crash injury mechanisms in vehicle mismatch collisions presentations... · back right seat - fully...

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Crash Injury Mechanisms in Vehicle Mismatch Collisions CIREN Seattle Presenters: Stephanie Acierno, MD Rob Kaufman, BS

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Page 1: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Crash Injury Mechanisms in Vehicle Mismatch Collisions

CIREN Seattle

Presenters: Stephanie Acierno, MD Rob Kaufman, BS

Page 2: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side impact standard improvements (SS214)

Use of side impact beams in doors

Page 3: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Protection from side impact beams

Striking vehicle- Minimal intrusion

- No injury

- Delta V = 12 mph

- 01RYEW2

Page 4: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Larger Vehicle and Side Impacts

Subdivisions vs. compact/economical

Some bumper heights are overriding the side impact supports

Page 5: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Increasing LTV-Car Fatalities

NHTSA’s Research Program For Vehicle Aggressivity and Fleet Compatibility - Hollowell, Summers, Prasad.

U.S. Sales and Registrations of Light Trucks and Vans

0.0

10.0

20.0

30.0

40.0

50.0

60.0

1980 1982 1984 1986 1988 1990 1992 1994 1996 1998

Year

Per

cent

age

(%)

Page 6: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Fatalities in Vehicle-to-Vehicle Collisions

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

1980 1982 1984 1986 1988 1990 1992 1994 1996 1998

Fat

aliti

es

Car-Car CollisionsLTV-Car CollisionsLTV-LTV Collisions

Increasing LTV-Car Fatalities

NHTSA’s Research Program For Vehicle Aggressivity and Fleet Compatibility - Hollowell, Summers, Prasad.

Page 7: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Current Publication submitted:“Vehicle Mismatch: Injury Patterns and Severity”, Acierno, Kaufman, Rivara, Grossman, Mock

Reviewed and selected cases from 200 Seattle CIREN:

1. Side Impacts (Passenger vehicle struck by LTV)

2. Frontal Impacts (Passenger vehicle)

3. Frontal Impacts (LTV)

Seattle CIREN team research on incompatibility

Page 8: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side impacts with larger vehicles with lateral door support beams

Side View End View

Page 9: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Intrusion = Injury

Adults -Think Thorax!!

Children- Think head

Page 10: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

This becomes head contacts for children

End View

Page 11: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Mismatch Side Impact Injury Patterns

End ViewEnd View

Page 12: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Frontal Impacts

Page 13: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Occupant energy distribution

Restrained vs. Intrusion or Unrestrained

Page 14: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Direct Contact Forces w/ Intrusion

- Body already accelerating toward object

- Intrusion increases the forces loading on the lower extremities

Page 15: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Left mid-shaft femur fracture due to override impact and intrusion to instrument panel

Pre-crash Post-crash

Page 16: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Offset Frontal Impacts with Vehicle Mismatch

Page 17: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

SUV-Truck vs. Sedan

Obvious mismatch in bumper heights, or bumper frame

Page 18: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

SUV-Truck vs. Sedan

Override impact creates significant intrusion of instrument panel/hood

SUV bumper into grill of sedan

Sedan bumper into front tire/axle

Page 19: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

SUV-Truck vs. Sedan

Longitudinal intrusion is created and impacts the head, chest and lower extremities

Page 20: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

SUV-Truck vs. SedanPassenger bumper frame impacts the SUV tires and axle which become forced into the floor and toe pans

Page 21: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side Impact Vehicle Mismatch Case Reviews

Page 22: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side Impact - Vehicle Mismatch

- Front Seat Passenger

- Elderly person

- Lap/Shoulder belt

- Struck by a large pickup

- Lateral Direction of Force

Page 23: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Upper door panel intrusionOverride of support beams

Toyota Corolla struck by large F250 pickup truck

Page 24: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Upper door panel intrusion Case review

End View

Page 25: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Injuries

AIS Region2 Head3 Head

4 Chest

2 Abdomen

2 AbdomenISS = 29

Page 26: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

CIREN Case Review

90’s Ford

20 mph Delta V

PDOF = 60

Struck by large pickup

Page 27: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Critical Head Injuries Critical Head Injuries Side Impact Case reviewSide Impact Case review

Child

Back right seat - fully restrained

Sleeping with head against door

Page 28: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

40 cm of intrusion at door panel, window sill

Deformation from head contact

Page 29: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

40 cm of intrusion at door panel, window sill

Deformation from head contact

End View

Head Injury Summary

- Serious Brain Injury, AIS = 5

Page 30: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Frontal Offset Case Review

Page 31: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

SUV vs. Minivan

SIDEWALK

REFERENCE PT

REFERENCE LINETANGENT LINE

1

1

2

2

1

1

1

3

33

2

Posted Speed limit = 30 mph1

1

3

3

V1- 80’s SUV

Subject V3 - 90’s Van

Page 32: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

SUV vs. Minivan

90’s Van Offset = 63%

Delta V = 27 mph

Page 33: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Demographics/IntrusionsDriver - Mid 30’s Female.

Restraints: Lap/shoulder belt

Airbag Deployment

Driver Area Intrusions Toe pan = 45 cm Instr.Panel = 42 cm A pillar = 52 cm Windshield = 24 cm Kick panel = 18 cm Steering col. = 15 cm

Page 34: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Driver Contacts

Both Knees contacted into bolster area

INJURIES

Left Mid-shaft Femur Fx

Right Mid-shaft Femur Fx

Page 35: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Offset Frontal Case Review Toe Pan Intrusion

Late Model Lincoln Navigator

Subject Driver

50’s Female

Manual Lap/shoulder belt

Deployed Frontal and Side airbags

Late 90’s compact Driver fatally injured

Page 36: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Delta V = 20 mph

Impact to front left tire

Page 37: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

55 cm (21”) longitudinal intrusion of toe pan

Page 38: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Injury summary

Left Foot

- Cuboid fx

- Cuneiform fx (medial)

- 1,2,3,5 metatarsal fx

- L great toe proximal phalynx fx

Right Foot

- Distal tibia Fx, comm.

- Distal fibula fx

- 1-5 metatarsals fx

Page 39: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

The Next Step

• Confirmatory Study of Injury Patterns using CDS Data– Evaluate Frontal and Side Impact Patterns

• PV struck by PV• PV struck by LTV• LTV struck by PV

Page 40: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Frontal CrashesInjury Severity in Frontal Crashes

0 5 10 15 20

ISS >8ISS >16

Head AIS >2Thorax AIS >2

Abd AIS >2Lower AIS >2Upper AIS >2

Died

Percent of Crashes

PV vs. PVn=9691

PV vs. LTVn=4132

LTV vs. PVn=3792

Page 41: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side CrashesInjury Severity in Side Crashes

0 10 20 30 40

ISS >8ISS >16

Head AIS >2Thorax AIS >2

Abd AIS >2Lower AIS >2Upper AIS >2

Died

Percent of Crashes

PV vs. PVn=3269

PV vs. LTVn=1775

LTV vs. PVn=833

Page 42: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Vehicle Mismatch Impacts

Preventive Measuresdocumented from CIREN research

Page 43: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side impact with child in booster seats

Minimal Head Injury Head positioned

above door interior

Page 44: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side Airbags Provide Head Protection

Page 45: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side View End View

Utilize CIREN case studies evaluate side impact federal safety standards

Page 46: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Side View End View

Require more door frame support to match with the growing fleet of SUV/Trucks on the road today

Page 47: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

What to do about mismatch bumper frame heights?

Create a vertical component on the frame rail ends of the sedan or spoiler frame on LTV’s

Further examine CIREN data to provide input for SS

Page 48: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Toe Pan intrusion to SUV/Trucks

Better reinforcement behind wheel wells to prevent toe pan intrusion from front tires Lower bumper frame to

match passenger cars

Page 49: Crash Injury Mechanisms in Vehicle Mismatch Collisions Presentations... · Back right seat - fully restrained Sleeping with head against door 40 cm of intrusion at door panel, window

Thank you