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Published on: September 21, 2017
Head impact contact points for restrained child occupants
Kristy B Arbogast1, Samantha Wozniak, Caitlin M Locey
1Center for Injury Research and Prevention at The Children’sHospital of Philadelphia, 34th and CivicCenter Blvd, Suite 1150, Philadelphia, PA 19104, USA. arbogast@email.chop.edu
Insights
Head and face injuries are common in children during car crashes. This study mapped vehicle contact points causing these injuries for rear-seated children, identifying the seat back and B-pillar as key impact areas.
Area of Science:
- Trauma research
- Biomechanics
- Vehicle safety engineering
Background:
- Head injuries are the most frequent injuries in children involved in motor vehicle crashes.
- Previous research highlighted occupant interaction with seat backs and side structures for rear seat occupants.
- Understanding specific contact points is crucial for developing effective countermeasures.
Purpose of the Study:
- To create a contact map of vehicle interior components associated with head and face injuries.
- To analyze injury causation for rear-seated, restrained children in frontal motor vehicle crashes.
- To inform the development of safety interventions for child occupants.
Main Methods:
- Utilized data from the Crash Injury Research and Engineering Network (CIREN).
- Included rear-seated, restrained children (ages 0-15) with head/face injuries (AIS2+) in frontal crashes.
- Developed a contact point map to identify injury causation scenarios.
Main Results:
- Analyzed 21 cases involving children in various restraints (child seats, booster seats, belts).
- Identified the B-pillar as a common contact point for left rear occupants, indicating leftward movement.
- Found the passenger seat back as a frequent contact point for right rear occupants, suggesting forward movement.
Conclusions:
- Delineated head/face injury contact points for restrained children in frontal crashes.
- Head/face injuries were often the most severe, emphasizing the need for mitigation strategies.
- Contact with the first-row seat back and B-pillar were most common; curtain airbags may help reduce impact energy.
Objective:
Head injuries are the most common injuries sustained by children in motor vehicle crashes regardless of age, restraint, and crash direction. For rear seat occupants, the interaction of the subject with the seat back and the vehicle side interior structures has been previously highlighted. In order to advance this knowledge to the development of countermeasures, a summary of vehicle components that contributed to these injuries is needed. Therefore, the objective of this study was to create a contact map of the vehicle interior for head and face injuries to rear-seated restrained children in front crashes.
Methods:
The Crash Injury Research and Engineering Network (CIREN) was queried for rear-seated, restrained child occupants (age 0-15 years) in forward-facing child restraints, booster seats, or lap and shoulder belts who sustained an AIS2+ head and/or face injury in a frontal motor vehicle crash. Cases were analyzed to describe injury patterns and injury causation scenarios. A contact point map was developed to summarize the vehicle components related to injury causation of the head/face injury.
Results:
Twenty-one cases met the combined inclusion and exclusion criteria. Seven of the child occupants were restrained in forward-facing child restraints, 2 in belt-positioning booster seats, and 12 in lap and shoulder belts. There were 28 head and 17 facial injuries. For left rear occupants, the most common contact point was the pillar in front of the occupant's seat row; that is, B-pillar for second-row occupants, indicating a leftward kinematics. For right rear occupants, due to differences in crash dynamics, the most common contact point location was the passenger's seat back, suggesting that these occupants moved predominantly forward.
Conclusions:
Contact points associated with head/face injury for restrained children 0 to 15 years in frontal crashes have been delineated. In a majority of the cases, the head/face injury was the most severe injury and severe injuries to other body regions were uncommon, suggesting that efforts to mitigate head injuries for these occupants would greatly improve their overall safety. The majority of the head/face contact points were to the first row seat back and B-pillar. In these frontal crashes, the importance of head/face contact with the vehicle side structure suggests that deploying a curtain air bag in frontal impacts may help manage the energy of impact. These data advance the current understanding of injury patterns and causation in frontal crashes involving restrained rear-row occupants and can be used to develop solutions to mitigate the injuries sustained.
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