Splenic Trauma as an Adverse Effect of Torso-Protecting Side Airbags: Biomechanical and Case Evidence

Injury mechanisms from frontal airbags, first identified in anecdotal reports, are now well documented for pediatric, small female, and out-of-position occupants. In contrast, torso side airbags have not yet been consistently associated with specific injury risks in field assessments. To determine possible torso side airbag-related injuries, the present study identified crashes involving side airbags from reports within the CIREN, NASS, and SCI databases. Injury patterns were compared to patterns from lateral crashes in absence of side airbag. Splenic trauma (AIS 3+) was found present in five cases of torso side airbag deployment at lower impact severity (as measured by velocity change and compartment intrusion) than cases of splenic trauma without side airbag. Five additional cases were found to contain similar injury patterns but occurred with greater crash severity. To supplement case analyses, full scale sled tests were conducted with a THOR-NT dummy and cadaveric specimen. Four THOR tests with door- and seat-mounted torso side airbags confirmed that out-of-position (early inflation stage) airbag contact elevated thoracic injury metrics compared to optimal (fully inflated) contact. Out-of-position seat-mounted airbag deployment also produced AIS 3 splenic trauma in the cadaveric specimen. Due to potentially sudden or delayed onset of intraperitoneal hemorrhage and hypovolemic shock following splenic trauma, further biomechanical investigation of this anecdotal evidence is essential to identify injury mechanisms, prevention techniques, and methods for early diagnosis

Evaluating an intervention to improve belt fit for adult occupants

Introduction: Previous laboratory studies have demonstrated that some drivers position their seat belts suboptimally. Specifically, the lap portion of the belt may be higher and farther forward relative to the pelvis than best practice, and the shoulder portion of the belt may be outboard or inboard of mid-shoulder. This study evaluated the performance of a video-based intervention for improving the belt fit obtained by drivers. Method: Twenty-nine adult drivers participated in this study. Belt fit was measured before and after the intervention in participants' vehicles and in a laboratory mockup. Results: Data from both the in-vehicle and laboratory belt measures found that 95% of participants sampled improved some aspect of lap belt fit. For the in-vehicle test conditions, participants who lowered the lap belt location (Z) after the intervention showed an improvement of 26 mm on average. Among those participants who shifted the horizontal lap belt location rearward (closer to the pelvis), an average improvement of 36 mm was observed. No significant differences were observed between baseline and post-intervention shoulder belt fit. Conclusions: The results provide preliminary evidence that an intervention improves driver belt fit. More research is needed to establish what aspects of this intervention affected behavior and how effective such an intervention is in the context of public health. Practical applications: These findings can help better inform intervention initiatives to improve occupant belt fit. (C) 2018 National Safety Council and Elsevier Ltd. All rights reserved

Comparison of three-point belt fit between humans and ATDs in rear seats

<p><b>Objective</b>: The anthropomorphic test devices (ATDs) in the Hybrid III family are widely used as human surrogates to test the crash performance of vehicles. A previous study demonstrated that passenger belt fit in rear seats was affected by high body mass index (BMI) and to a lesser extent by increased age. Specifically, the lap belt was worn higher and more forward as BMI and age increased. The objective of this study was to compare passenger belt fit to the belt fit achieved when installing the small female and midsize male Hybrid III adult ATDs using standard procedures.</p> <p><b>Methods</b>: The ATDs were installed using standardized procedures in the same conditions previously used with volunteers. Belt fit was measured using methods analogous to those used for the volunteers. Comparative human belt fit values were obtained by using regression analysis with the volunteer data to calculate the mean expected belt fit for people the same size as the ATDs.</p> <p><b>Results</b>: For the small female ATD, the upper edge of the lap belt was on average 59 mm forward and 11 mm above the anterior–superior iliac spine (ASIS) landmark on the ATD pelvis bone. In contrast, the belt position for similar size passengers was 17 mm forward and 22 mm above the ASIS. For the midsize male ATD, the belt was 34 mm forward and 10 mm above the ASIS. For similar size passengers, the position was 38 mm forward and 44 mm above the ASIS. For context, the belt width in this study was 38 mm.</p> <p><b>Discussion</b>: The results suggest that the lap belt fit obtained by ATDs is more idealized but more repeatable compared to that achieved by similar size passengers. Future standardization efforts should consider investigating whether new belt-positioning procedures with ATDs may improve the biofidelity of ATD response.</p