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injury car rollover

Vincenzo M Grassi, Flaminia Castagnola, Massimo Miscusi, Fabio De-Giorgio
Rollover car accidents can be the result of forceful steering or hitting an obstacle that acts like a ramp. Mortality from this type of car accident is particularly high, especially when occupants are thrown out of the vehicle. We report a case of a 67-year-old man who died after a rollover accident that occurred when he was driving a car equipped with a glass moonroof. He was found inside his car with his safety belt correctly fastened and the roof shattered. At autopsy, a wide avulsion injury of the head was observed, which was associated with an atlanto-axial dislocation and full-thickness fracture of the cervical body and posterior facet joints of the seventh cervical vertebra...
September 2016: Forensic Science, Medicine, and Pathology
Kambiz Masoumi, Arash Forouzan, Hassan Barzegari, Ali Asgari Darian, Fakher Rahim, Behzad Zohrevandi, Somayeh Nabi
INTRODUCTION: Traffic accidents are the 8(th) cause of mortality in different countries and are expected to rise to the 3(rd) rank by 2020. Based on the Haddon matrix numerous factors such as environment, host, and agent can affect the severity of traffic-related traumas. Therefore, the present study aimed to evaluate the effective factors in severity of these traumas based on Haddon matrix. METHODS: In the present 1-month cross-sectional study, all the patients injured in traffic accidents, who were referred to the ED of Imam Khomeini and Golestan Hospitals, Ahvaz, Iran, during March 2013 were evaluated...
2016: Emergency (Tehran, Iran)
Changkun Chen, Jun Zhang
BACKGROUND: Fatigue driving is a leading cause of traffic fatalities and injuries in China, especially among heavy truck drivers. The present study tried to examine which and how factors within the human-vehicle-roadway-environment system contribute to the occurrence of crashes involving fatigued truck drivers. FINDINGS: To reduce such risk on the road, a total of 9168 crashes which occurred in Jiangxi and Shaanxi between 2003 and 2014 were selected to measure the effects of potential factors on fatigue related truck crashes using a case control study...
2016: SpringerPlus
Ada H Tsoi, Hampton C Gabler
OBJECTIVE: Vehicle change in velocity (delta-v) is a widely used crash severity metric used to estimate occupant injury risk. Despite its widespread use, delta-v has several limitations. Of most concern, delta-v is a vehicle-based metric which does not consider the crash pulse or the performance of occupant restraints, e.g. seatbelts and airbags. Such criticisms have prompted the search for alternative impact severity metrics based upon vehicle kinematics. The purpose of this study was to assess the ability of the occupant impact velocity (OIV), acceleration severity index (ASI), vehicle pulse index (VPI), and maximum delta-v (delta-v) to predict serious injury in real world crashes...
2015: Traffic Injury Prevention
Nicholas S Johnson, Hampton C Gabler
OBJECTIVE: The goal of this study is to evaluate the crash performance of guardrail end terminals in real-world crashes. Guardrail end terminals are installed at the ends of guardrail systems to prevent the rail from spearing through the car in an end-on collision. Recently, there has been a great deal of controversy as to the safety of certain widely used end terminal designs, partly because there is surprisingly little real-world crash data for end terminals. Most existing studies of end terminal crashes used data from prior to the mid-1990s...
2015: Traffic Injury Prevention
Johan Ivarsson, Gerald Poplin, Tim McMurry, Jeff Crandall, Jason Kerrigan
Planar impacts with objects and other vehicles may increase the risk and severity of injury in rollover crashes. The current study compares the frequency of injury measures (MAIS 2+, 3+, and 4+; fatal; AIS 2+ head and cervical spine; and AIS 3+ head and thorax) as well as vehicle type distribution (passenger car, SUV, van, and light truck), crash kinematics, and occupant demographics between single vehicle single event rollovers (SV Pure) and multiple event rollovers to determine which types of multiple event rollovers can be pooled with SV Pure to study rollover induced occupant injury...
December 2015: Accident; Analysis and Prevention
Ashraf F Hefny, Laith N Kaka, El Nazeer A Salim, Nabil N Al Khoury
INTRODUCTION: Hemorrhage is the most common cause of shock in injured patients. Bleeding into the subcutaneous plane is underestimated cause of hypovolemic shock. PRESENTATION OF CASE: Unrestrained male driver involved in a rollover car crash. On examination, his pulse rate was 144bpm, blood pressure 80/30mmHg, and GCS was 7/15. His right pupil was dilated but reactive. Back examination revealed severe contusion with friction burns and lacerations. A Focused Assessment Sonography for Trauma (FAST) was performed...
2015: International Journal of Surgery Case Reports
Mahdi Mohammadzadeh, Mohammad Paravar, Azadeh Sadat Mirzadeh, Javad Mohammadzadeh, Soroush Mahdian
BACKGROUND: Road traffic accidents (RTAs) are the main public health problems in Iran. The seat belts, which are vehicle safety devices, are imperative to reduce the risk of severe injuries and mortality. OBJECTIVES: The aim of the study was to evaluate injury patterns, severity and outcome among belted and unbelted car occupants who were injured in car accidents. PATIENTS AND METHODS: This cross-sectional prospective study was performed on all car occupants injured in RTAs (n = 822) who were transported to hospital and hospitalized for more than 24 hours from March 2012 to March 2013...
March 2015: Archives of Trauma Research
Helena Stigson, Markus Gustafsson, Cecilia Sunnevång, Maria Krafft, Anders Kullgren
OBJECTIVE: There is limited knowledge of the long-term medical consequences for occupants injured in car crashes in various impact directions. Thus, the objective was to evaluate whether injuries leading to permanent medical impairment differ depending on impact direction. METHODS: In total, 36,743 injured occupants in car crashes that occurred between 1995 and 2011 were included. All initial injuries (n = 61,440) were classified according to the Abbreviated Injury Scale (AIS) 2005...
2015: Traffic Injury Prevention
Mark R Zonfrillo, Caitlin M Locey, Steven R Scarfone, Kristy B Arbogast
OBJECTIVE: Motor vehicle crash (MVC)-related spinal injuries result in significant morbidity and mortality in children. The objective was to identify MVC-related injury causation scenarios for spinal injuries in restrained children. METHODS: This was a case series of occupants in MVCs from the Crash Injury Research and Engineering Network (CIREN) data set. Occupants aged 0-17 years old with at least one Abbreviated Injury Scale (AIS) 2+ severity spinal injury in vehicles model year 1990+ that did not experience a rollover were included...
2014: Traffic Injury Prevention
Hm El-Hennawy, A El-Menyar, H Al-Thani, M Tuma, A Parchani, H Abdulrahman, R Peralta, M Asim, A Zarour, R Latifi
Rollover crashes (ROCs) are responsible for almost a third of all highway vehicle occupant fatalities. Although ROCs are common and serious mechanism of injury, ROCs are under-reported. To analyze the causes, mechanism, impact and prevention of ROCs, we reviewed the literature between 1984 and 2013. By utilizing the search engines PubMed, MEDLINE and EMBASE by using key words "ROCs" "Ejection" and "vehicle" the initial search yielded 241 abstracts, of which 58 articles were relevant. Most of the articles were either retrospective or experimental studies funded by automobile companies...
July 2014: Annals of Medical and Health Sciences Research
Rifat Latifi, Ayman El-Menyar, Hany El-Hennawy, Hassan Al-Thani
UNLABELLED: Rollover car crashes (ROCs) are serious public safety concerns worldwide. OBJECTIVE: To determine the incidence and outcomes of ROCs with or without ejection of occupants in the State of Qatar. METHODS: A retrospective study of all patients involved in ROCs admitted to Level I trauma center in Qatar (2011-2012). Patients were divided into Group I (ROC with ejection) and Group II (ROC without ejection). RESULTS: A total of 719 patients were evaluated (237 in Group I and 482 in Group II)...
2014: TheScientificWorldJournal
Chantal S Parenteau, David C Viano
PURPOSE: This study investigated the number of occupants involved and severely injured in light-vehicle crashes by vehicle and crash type. METHODS: 1994-2010 NASS-CDS data were analyzed to estimate the risk of severely injured occupants involved in motor vehicle crashes. Crashes were grouped by front, side, rear, and rollovers. The effect of occupancy and vehicle type was investigated. Light vehicles were less than 4536 kg with model year 1994+. The annual number of Maximum Abbreviated Injury Scale (MAIS) 4+F injuries was estimated and the risk was determined using all occupants with known injury (MAIS 0-6+F)...
2014: Traffic Injury Prevention
Christian W Müller, Dietmar Otte, Sebastian Decker, Timo Stübig, Martin Panzica, Christian Krettek, Stephan Brand
Spinal injuries pose a considerable risk to life and quality of life. In spite of improvements in active and passive safety of motor vehicles, car accidents are regarded as a major cause for vertebral fractures. The purpose of this study was to evaluate the current incidence of vertebral fractures among front-seat occupants in motor vehicle accidents, and to identify specific risk factors for sustaining vertebral fractures in motor vehicle accidents. Data from an accident research unit were accessed to collect collision details, preclinical data, and clinical data...
May 2014: Accident; Analysis and Prevention
Mohammad Paravar, Mehrdad Hosseinpour, Shayesteh Salehi, Mahdi Mohammadzadeh, Abolfazl Shojaee, Hossein Akbari, Azadeh Sadat Mirzadeh
BACKGROUND: Iran has one of the highest rates of road traffic accidents (RTAs) worldwide. Pre-hospital trauma care can help minimize many instances of traffic-related mortality and morbidity. OBJECTIVES: The aim of this study was to assess the characteristics of pre-hospital care in patients who were injured in RTAs, admitted to hospital. The focus was mainly directed at evaluating pre-hospital trauma care provided in city streets and roads out of the city. PATIENTS AND METHODS: This retrospective study was carried out on all trauma patients, transported by the emergency medical service (EMS) system, who were admitted to Kashan Shahid-Beheshti hospital during the period from March 2011 to March 2012...
2013: Archives of Trauma Research
Michal Grivna, Hani O Eid, Fikri M Abu-Zidan
AIM: To study the mechanism of road traffic collisions (RTC), use of safety devices, and outcome of hospitalized pediatric and youth RTC injured patients so as to give recommendations regarding prevention of pediatric RTC injuries. METHODS: All RTC injured children and youth (0-19-year-olds) who were admitted to Al Ain City's two major trauma centers or who died after arrival to these centers were prospectively studied from April 2006 to October 2007. Demography of patients, road-user and vehicle types, crash mechanism, usage of safety devices, injured body regions, injury severity, Revised Trauma Score, Glasgow Coma Scale, intensive care unit admissions, hospital stay and mortality were analyzed...
2013: PloS One
James R Funk, Joseph M Cormier, Charles E Bain, Jeffrey L Wirth, Enrique B Bonugli, Richard A Watson
Ejection greatly increases the risk of injury and fatality in a rollover crash. The purpose of this study was to determine the crash, vehicle, and occupant characteristics that affect the risk of ejection in rollovers. Information from real world rollover crashes occurring from 2000 - 2010 was obtained from the National Automotive Sampling System (NASS) in order to analyze the effect of the following parameters on ejection risk: seatbelt use, rollover severity, vehicle type, seating position, roof crush, side curtain airbag deployment, glazing type, and occupant age, gender, and size...
2012: Annals of Advances in Automotive Medicine
M R Bambach, R H Grzebieta, A S McIntosh, G A Mattos
Around one third of serious injuries sustained by belted, non-ejected occupants in pure rollover crashes occur to the spine. Dynamic rollover crash test methodologies have been established in Australia and the United States, with the aims of understanding injury potential in rollovers and establishing the basis of an occupant rollover protection crashworthiness test protocol that could be adopted by consumer new car assessment programmes and government regulators internationally. However, for any proposed test protocol to be effective in reducing the high trauma burden resulting from rollover crashes, appropriate anthropomorphic devices that replicate real-world injury mechanisms and biomechanical loads are required...
January 2013: Accident; Analysis and Prevention
Matthew P Reed, Sheila M Ebert-Hamilton, Jonathan D Rupp
INTRODUCTION: Obesity has been shown to increase the risks of some types of injury in crashes. One way in which obesity may increase injury risk is by changing the routing of the belt relative to the underlying skeletal structures. METHODS: Belt fit was measured in a laboratory study of 54 men and women, 48 percent of whom were obese, defined by body mass index (BMI) of 30 kg/m(2) or greater. Test conditions included a wide range of upper and lower belt anchorage locations and ranges of seat height, seat cushion angle, and seat back angle spanning the conditions in a large fraction of front and rear seats in passenger cars and light trucks...
2012: Traffic Injury Prevention
Karla A Lawson, Paula J Yuma-Guerrero, Kirk von Sternberg, Sarah V Duzinski, Nilda M Garcia, Carlos V Brown, Sarah M Wakefield, Natalie M Crawford, Mary M Velasquez, R Todd Maxson
BACKGROUND: Injury is the leading cause of death for those aged 1 year to 44 years in the United States, with motor vehicle collisions (MVCs) the leading cause of injury-related deaths. Little data exist on the relationship between caregiver alcohol and drug use at the time of MVC and child passenger outcomes. We examined the relationship between caregiver substance use in MVCs and a number of demographic, crash severity, and medical outcomes for caregivers and children. METHODS: We identified family groups treated in the emergency department of a regional Level II trauma center after an MVC in a 1-year period from July 1, 2005, to June 30, 2006...
November 2011: Journal of Trauma
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