scholarly journals Motor Vehicle Crash-Related Subdural Hematoma from Real-World Head Impact Data

2012 ◽  
Vol 29 (18) ◽  
pp. 2774-2781 ◽  
Author(s):  
Jillian E. Urban ◽  
Christopher T. Whitlow ◽  
Colston A. Edgerton ◽  
Alexander K. Powers ◽  
Joseph A. Maldjian ◽  
...  
Keyword(s):  
Real World ◽  
Subdural Hematoma ◽  
Motor Vehicle ◽  
Head Impact ◽  
Motor Vehicle Crash ◽  
Vehicle Crash ◽  
Impact Data

Combining Clinical Neuroimaging and Real-World Impact Data to Investigate Motor Vehicle Crash-Related Subarachnoid Hemorrhage

2012 ◽  
Author(s):  
Jillian E. Urban ◽  
Christopher T. Whitlow ◽  
Joseph A. Maldjian ◽  
Alexander K. Powers ◽  
Joel D. Stitzel
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Brain Injury ◽  
Motor Vehicle ◽  
Head Injuries ◽  
Motor Vehicle Crash ◽  
Vehicle Crash ◽  
Vehicle Structure ◽  
Occupant Injury ◽  
Impact Data ◽  
The Relationship

Approximately 1.7 million people sustain a traumatic brain injury (TBI) each year, with motor vehicle crash (MVC) representing the leading cause for hospitalization. Subarachnoid hemorrhage (SAH) is the most common AIS 3+ injury resulting from MVC-related trauma. Little is known, however, about the relationship between specific crash parameters and resulting intracranial trauma. Yoganandan et al performed a study of 132 occupants with severe-to-fatal head injuries, showing that direct contact loading of the head results in a high percentage of occupants with brain injury with the most frequent contact being the pillars[1]. A study by Morris et al showed almost one-quarter of severe head injuries occur due to contact with an interior vehicle structure. Additionally, injuries that are more diffuse in nature occur with an interior contact within the vehicle[2]. In this study, SAH volume in addition to total injured volume of the brain was analyzed in order to better understand occupant injury, with the hypothesis that these traumatic neuroimaging findings would correlate with specific crash parameters.

Experimental Application of Global Positioning system To Locate Motor Vehicle Crashes: Impact on Time and Accuracy

1998 ◽  
Vol 1625 (1) ◽  
pp. 41-49 ◽  
Author(s):  
John S. Miller ◽  
Duane Karr
Keyword(s):  
Global Positioning System ◽  
Human Error ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Positioning System ◽  
Gps Receivers ◽  
Crash Data ◽  
Vehicle Crash ◽  
Global Positioning ◽  
Conventional Methods

Motor vehicle crash countermeasures often are selected after an extensive data analysis of the crash history of a roadway segment. The value of this analysis depends on the accuracy or precision with which the crash itself is located. yet this crash location only is as accurate as the estimate of the police officer. Global Positioning System (GPS) technology may have the potential to increase data accuracy and decrease the time spent to record crash locations. Over 10 months, 32 motor vehicle crash locations were determined by using both conventional methods and hand-held GPS receivers, and the timeliness and precision of the methods were compared. Local crash data analysts were asked how the improved precision affected their consideration of potential crash countermeasures with regard to five crashes selected from the sample. On average, measuring a crash location by using GPS receivers added up to 10 extra minutes, depending on the definition of the crash location, the technology employed, and how that technology was applied. The average difference between conventional methods of measuring the crash location and either GPS or a wheel ranged from 5 m (16 ft) to 39 m (130 ft), depending on how one defined the crash location. Although there are instances in which improved precision will affect the evaluation of crash countermeasures, survey respondents and the literature suggest that problems with conventional crash location methods often arise from human error, not a lack of precision inherent in the technology employed.

Left Hemidiaphragm Rupture Following High-Speed Motor Vehicle Crash

2012 ◽  
Vol 41 (4) ◽  
pp. 130-132
Author(s):  
Michelle Bittle ◽  
Eric Hoffer ◽  
Jeffrey D. Robinson
Keyword(s):  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Vehicle Crash ◽  
Left Hemidiaphragm

scholarly journals Psychological distress following a motor vehicle crash: evidence from a statewide retrospective study examining settlement times and costs of compensation claims

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017515 ◽  
Author(s):  
Rebecca Guest ◽  
Yvonne Tran ◽  
Bamini Gopinath ◽  
Ian D Cameron ◽  
Ashley Craig
Keyword(s):  
At Risk ◽  
Psychological Distress ◽  
Retrospective Study ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Multivariate Logistic Regression Analysis ◽  
Musculoskeletal Injury ◽  
Motor Vehicle Crash ◽  
Insurance Companies ◽  
Vehicle Crash

ObjectiveTo determine whether psychological distress associated with musculoskeletal injuries sustained in a motor vehicle crash (MVC), regardless of time of onset, impacts compensation outcomes such as claim settlement times and costs. Second, to identify factors routinely collected by insurance companies that contribute to psychological distress during the compensation process.DesignStatewide retrospective study.Data sourceAnalysis of the New South Wales statewide (Australia) injury register for MVC survivors who lodged a compensation claim from 2011 to 2013.Participants6341 adults who sustained a musculoskeletal injury and who settled a claim for injury after an MVC. Participants included those diagnosed with psychological distress (n=607) versus those not (n=5734).Main outcome measuresTime to settlement and total costs of claims, as well as socio-demographic and injury characteristics that may contribute to elevated psychological distress, such as socio-economic disadvantage, and injury severity.ResultsPsychological distress in those with a musculoskeletal injury was associated with significantly longer settlement times (an additional 17 weeks) and considerably higher costs (an additional $A41 575.00 or 4.3 times more expensive). Multivariate logistic regression analysis identified risk factors for psychological distress including being female, social disadvantage, unemployment prior to the claim, not being at fault in the MVC, requiring ambulance transportation and rehabilitation as part of recovery.ConclusionsResults provide compelling evidence that psychological distress has an adverse impact on people with musculoskeletal injury as they progress through compensation. Findings suggest that additional resources should be directed toward claimants who are at risk (eg, the socially disadvantaged or those unemployed prior to the claim), the major aim being to reduce risk of psychological distress, such as post-traumatic stress disorder, and associated risk of increased settlement times and claim costs. Prospective studies are now required that investigate treatment strategies for those at risk of psychological distress associated with an MVC.

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