase. Airbag impact on the eyeball causes evident deformation, especially in the anterior chamber. The results obtained in this study, such as the time lag of the peak deformation between the anterior chamber and lens, suggest a clue to the pathophysiological mechanism of airbag ocular injury.

Accuracy enhancement for airbag deployment simulations considering the strain rate and temperature-dependent mechanical properties of thermoplastic olefin and polypropylene

Airbags are essential automotive components that protect occupants from collisions. Airbag covers made of thermoplastic olefin (TPO) material should be deployed quickly without debris under various environments. To accurately predict airbag deployment during a collision, the mechanical properties of polymer materials at high strain rates according to temperature should be considered. In this study, a quasi-static test in the range of 0.0083, 0.0083 s−1 and a medium strain rate tensile test were performed at strain rates of 1, 10, and 100 s−1. Additionally, a split-Hopkinson Pressure bar test was performed to conduct a high strain rate tensile test at 1000, 1500, and 2000 s−1. Through this, tensile strength and failure strain were derived for each strain rate. As the polymer phase moves toward the high strain rate region, the β-transition becomes dominant, resulting in a non-linear increase in tensile strength in the Eyring plot. Based on the strain rate dependent mechanical behavior, an airbag module impact simulation was conducted to verify the effects of strain rate on airbag deployment using the LS-DYNA software. The airbag deployment analysis results showed deployment angle results similar to the actual experiment when strain rate dependent mechanical properties were applied. This is because higher strength was applied at high strain rates compared to low strain rates. Therefore, strain rate dependent mechanical properties are essential in high strain rate simulation such as collision analysis.

Study of AEB and active seat belt on driver injury in vehicle–vehicle frontal oblique crash

The safety of vehicle occupants in oblique collision scenarios continues to pose challenges, even with the implementation of Automatic Emergency Braking (AEB) systems. While AEB reduces collision risks, studies indicate it may heighten injury risks for out-of-position (OOP) occupants. To counteract this issue, the integration of active seat belts in vehicles equipped with AEB systems is recommended. Firstly, this study established an oblique angle collision scenario post-AEB activation using data from the Chinese National Automobile Accident In-depth Investigation System (NAIS) database, analyzed through Prescan software. The dynamic response of the vehicle was examined. Following this, finite element (FE) models were validated to assess the effects of collision overlap rate, AEB braking strategy, and active seat belt pre-tensioning on occupant injuries and kinematics. Under specific collision conditions, the impact of the timing and amount of seat belt pre-tensioning, as well as airbag deployment timing on occupant injuries, was also explored. Findings revealed that a 75% collision overlap rate significantly increases driver injury risk. Active seat belts effectively mitigate injuries caused by OOP statuses during AEB interventions, with the lowest Weighted Injury Criterion (WIC) observed at a pre-tensioning time of 200 ms for active seat belts. The study further suggests that optimal results in reducing occupant injuries are achieved when active pre-tensioning seat belts are complemented by appropriately timed airbag deployment.

Motor Vehicle Protective Device Usage Associated with Decreased Rate of Flail Chest: A Retrospective Database Analysis.

Background and Objectives: Protective equipment, including seatbelts and airbags, have dramatically reduced the morbidity and mortality rates associated with motor vehicle collisions (MVCs). While generally associated with a reduced rate of injury, the effect of motor vehicle protective equipment on patterns of chest wall trauma is unknown. We hypothesized that protective equipment would affect the rate of flail chest after an MVC. Materials and Methods: This study was a retrospective analysis of the 2019 iteration of the American College of Surgeons Trauma Quality Program (ACS-TQIP) database. Rib fracture types were categorized as non-flail chest rib fractures and flail chest using ICD-10 diagnosis coding. The primary outcome was the occurrence of flail chests after motor vehicle collisions. The protective equipment evaluated were seatbelts and airbags. We performed bivariate and multivariate logistic regression to determine the association of flail chest with the utilization of vehicle protective equipment. Results: We identified 25,101 patients with rib fractures after motor vehicle collisions. In bivariate analysis, the severity of the rib fractures was associated with seatbelt type, airbag status, smoking history, and history of cerebrovascular accident (CVA). In multivariate analysis, seatbelt use and airbag deployment (OR 0.76 CI 0.65-0.89) were independently associated with a decreased rate of flail chest. In an interaction analysis, flail chest was only reduced when a lap belt was used in combination with the deployed airbag (OR 0.59 CI 0.43-0.80) when a shoulder belt was used without airbag deployment (0.69 CI 0.49-0.97), or when a shoulder belt was used with airbag deployment (0.57 CI 0.46-0.70). Conclusions: Although motor vehicle protective equipment is associated with a decreased rate of flail chest after a motor vehicle collision, the benefit is only observed when lap belts and airbags are used simultaneously or when a shoulder belt is used. These data highlight the importance of occupant seatbelt compliance and suggest the effect of motor vehicle restraint systems in reducing severe chest wall injuries.

Review of Airbag Injuries: A Sri Lankan Case Series

The deployment of airbags in vehicles has significantly contributed to occupant safety during accidents. This review article discusses their history, evolution, types, chemical composition, mechanisms, defects, safety issues and hazardous practices by vehicle occupants. The evolution of airbags, from early designs to advanced designs is presented highlighting their life-saving impact and defects. The article addresses common hazardous practices by vehicle occupants that could lead to airbag-related injuries such as resting hands or feet on the dashboard. A series of typical and atypical airbag-related injuries from Sri Lanka is given in the latter part of the article. These cases include incidents of metal objects detaching from airbags causing fatal injuries, fractures resulting from improper hand placement during airbag deployment, burns, cranio-facial and dental injuries and so on.

The pattern of maxillofacial fractures associated with rollover accidents: A 7-year retrospective study.

This study aimed to assess the incidence and pattern of maxillofacial fractures and related demographic data in the victims of rollover crashes. This retrospective study was based on medical records of patients who sustained maxillofacial injuries following rollover accidents. Investigated data included age, gender, accident date and time, accident cause, seat belt usage, airbag deployment, road type, anatomical location of the facial fracture, and treatment approach. Among the 147 patients who met the inclusion criteria, the most prevalent age groups were 20-30 (36.7%) and 30-40 (32.7%) years, with a mean age of 33.6 ± 9.7 years. The male-to-female ratio was 6:1. Most crashes occurred in March, August, and July. These accidents involved 69.4% light vehicles and 39.6% heavy vehicles. The leading causes of rollover crashes were speeding (58.5%) followed by distracted driving (21.1%) and traffic rule violations (13.6%). The most prevalent injuries were fractures of the maxillary sinus wall (40.8%), nasal bones (39.5%), zygomaticomaxillary complex (36.1%), and the mandible (32.6%). Surgical intervention was necessary for 44.2% of patients, while 12.9% of cases underwent close reduction, and 42.9% did not require any surgical intervention. The occurrence of nasal bone fractures was significantly lower in cases where seat belts were worn and zygomatic arch fractures were less frequent in incidents with airbag deployment. In rollover crashes, the midface is the most vulnerable anatomical location. Utilization of seat belts and airbag deployment has the potential to prevent nasal bone and zygomatic arch fractures.

Injury comparisons between paired drivers and front-seat passengers in frontal collisions using publicly available crash and injury data.

Forensic engineers and crash safety researchers sometimes use the injuries of a seatbelted occupant to infer the injury risk of an unbelted occupant in the same crash, had they instead been wearing a seatbelt. It is unclear, however, whether this inference is valid or how often two occupants in the same collision have similar injuries. Here, we sought to compare the injury outcomes between drivers and front-seat passengers in frontal collisions using real-world collision data. We compared the injury severity, quantified using the Abbreviated Injury Scale (AIS), of 22 injury categories between front-seat occupants with matching seatbelt use and airbag deployment in single-event frontal collisions recorded in the publicly available National Automotive Sampling System, Crashworthiness Data System (years 1993-2015) database to assess whether they had similar severity injuries. We analyzed the four combinations of seatbelt use and airbag deployment and all seatbelt/airbag conditions combined. In only 3 of 88 combinations of injuries and seatbelt/airbag conditions did more than 50% of occupant pairs have the same AIS score, although the related confidence intervals showed these proportions were not significantly greater than 50%. In contrast, we found 19 combinations of injuries and seatbelt/airbag conditions where one occupant was consistently injured more severely than the other. Our findings show that injury outcome is not similar for both front-seat occupants in the same frontal collision with similar seatbelt and airbag conditions; however, one may be able to predict that one occupant would be more severely injured than their fellow occupant.