PP29 Improving buckle up in EMS study (iBEST)

2021 ◽  
Vol 38 (9) ◽  
pp. A12.3-A13
Author(s):  
Maneeporn Thavaravej ◽  
Dhanadol Rojanasarntikul

BackgroundAccording to NHTSA (National Highway Traffic Safety Administration), data collected from 1992-2011 showed that 84 percent of EMS provider was not restrained while working; increasing the severity of injury when an ambulance crashes or abruptly stop.ObjectivesTo increase the awareness of EMS providers focusing on safety belt usage during their work.MethodThe study design is a prospective study including fifteen of physicians, nurses, paramedics, ambulance driver, and nurse aid from King Chulalongkorn Memorial Hospital, whom went on duty from April to October 2020. The collected data includes demographic data, occupation and its safety, reasons for not using seat belt. The data related to seat belt usage collected were then described and analysed by Mixed-effects Poisson Regression method and interpreted as Incident Rate Ratio (IRR) with 95% confidence interval (95% CI) and p-value.Result3 out of 15 (20%) did not use seat belt in the period before warning stickers were posted in the ambulance. When compared to 1 month after warning stickers were posted, the number of sample using seatbelt while working/travelling in the ambulance elevated to 11 out of 15 (73.33%) [IRR (95%CI) =3.66 (95% CI: 1.02, 13.13), p = 0.046].While at 3 months and 6 months, 10 out of 15 (66.77%) and 6 out of 15 (40%) still adhere to seat belt use, respectively. There is no statistical significance with the rate of seatbelt usage comparing between one, three, and six months after the warning stickers were posted. The most common reason for not using seatbelt is 1) seat cover covering the seatbelt 2) obstructing work 3) cannot reach equipment.ConclusionWarning stickers posted in the ambulance can increase awareness for seatbelt use of King Chulalongkorn Hospital’s EMS personnel while working.

Author(s):  
Donald S. Burke ◽  
Martha W. Bidez ◽  
Kathryn M. Mergl

In 2008, motor vehicle collisions resulted in 968 child occupant fatalities and 193,000 seriously injured children, ages 14 years old and younger, according to the most recent data provided by the National Highway Traffic Safety Administration (NHTSA) [1]. In fact, motor vehicle collisions are the leading cause of death for all children ages 3 to 14 years old living in the United States [1]. As children grow older they require size-appropriate restraint types to fit their body at each developmental level. For older children, booster seats are not a total solution for child safety as they are often dependent on the design of the vehicle seat belt system (2). Additionally, there is no federal standard that requires vehicle manufacturers to dynamically test the performance of child seats of any type in their vehicles.


Author(s):  
Caroline Crump ◽  
Robyn Brinkerhoff ◽  
Douglas Young

The National Highway Traffic Safety Administration (NHTSA) recently published a final rule requiring lap/shoulder seat belts in all new large motorcoaches and buses manufactured on or after November 28, 2016 (NHTSA, 2013). Studies of vehicle belt use in passenger vehicles demonstrate that many factors other than availability influence whether a seat belt is used by an individual in a particular circumstance. The present observational study examined passenger seat belt use in airport shuttle buses traveling short distances over urban roads with frequent stops, in four U.S. cities. Seat belts were used very rarely when provided - only 1% (2 out of 156) of passengers buckled up. These findings are consistent with other studies of passenger seat belt use in motorcoach buses, and suggest that without concomitant legislation mandating and enforcing seat belt usage, the vast majority of bus passengers are unlikely to use seat belts even when provided.


Author(s):  
Subasish Das ◽  
Srinivas R. Geedipally ◽  
Karen Dixon ◽  
Xiaoduan Sun ◽  
Chaolun Ma

The National Highway Traffic Safety Administration’s (NHTSA) guideline on state motor vehicle inspection programs recommends that states should maintain a vehicle safety inspection program to reduce the crash outcomes from the number of vehicles with existing or potential conditions. Some states have started to terminate the vehicle safety inspection program because of insufficient effectiveness measures, budget constraints, and modern safer automobiles. Despite the consensus that these periodic inspection programs improve vehicle condition and improve safety, research remains inconclusive about the effect of safety inspection programs on crash outcomes. There is little recent research on the relationship between vehicle safety inspection programs and whether these programs reduce crash rates or crash severities. According to the 2011–2016 Fatality Analysis Reporting System (FARS) data, nearly 2.6% of fatal crashes happened as a result of the vehicle’s pre-existing manufacturing defects. NHTSA’s vehicle complaint database incorporates more than 1.4 million complaint reports. These reports contain extended information on vehicle-related disruptions. Around 5% of these reports involve some level of injury or fatalities. This study used these two databases to determine the effectiveness of vehicle inspection regulation programs in different states of the U.S. A statistical significance test was performed to determine the effectiveness of the vehicle safety inspection programs based on the states with and without safety inspection in place. This study concludes that there is a need for vehicle safety inspections to be continued for the reduction of vehicle complaints.


PEDIATRICS ◽  
1971 ◽  
Vol 47 (5) ◽  
pp. 956-956
Author(s):  
William F. Rowley ◽  
Eugene Lariviere ◽  
Charles W. Dietrich

I would like to call your readers' attention to the effective date of the Motor Vehicle Safety Standard No. 213, Child Seating Systems, which is April 1, 1971.1 This ruling provides that child seating systems offered for sale have to meet specifications set by the National Highway Traffic Safety Administration. Now, for the first time, a physician, who can and should recommend that parents of young children purchase restraining devices, can be assured that these devices will provide effective restraint.


2007 ◽  
Vol 35 (2) ◽  
pp. 70-93
Author(s):  
Marion G. Pottinger ◽  
Joseph D. Walter ◽  
John D. Eagleburger

Abstract The Congress of the United States petitioned the Transportation Research Board of the National Academy of Sciences to study replacement passenger car tire rolling resistance in 2005 with funding from the National Highway Traffic Safety Administration. The study was initiated to assess the potential for reduction in replacement tire rolling resistance to yield fuel savings. The time required to realize these savings is less than the time required for automotive and light truck fleet replacement. Congress recognized that other factors besides fuel savings had to be considered if the committee’s advice was to be a reasonable guide for public policy. Therefore, the study simultaneously considered the effect of potential rolling resistance reductions in replacement tires on fuel consumption, wear life, scrap tire generation, traffic safety, and consumer spending for tires and fuel. This paper summarizes the committee’s report issued in 2006. The authors, who were members of the multidisciplinary committee, also provide comments regarding technical difficulties encountered in the committee’s work and ideas for alleviating these difficulties in further studies of this kind. The authors’ comments are clearly differentiated so that these comments will not be confused with findings, conclusions, and recommendations developed by the committee and contained in its final report.


1981 ◽  
Vol 9 (1) ◽  
pp. 19-25 ◽  
Author(s):  
G. S. Ludwig ◽  
F. C. Brenner

Abstract Belted bias and radial Course Monitoring Tires were run over the National Highway Traffic Safety Administration tread wear course at San Angelo on a vehicle instrumented to measure lateral and longitudinal accelerations, speed, and number of wheel rotations. The data were recorded as histograms. The distribution of speed, the distributions of lateral and longitudinal acceleration, and the number of acceleration level crossings are given. Acceleration data for segments of the course are also given.


1999 ◽  
Author(s):  
William G. Broadhead ◽  
D. Theodore Zinke

Abstract The design of an airbag restraint system presents a classic engineering challenge. There are numerous design parameters that need to be optimized to cover the wide range of occupant sizes, occupant positions and vehicle collision modes. Some of the major parameters that affect airbag performance include, the airbag inflator characteristics, airbag size and shape, airbag vent size, steering column collapse characteristics, airbag cover characteristics, airbag fold pattern, knee bolsters, seat, seat belt characteristics, and vehicle crush characteristics. Optimization of these parameters can involve extremely costly programs of sled tests and full scale vehicle crash tests. Federal Motor Vehicle Safety Standards (FMVSS) with regard to airbag design are not specific and allow flexibility in component characteristics. One design strategy, which is simplistic and inexpensive, is to utilize a very fast, high output gas generator (inflator). This ensures that the bag will begin restraining the occupant soon after deployment and can make up for deficiencies in other components such as inadequate steering column collapse or an unusually stiff vehicle crush characteristic. The use of such inflators generally works well for properly positioned occupants in moderate to high-speed frontal collisions by taking advantage of the principle of ridedown. When an airbag quickly fills the gap between the occupant and the instrument panel or steering wheel it links him to the vehicle such that he utilizes the vehicle’s front-end crush to help dissipate his energy, thus reducing the restraint forces. Unfortunately, powerful airbag systems can be injurious to anyone in the path of the deploying airbag. This hazard is present for short statured individuals, out of position children or any occupant in a collision that results in extra ordinary crash sensing time. Currently, the National Highway Traffic Safety Administration (NHTSA) is proposing to rewrite FMVSS 208 to help reduce such hazards.


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