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Injury Causation Scenarios in Belt-Restrained Nearside Child Occupants
Technical Paper
2007-22-0013
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Language:
English
Abstract
Successful development of side impact safety systems for rear row child occupants requires an understanding of injury causation and mitigation. However, data to guide the design of such safety systems for seat belt-restrained occupants is limited to injury risk assessments. Thus, we sought to elucidate Injury Causation Scenarios (ICS's) in children restrained by seat belts in nearside impacts. Included in the study were 4 to 15 year old children, involved in a side impact, seated on the nearside in the rear rows, restrained by a seat belt alone (no booster seats or side airbags) and who received an AIS 2+ injury. A Contact Point Map summarized the vehicle components that contribute to the injuries. The majority of head and face contacts points were found horizontally within the rear half of the window, and vertically from the window sill to the center of the window, and were a result of contact with both interior structures and structures on the crash partner. The most prevalent intracranial injuries included cerebral contusions, diffuse axonal injury (DAI), and subdural or subarachnoid hematoma/hemorrhage. The most common cause of torso and abdominal injury was contact with the side interior structure, and injuries included spleen lacerations or ruptures, liver lacerations and contusions, lung contusions, rib fractures, and clavicle fractures. Protuberances on the door interior, such as the armrest, were the most common source of abdominal injury in this dataset. These data provide important guidance for the development of rear row safety systems for belt-restrained children with no side airbags in nearside crashes.
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Authors
- Matthew R. Maltese - The Children's Hospital of Philadelphia Address correspondence to Matthew R. Maltese, The Children's Hospital of Philadelphia; 34 th St. & Civic Center Blvd.; 3535 Center for Injury Research and Prevention, 11 floor; Philadelphia, PA 19104. Electronic mail: maltese@email.chop.edu
- Caitlin M. Locey - The Children's Hospital of Philadelphia Address correspondence to Matthew R. Maltese, The Children's Hospital of Philadelphia; 34 th St. & Civic Center Blvd.; 3535 Center for Injury Research and Prevention, 11 floor; Philadelphia, PA 19104. Electronic mail: maltese@email.chop.edu
- Jessica S. Jermakian - The Children's Hospital of Philadelphia Address correspondence to Matthew R. Maltese, The Children's Hospital of Philadelphia; 34 th St. & Civic Center Blvd.; 3535 Center for Injury Research and Prevention, 11 floor; Philadelphia, PA 19104. Electronic mail: maltese@email.chop.edu
- Michael L. Nance - The Children's Hospital of Philadelphia, The University of Pennsylvania School of Medicine
- Kristy B. Arbogast - The Children's Hospital of Philadelphia, The University of Pennsylvania School of Medicine
Topic
Citation
Maltese, M., Locey, C., Jermakian, J., Nance, M. et al., "Injury Causation Scenarios in Belt-Restrained Nearside Child Occupants," SAE Technical Paper 2007-22-0013, 2007, https://doi.org/10.4271/2007-22-0013.Also In
References
- AAAM (2001) Abbreviated injury scale (ais) 1990 -update 1998. Association for the Advancement of Automotive Medicine. Des Plaines, IL.
- American Academy of Pediatrics (2007) Car safety seats: A guide for families 2007. American Academy of Pediatrics http://www.aap.org/healthtopics/carseatsafety.cfm
- Arbogast K. Ghati Y. Menon R.A. Tylko S. Tamborra N. Morgan R.M. 2005a Field investigation of child restraints in side impact crashes Traffic Injury Prevention 6 4 351 360
- Arbogast K.B. Chen I. Durbin D.R. Winston F.K. 2004a Injury risks for children in child restraint systems in side impact crashes Proc. International Research Council on the Biomechanics of Impact Conference 25 36
- Arbogast K.B. Chen I. Nance M.L. Durbin D.R. Winston F.K. 2004b Predictors of pediatric abdominal injury risk Stapp Car Crash Journal 48 113 126
- Arbogast K.B. Kallan M.J. Durbin D.R. 2005b Effectiveness of high back and backless belt-positioning booster seats in side impact crashes Proc. 49th AAAM Conference 201 213 Association for the Advancement of Automotive Medicine Barrington, IL
- Arbogast K.B. Mari-Gowda S. Kallan M.J. Durbin D.R. Winston, F.K. 2002 Pediatric pelvic fractures in side impact collisions Stapp Car Crash Journal 46 123 142
- Bliss D. Silen M. 2002 Pediatric thoracic trauma Critical Care Medicine 30(11 Suppliment) S409 S415
- Durbin D.R. Elliott M. Arbogast K.B. Anderko R.L. Winston F.K. 2001 The effect of seating position on risk of injury for children in side impact collisions Proc. Association for the Advancement of Automotive Medicine 61 72
- Gabler H. Digges K. Fildes B. Sparke L. 2005 Side impact injury risk for belted far side passenger vehicle occupants SAE World Congress Paper No. 2005-01-0287 , Society of Automotive Engineers Warrendale, PA
- Hirsch A.E. Ommaya A.K. Mahone R.H. 1968 Tolerance of subhuman pimate brain to cerebral concussion United States Department of the Navy, Naval Ship Research and Development Center. Report No. 2876
- Howard A. Rothman L. McKeag A.M. Pazmino-Canizares J. Monk B. Comeau J.L. Mills D. Blazeski S. Hale I. German A. 2004 Children in side-impact motor vehicle crashes: Seating positions and injury mechanisms Journal of Trauma Injury Infection & Critical Care 56 6 1276 1285
- Kent R. Crandall J. Butcher J. Morris R. 2001 Sled system requirements for the analysis of side impact thoracic injury criteria and occupant protection SAE World Congress, Paper No. 2001-01-0721 Society of Automotive Engineers Warrendale, PA
- Maltese M. Chen I. Arbogast K. 2005a Effect of increased rear row occupancy on injury to seat belt restrained children in side impact crashes Proc. 49th AAAM Conference 229 243 Association for the Advancement of Automotive Medicine Barrington, IL
- Maltese M. Chen I. Arbogast K. 2005b The effect of rear row seating position on the risk of injury to belted children in side impacts in passenger cars 19th International Technical Conference on the Enhanced Safety of Vehicles, Paper No. 05-0281 , United States Department of Transportation, National Highway Traffic Safety Administration Washington, DC
- MeaneyMeaney D.F. Thibault L.E. Gennarelli T.A. 1994 Rotational brain injury tolerance criteria as a function of vehicle crash parameters. Proc International Research Council on the Biomechanics of Impact 51 62
- Morris A. Welsh R. Thomas P. Kirk A. 2005 Head and chest injury outcomes in struck-side crashes. Proc International Research Council on the Biomechanics of Impact 123 137
- Rouhana S.W. Kroell C.K. 1989 The effect of door topography on abdominal injury in lateral impact Proc. 33rd Stapp Car Crash Conference 143 151
- Samaha R.R. Elliott D.S. 2003 Nhtsa side impact research: Motivation for upgraded test procedures 18th Enhanced Safety of Vehicles Conference, Paper No. 492, United States Department of Transportation, National Highway Traffic Safety Administration, Washington, DC
- Sherwood C.P. Ferguson S.A. Crandall J.R. 2003 Factors leading to crash fatalities to children in child restraints Proc. Association for the Advancement of Automotive Medicine 343 359