360 Soziale Probleme und Sozialdienste; Verbände
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The share of high-tensile steel in car bodies has increased over the last years. While occupant safety has generally benefited from this measure, there is a potential risk that, as a result, rescue time may increase considerably. In more than 60% of all car occupant fatalities a technical rescue has been necessary. These are in particular those cases where occupants die immediately at the accident scene. Therefore, in these cases "rescue time" is a very sensitive parameter. In addition to the general analysis of the need of technical rescue and the actual rescue time depending on model years, the injury pattern of occupants requiring technical rescue will be analysed to provide advice for rescue teams. Furthermore, a detailed analysis of rescue measures for the most popular car models depending on the safety cell design is given.
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.
Die Studie beschreibt auf der Grundlage umfangreicher Erhebungsdaten die Pkw-Mobilität von Fahranfängern im ersten Jahr ihrer selbstständigen Fahrkarriere. Die Daten wurden an einer bundesweiten Zufallsstichprobe per einmaliger schriftlicher Befragung in einer Sommer- und einer Winterwelle erhoben. Die Verwendung von Wochenprotokollen mit tagbezogener Dokumentation erlaubt eine Betrachtung einzelner Zeitabschnitte (Tage, Wochen, Monate, Quartale, gesamtes erstes Jahr) und des Mobilitätsverlaufs. Insgesamt liegen der Studie 4.375 auswertbare Fragebogen zugrunde. Neben Basisdaten zu Umfang und Entwicklung der Fahrleistung wurden Daten zu Fahrtzielen, Mitfahrern, befahrenen Straßenarten, Fahrbedingungen, Motiven des Autofahrens, Charakteristika der gefahrenen Pkw, Unsicherheiten im Straßenverkehr, Verkehrsverstößen und ihrer Sanktionierung sowie zur Beteiligung an Verkehrsunfällen erhoben. Auf dieser Grundlage wurden charakteristische Ausprägungen der Mobilität und der Mobilitätsentwicklung für die Gesamtstichprobe sowie für Subgruppen, die nach soziodemographischen Merkmalen und nach Fahrerlaubnisbesitzdauer gegliedert sind, aufgezeigt. Männliche Fahranfänger erbringen am Anfang des ersten Jahres ihrer selbstständigen Pkw-Mobilität geringere Fahrleistungen als gegen Ende dieses Zeitraums. Der aus der Verlaufsbetrachtung des Unfallrisikos bekannte initiale Gefährdungsschwerpunkt fällt für Männer bei fahrleistungsbezogener Betrachtung danach noch gravierender aus. Auf der Grundlage der Merkmale Geschlecht, Alter bei Fahrerlaubniserwerb, Stadt/Land und Berufsbereich wurden clusteranalytisch fünf Fahranfängertypen ermittelt und jeweils relevante Risikomerkmale (Verkehrsverstöße, Unfälle) und Risikoindikatoren (Wochenendmobilität, Extramotive, Fahrleistung/Exposition) ausgewiesen. Es zeigt sich, dass die gängigen Risikoindikatoren (jugendspezifische Wochenendmobilität, "Extramotive") nicht zu einer angemessenen Bestimmung des Verkehrsrisikos von Fahranfängern ausreichen.
Zur Frage, ob das "Begleitete Fahren ab 17" (BF17) zur Verkehrssicherheit junger Fahrer beiträgt, wurden zwei große Zufallsstichproben von Fahranfängern aus dem im Kraftfahrt-Bundesamt geführten Zentralen Fahrerlaubnisregister hinsichtlich ihrer Verkehrsauffälligkeit am Beginn ihres selbstständigen Fahrens verglichen: ehemalige BF17-Teilnehmer und gleichaltrige Fahranfänger mit herkömmlichem Erwerb eines Pkw-Führerscheins unmittelbar nach ihrem 18. Geburtstag. Beide Untersuchungsgruppen wurden postalisch um Teilnahme an Internet-Befragungen gebeten. 19.000 Pkw-Fahrer berichteten von ihrem ersten Jahr des selbstständigen Fahrens, dazu von Verkehrsverstößen und Verkehrsunfällen. Wiederholt wurde die Untersuchung an zwei "stillen" Untersuchungsgruppen mit zusammen 75.000 Fahrern durch Abfrage ihrer Verkehrsverstöße im Verkehrszentralregister (VZR), getrennt nach solchen mit Unfällen und ohne Unfälle. Das BF17-Modell wurde zwischen April 2004 und Januar 2008 in allen 16 Bundesländern in Deutschland eingeführt. Bis Ende 2009 hatten fast eine Million Fahranfänger an ihm teilgenommen. Zu diesem Zeitpunkt entschieden sich fast drei Viertel der Zielgruppe " sogenannte Früheinsteiger, die das selbstständige Fahren unmittelbar mit dem Erreichen von 18 Jahren anstreben - für das BF17. Dabei ist es in der Einführungsphase des BF17 zu einer temporären etwa fünfprozentigen Nachfragesteigerung nach Pkw-Führerscheinen bei den unter 19-Jährigen gekommen. Im ersten Jahr des selbstständigen Fahrens zeigen BF17-Absolventen 19 % weniger Unfallbeteiligungen und 18 % weniger Verkehrsverstöße im Vergleich zu gleichaltrigen Fahrern mit herkömmlichem Führerscheinerwerb. Nach Berücksichtigung konfundierender Faktoren (u.a. Geschlechtszugehörigkeit, Fahrzeugverfügbarkeit) verbleibt eine maßnahmenbedingte Verringerung der Unfälle um 17 % und der Verkehrsverstöße um 15 %. Bei Berücksichtigung der Fahrleistung verringern sich die Unfälle um 22 % und die Verkehrsverstöße um 20 %. Die Ergebnisse sind statistisch signifikant und gelten für Männer wie Frauen. Dies bestätigt sich in der Wiederholungsuntersuchung auf Basis der VZR-Daten mit einer Ausnahme: Für die ehemaligen BF17-Fahrerinnen und hier allein für die VZR-Verstöße ohne Unfall ist keine signifikante Reduktion festzustellen. Allerdings liegt deren Zahl ohnehin schon um drei Viertel niedriger als bei den Männern. Rein rechnerisch gesehen, verhinderte das BF17 im Jahr 2009 rund 1.700 Unfälle mit Personenschaden.
Pedestrian and cyclist are the most vulnerable road users in traffic crashes. One important aspect of this study was the comparable analysis of the exact impact configuration and the resulting injury patterns of pedestrians and cyclists in view of epidemiology. The secondary aim was assessment of head injury risks and kinematics of adult pedestrian and cyclists in primary and secondary impacts and to correlate the injuries related to physical parameters like HIC value, 3ms linear acceleration, and discuss the technical parameter with injuries observed in real-world accidents based documented real accidents of GIDAS and explains the head injuries by simulated load and impact conditions based on PC-Crash and MADYMO. A subsample of n=402 pedestrians and n=940 bicyclists from GIDAS database, Germany was used for preselection, from which 22 pedestrian and 18 cyclist accidents were selected for reconstruction by initially using PC-Crash to calculate impact conditions, such as vehicle impact velocity, vehicle kinematic sequence and throw out distance. The impact conditions then were employed to identify the initial conditions in simulation of MADYMO reconstruction. The results show that cyclists always suffer lower injury outcomes for the same accident severity. Differences in HIC, head relative impact velocity, 3ms linear contiguous acceleration, maximum angular velocity and acceleration, contact force, throwing distance and head contact timing are shown. The differences of landing conditions in secondary impacts of pedestrians and cyclists are also identified. Injury risk curves were generated by logistic regression model for each predicting physical parameters.
The accident research of Hanover and (from 1999 on) Dresden registered 736 leg injuries (AIS ≥ 2) from 1983 to March 2007. 174 of these injuries (23.6 %) were fractures or dislocations of foot and ankle. 149 feet of 141 front seat car occupants in 140 cars were affected. Of these 117 were drivers, 24 were front seat passengers. The mean age of occupants was 38.5 -± 16.8 years. Ankle fractures were the most frequent injury (n = 82; 80 malleolar fractures, 2 pilon fractures). 34 fractures and dislocations affected the hindfoot (5 talus and 26 calcaneal fractures, 2 subtalar dislocations and 1 subtotal amputation) , 16 to midfoot (4 navicular fractures, 5 cuboid fractures, 3 fractures of cuneiformia, 2 dislocations of chopart joint, 1 subtotal amputation, and one severe decollement) and 39 the forefoot (metatarsal fractures). Open fractures were seldom seen (2 malleolar fractures, 1 metatarsal fracture). Both feet were injured in 10 cases. 33 occupants (23.4 %) were polytaumatic had a polytrauma, 17 of them died. 81 percent of the occupants were belted. The cars were divided in pre EuroNCAP (year of manufacture 1997 and older) and post EuroNCAP cars (year of manufacture 1998 and newer). Most of the foot injuries were seen in pre EuroNCAP cars. Most of the occupants sat in compact cars (40 drivers and 9 front seat passengers) and large family cars (27 drivers and 7 co-drivers). 49 of 140 accidents occurred on country roads, 26 on main roads and 13 on motorways. The crash direction was mostly frontal. Generally were found no differences of delta v- and EES-level between the injured foot regions, but divided into pre- and post-EuroNCAP cars there was a tendency to higher delta v- and EES-levels in newer cars. The frequency of foot injuries increased linearly with increasing delta v-level; but above delta v-level of 55 km/h the linear increase only was seen in pre-EuroNCAP cars, post-EuroNCAP cars showed no further increase of injuries. The footwell intrusion showed no difference between the injured foot regions but pre-EuroNCAP cars had a tendency to higher footwell intrusion. There were no differences in footwell intrusion between the car types. Only 29 of 174 fractures or dislocations of foot were seen in post-EuroNCAP cars, the predominate number of these injuries (n = 145) were noticed in pre-EuroNCAP cars. A lower probability of long-term impairment was found in post-EuroNCAP cars for equal delta v levels, using the AIS2008 associated Functional Capacity Index (FCI) for the foot region.
Aim of the study was to evaluate the protective effect of bicycle helmets particularly considering injuries to the head and to the face. Accidents with the participation of bicyclists which occurred from 2000 to 2007 were chosen from GIDAS. We observed that injuries to the head and face were more severe in the group of non-helmeted riders. There seems to be no significant difference in injuries with AIS 3-6. Altogether 26 cyclists were killed. 2 of them wore a helmet (1% of helmeted cyclists), 24 did not (1% of non-helmeted cyclists). Only one killed rider (without helmet) did not suffer from polytrauma (only head injuries recorded). The findings seem to support the thesis of a preventive effect of the bicycle helmet, however the two groups are different in their characteristics related to riding speed. Necessarily we need a multivariate model to evaluate the effect of helmets.
Although the statistics show a decreasing rate of child injuries and fatalities in German road accidents more efforts can be made to protect children in cars e.g. by developing appropriate child restraint systems. An important part in of this work can be achieved with the help of crash tests using child dummies. However these crash tests cannot completely reflect the situation of real world crashes as factors like children moving out of the optimal position or children incorrectly fastened by their parents are difficult to predict. Therefore this study gives an overview over the current accident and injury situation of child occupants in cars in German road accidents.
Accidents involving two wheels vehicles represent one of the more important types of accidents in Europe. These accidents are usually not easy to reconstruct specially for the analysis of the injuries and its correlation with accident dynamics and evidences. Different methodologies are applied in this work for the reconstruction of two wheeler accidents, especially accident involving motorcycles. From the typologies of road evidences like skid marks, to the use of Pc-Crash and the use of Madymo models, different reconstruction of real accidents are presented. One of the questions that sometimes arise for legal purposes when some type of head injuries arise is if the occupant was wearing or not a helmet. The correlation of head injuries with the use of the helmet is a very important issue, therefore an important legal aspect. One of the key questions for the reconstructions that is difficult to analyze, is if the vehicle occupant, was or not, wearing the helmet. Based on the previously collected information, a generic model of a helmet was developed on CAD 3D, followed by its conversion into finite elements, all in order to perform impact tests using the Madymo software that would help improve the helmet- safety, but that also can be used as a tool in accident reconstruction.
In order to enable foreseeing or comparing the benefit of safety systems or driver assistance systems in Germany, in the United States and in Japan, the traffic accident databases in those three countries are examined. The variables used are culpable party, collision partner, accident type, and injury level and the method to re-classify the databases for comparison are proposed. The result indicates that single passenger car fatality is the most frequent in Germany and in the United States, while passenger car vs. pedestrian is the most frequent fatality scenario in Japan. When the casualty by fatality ratio is focused, the greatest difference is observed in rear-end collisions. The ratio of slight injuries in Japan yields about eighteen times as many as those in Germany, and about eight times as many as those in the United States.