Car seats: Facing backward is the way forward

Trauma ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 68-72
Author(s):  
Jo Han Gan ◽  
Caroline Davison ◽  
Nick Prince ◽  
Anami Gour
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Epidemiological Data ◽  
Crash Test ◽  
Road Traffic Accidents ◽  
Mortality And Morbidity ◽  
Sled Test ◽  
Car Seats ◽  
Car Seat ◽  
One Year

Road traffic accidents are one of the commonest causes of death in children. Child safety car seats have played a pivotal role in reducing the mortality and morbidity associated with road traffic accidents. However, there have been some concerns about the about the design of front facing car seats versus their rear facing counterparts. Legislation governing the use of rear facing car seats is variable, with some Scandinavian countries recommending their use up to the age of four, while others mandate their use only until one year of age. We present three case narratives of patients aged under 3 years who sustained catastrophic injuries after being involved in a road traffic accident despite being placed in an appropriately sized forward facing car seat. We reviewed the literature for evidence comparing the safety and efficacy of front versus rear facing car seats. Accident registry and crash test results support the increased safety of rear facing child seats. Frontal sled test have demonstrated that forward facing car seats expose children to much higher neck loads and chest displacement resulting in higher injury scores. Epidemiological data from registries and observational studies support the experimental data and demonstrate a clear injury-reducing effect of rear facing child seats compared to their forward facing counterpart. We recommend keeping children in rear facing car seats until the age of four, which is common practice in Sweden.

scholarly journals Smoke, don't smoke – two steps forward one step back

1996 ◽  
Vol 20 (11) ◽  
pp. 688-689
Author(s):  
John Dunn ◽  
Ronaldo R. Laranjeira
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Health Policies ◽  
Road Traffic Accidents ◽  
Healthy City ◽  
Public Health Policies ◽  
Car Seat ◽  
Legal Challenges ◽  
Form Part ◽  
One Step

The mayor of Sao Paulo, Paulo Maluf, has a bullish approach to arguing and is not renowned for his subtlety. Despite this he has been a key campaigner and instigator of various public health policies that form part of an international “healthy city” initiative. The most successful of these has been the introduction of a law making the use of car seat belts compulsory, which has led to a massive reduction in the number of fatal road traffic accidents. An attempt to prohibit cigarette smoking in restaurants has been less successful owing to a number of legal challenges that have left the legislation in a consitutional and legal limbo – but the fight goes on.

scholarly journals Maxillofacial Injuries Related to Road Traffic Accidents: A Five Year Multi Center Analysis

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1694708
Author(s):  
Utsav Singh Gurung ◽  
Gaurav Singh ◽  
Madan Mishra ◽  
Shubhamoy Mondal ◽  
Amit Gaur
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Treatment Protocol ◽  
Care Program ◽  
Epidemiological Data ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries ◽  
Chi Square ◽  
Periodic Evaluation

The purpose of this study was to assess the epidemiological data on maxillofacial injuries related to road traffic accidents from two multispecialty medical centers in India, and then evaluate their incidence and pattern. Data were extracted from the medical records of all road traffic accident victims with maxillofacial injuries who reported to the centers between January 2013 and December 2017. Descriptive statistics and chi-square test were used for statistical analysis; significance was set at p < 0.05. Out of 1,110 patients, highest incidence of injuries was observed in the males of age group 20 to 29 years with mean age of 25.95 years (standard deviation, 9.35 years). Head injury, laceration, and tooth luxation were the most common forms of associated injuries. The use of protective helmets and seatbelts was extremely low which was associated to higher risk of facial bone fractures. Violation of traffic rules was the most common etiology behind these accidents. These findings were statistically significant ( p < 0.05). The ever increasing incidence of maxillofacial injuries related to road traffic accidents suggests the need to deal with them promptly and wisely. Keeping an update on the changing pattern of these injuries by continuous recording and periodic evaluation of epidemiological data is helpful in the primary prevention of trauma by evolving a better trauma care program and effective treatment protocol focused on the target groups. The updated data can guide treating physicians in anticipating and diagnosing maxillofacial injuries.

Geographical variations in mortality and morbidity from road traffic accidents in England and Wales

2008 ◽  
Vol 14 (3) ◽  
pp. 519-535 ◽  
Author(s):  
A.P. Jones ◽  
R. Haynes ◽  
V. Kennedy ◽  
I.M. Harvey ◽  
T. Jewell ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
England And Wales ◽  
Mortality And Morbidity ◽  
Geographical Variations

scholarly journals PREVALENCE OF ROAD TRAFFIC ACCIDENTS

2016 ◽  
Vol 23 (04) ◽  
pp. 378-382
Author(s):  
Tajammal Abbas Shah
Keyword(s):  
Blunt Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Female Ratio ◽  
Surgical Units ◽  
Number Of Patients ◽  
Study Results ◽  
One Year ◽  
Surgical Unit

To see the percentage, the different groups affected and pattern of injury by roadtraffic accidents among patients attending a unit of surgery in a teaching hospital. Objectives: Tosee the percentage of trauma among patients admitted in one surgical unit of a tertiary hospitalin one year and to compare this with the patients admitted in all surgical units of same tertiaryunit. To evaluate the pattern of trauma, male to female ratio, affected age groups, mechanismof injury, the organs affected, and the mortality rate in one surgical unit of a tertiary hospital of3rd most populated city of Pakistan during one year. Study Design: Prospective study. Setting:Surgical Unit II at Allied Hospital Faisalabad. Period: January 2009 to February 2010. Materialsand Methods: Patients admitted during this period for road traffic accidents in surgical unit IIof Allied Hospital Faisalabad were 94 (4.8 %) out of total 1956 patients presented and admittedin surgical unit II during this year. Total number of patients admitted in all surgical units of thishospital were 7388 while 21,400, patients received and admitted by all other specialties throughemergency units of Allied Hospital Faisalabad. Patients with road traffic accidents admitted insurgical unit II through emergency unit of this hospital were part of this study. Among these94 patients 78 patients (82.97%) were adults and 18 children (19.14%). Patients with all otheremergencies modalities and minor injuries treated and discharged from emergency wereexcluded from this study. Results: Out of 1956 patients admitted in Surgical Unit II from total 7388of all surgical admissions and 21400 all emergencies ward patients, 94 patients (4.8%, 1.27%,and 0.439% respectively) were injured by road traffic accidents. Out of these 94 patients, 78patients (82.97%) were adults and 18 children (19.14%) patients. 58 patients (61.70%) were malesand 36 patients (38.29%) were females. 43 patients (45.74%) were pedestrians, 10 patients were(10.63%) on bicycles, 26 patients were (27.65%) on motorcycle while 15 patients (15.95%) werein other vehicles. 52 patients (55.31%) developed head injuries, 10 patients (10.93%) blunt traumaabdomen, 5 patients (5.31%) blunt trauma chest and 26 patients (27.65%) skeletal injuries ( 10patients forearm bones fracture, 6 patients with fracture mid-shaft of tibia, another 5 patients withfracture lower 1/3rd of femur and 5 patients with hand bones fracture ). All patients were treated bycombined specialty trauma surgeons. 3 patients (3.19%) died out of which 2 patients (2.12%) withsevere head trauma and one pedestrian (1.06%) with blunt trauma abdomen and lower chest. Allother patients survived and recovered with some morbidity. Conclusion: Road traffic trauma isone of major dilemma of our society. 94 road traffic accidents causalities were admitted duringone year in one surgical unit of a tertiary care center and 3 patients died. It is an alarming signto properly protect people, educate general population, employ dedicated road safety staff andfollow rules and regulation of traffic authorities.

scholarly journals An Autopsy-Based Analysis of Fatal Road Traffic Collisions: How the Pattern of Injury Differs with the Type of Vehicle

Trauma Care ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 162-172
Author(s):  
Stefano Tambuzzi ◽  
Wendelin Rittberg ◽  
Cristina Cattaneo ◽  
Federica Collini
Keyword(s):  
Traffic Accidents ◽  
Brain Injuries ◽  
Road Traffic ◽  
Epidemiological Data ◽  
Road Traffic Accidents ◽  
Traffic Fatalities ◽  
Abdominal Injuries ◽  
Pattern Of Injury ◽  
Thoracic And Abdominal ◽  
Thoracic And Abdominal Injuries

In Italy, in only 2018, 3310 people died in road traffic accidents, more than in any other European country. Since the revelation of this occurrence, the authors carried out an analysis aimed at investigating if there was a difference in the injury patterns among different road users. A retrospective post-mortem study on road traffic fatalities was performed, which had been autopsied at the Institute of Forensic Medicine of Milan. First, the authors analyzed the epidemiological data of all the 1022 road traffic accidents subjected to an autopsy from 2007 to 2019. Secondly, further analysis of individual autopsy reports was carried out. For this purpose, 180 autopsies belonging to 5 different categories were analyzed: car, pedestrian, motorbike, bicycle, and truck. Seventy-six percent of road traffic fatalities were male, 54% were between 10 and 49 years of age, and 62% of the patients died before arriving at a hospital. “Multiple injuries” was the main cause of death. Traumatic brain injuries were particularly high in pedestrians and cyclists. In car, motorbike, and truck fatalities, thoracic and abdominal injuries were the most frequent. Therefore, pedestrians and cyclists had a higher prevalence for traumatic head injuries, while car, motorcycle, and truck occupants, on the other hand, had a higher prevalence for thoracic and abdominal injuries.

scholarly journals Study of the Injured Persons and the Injury Pattern in Road Traffic Accident in Sana’a City, Yemen

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Abdulhameed Ali Al-Thaifani ◽  
Nabil Ahmed Al-Rabeei ◽  
Abdulsalam Mohammed Dallak
Keyword(s):  
Public Health ◽  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Public Health Problem ◽  
Road Accident ◽  
Health Concern ◽  
Road Traffic Accidents ◽  
Mortality And Morbidity ◽  
Significant Public Health

Background. Fatal road traffic accidents constitute a significant public health problem. Aim. The aim of the study was to analyze road traffic accidents in Sana’a city, Yemen, during 2013–2015. Methods. The required information and data of accidents were collected, respectively, from police reported road accident statistics, Sana’a city. 11684 cases of road traffic accidents during period 2013–2015 were studied. Results. 840 people were killed and 9760 people were injured in RTAs during 2013–2015 in Sana’a city. The accident rates per 100000 of the population were 234.8 in 2013, 180.3 in 2014, and 92.2 in 2015. Mortality rates per 100000 of the population were 15.17 in 2013, 12.2 in 2014, and 8.9 in 2015. High speed was the single most important factor responsible for accidents, deaths, and injuries accounting for 38.1% of RTAs followed by drivers’ fault accounting for 18.9% of the total RTAs. The most common age group involved was ≥18 years. Males accounted for 83.1% of killed and injured persons. Most frequent victims of road traffic accidents were vehicles motor (48.9%) followed by pedestrians (38.1%). More than half of RTAs occurred on the straight road. Conclusion. RTAs are a major source of public health concern in Sana’a city, Yemen. Preventive measures to reduce the burden of mortality and morbidity due to road accidents should be introduced.

Whiplash Protection by Energy Absorbing Car-Seat Concepts

2010 ◽  
Author(s):  
Selcuk Himmetoglu ◽  
Memis Acar ◽  
Kaddour Bouazza-Marouf ◽  
Andy J. Taylor
Keyword(s):  
Traffic Accidents ◽  
Computational Models ◽  
Road Traffic ◽  
Human Model ◽  
Whiplash Injuries ◽  
Sled Test ◽  
Car Seat ◽  
Rear Impact ◽  
Wide Range ◽  
Energy Absorbing

Whiplash injury/disorder is a common neck-injury in road traffic accidents. This paper introduces energy absorbing car-seat concepts which can reduce the risk of whiplash injuries. Computational multi-body models of a generic car seat and a biofidelic 50th-percentile male human model for rear impact are developed to assess the effectiveness of the proposed car-seat concepts. The numerical sled-test-simulations show that the proposed car-seat concepts can successfully mitigate whiplash injuries for a wide range of crash severity by utilising energy absorbing devices which can remain reusable after a rear-impact. A physical model of a proposed car-seat concept is built and tested to verify the computational models.

scholarly journals A Comparative Study on Epidemiology, Spectrum and Outcome Analysis of Physical Trauma cases Presenting to Emergency Department of Dhulikhel Hospital, Kathmandu University Hospital and its Outreach Centers in Rural Area

2015 ◽  
Vol 11 (3) ◽  
pp. 241-246 ◽  
Author(s):  
R Shrestha ◽  
SK Shrestha ◽  
SR Kayastha ◽  
N Parajuli ◽  
D Dhoju ◽  
...  
Keyword(s):  
Emergency Department ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Outcome Evaluation ◽  
University Hospital ◽  
Mortality And Morbidity ◽  
Physical Trauma ◽  
Fall From Height ◽  
Set Up ◽  
One Year

Background Physical trauma is one of the major cause of mortality and morbidity among young and active age group and its increasing trend is of main concern. There are only few studies concerning the spectrum of physical trauma in Nepal. Objective This study aims to evaluate the epidemiological spectrum, the extent, severity of the physical trauma and the outcome evaluation of patients with physical trauma over a period of one year in the emergency department of the Kathmandu University Hospital and compare the same parameters with those patients presenting to the various outreach centers of the hospital in the community. Methods Patient treatment files from the emergency department and the reports from various outreach centers were retrieved for a period of one year (May 2011 to April 2012). Epidemiological information, mode, type and anatomic location of injuries were recorded. Outcome evaluation was assessed by number of patients discharged from emergency department of the hospital or the outreach centers after the treatment, patients admitted for inpatient management and referred to other centers for further specialty management. Result In a period of one year, total 2205 (20%) of physical trauma cases presented to the emergency department and 1994 (6.12%) in the outreach centres. Most commonly involved age group in physical trauma both in Hospital set up and in Community set up were the young adults (15 to 49 years). Fall from height was the commonest mode of injury followed by road traffic accidents among the patients coming to the hospital while significant number of trauma patients coming to outreach centers were due to fall from height. In the hospital set up, 1525 (69.2%) of the cases were discharged while 537 (24.4%) needed inpatient management and 85 (3.8%) needed referral to other centers for the specialty management. In case of outreaches, half of the patients were discharged after the primary treatment and almost another half were referred to the hospital, mainly for need of further investigations. Conclusion Fall related injuries and road traffic accidents are the most common mode of trauma in the hospital set up and fall related injuries are the single most important mode of trauma seen in the outreaches. Mostly young adults in their active period of life are involved in physical trauma so appropriate preventive measures through public health approach should be included in comprehensive trauma management for reducing mortality and morbidity rates related to physical trauma. DOI: http://dx.doi.org/10.3126/kumj.v11i3.12513 Kathmandu Univ Med J 2013; 43(3):241-246

Chemical Toxicology for the Coroner

1989 ◽  
Vol 8 (5) ◽  
pp. 375-379
Author(s):  
W.P. Tormey ◽  
H. Crosse ◽  
A. Pierce
Keyword(s):  
Positive Result ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Beaumont Hospital ◽  
Road Accident ◽  
Positive Finding ◽  
Road Traffic Accidents ◽  
Chemical Toxicology ◽  
One Year ◽  
The One

Toxicology results from all 302 coroners' cases referred to the supraregional unit at Beaumont Hospital over the one year period December 1987 to November 1988 are detailed. Clinical details were provided in 69.5% and formed the basis for the formation of four groups; road traffic accidents, suicides, possible suicides and possible carbon monoxide poisonings. All tests reported were instigated by the referring pathologist on behalf of the coroner. Alcohol was measured in all except 11 patients and a positive result was found in 44%. Drug screens were performed in 68.5% of cases with a positive finding in 30%. At least one positive result was found in 61.9% of the total. In the 60.4% of 53 road accident victims where alcohol was found, the median value was 117 mg/dl. COHb was measured in 23 cases and the median saturation was 45%. There were 12 suicides and agents found included paraquat, CO, cyanide, pancuronium bromide, and amitriptyline. Alcohol levels greater than 120 mg/dl were present in seven. In the 22 cases of suspected suicide, 77.3% were positive for drugs and more than one substance was found in 45.4%.

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