Traffic injury prevention
-
Traffic injury prevention · Jan 2013
Crash involvement of motor vehicles in relationship to the number and severity of traffic offenses. An exploratory analysis of Dutch traffic offenses and crash data.
To establish the statistical relationship between offenses and crashes when the unit of analysis is the vehicle instead of the driver, to show the influence of the severity (e.g., minor speed offenses) on this relationship, and to research whether the form of this relationship is similar in different enforcement contexts. ⋯ The crash involvement of vehicles increased more than linearly with the number of minor traffic violations. Thus, automatic detection of minor offenses bears relevance to safety. The substantial increase in crash rates with speed offense frequency for vehicles with at least one major speed violation suggests that these vehicles represent a specific group with a significantly increased crash risk, especially in the case of many minor offenses. The more progressive relationship between offenses and crashes in The Netherlands when compared to Canada was hypothesized to result from the higher intensity camera enforcement levels and less severe consequences in the Dutch enforcement and adjudication system.
-
Traffic injury prevention · Jan 2013
Police documentation of alcohol involvement in hospitalized injured drivers.
Injured drivers with blood alcohol concentration (BAC) above the legal limit are rarely convicted of impaired driving. One explanation is that police may have difficulty recognizing alcohol intoxication in injured drivers. In this study, we compare police documentation of alcohol involvement with BAC measured on arrival at a hospital. Our objectives were to determine how often police document alcohol involvement in injured drivers with BAC ≥ 0.05 percent and identify factors that influence police documentation of alcohol involvement. ⋯ Police recognized and documented alcohol involvement in 72 percent of injured drivers with BAC ≥ 0.05 percent. Police documentation of alcohol involvement was more common at higher BAC levels, in nighttime or single-vehicle crashes, for drivers who committed traffic violations or drove unsafely, and for drivers with a prior record of impaired driving. The low conviction rate of injured impaired drivers does not appear to be due to police inability to recognize alcohol involvement.
-
Traffic injury prevention · Jan 2013
The result of a baseline survey on drink driving in Nanning and Liuzhou of Guangxi Province, China.
Because the official data in China on drink-driving accidents as well as related fatalities and injuries are much lower than many of the developed and developing countries in the world, the Global Road Safety Partnership (GRSP) decided to conduct a baseline survey to understand the prevalence of drink driving and related accidents in Nanning and Liuzhou, both in Guangxi Province, in order to develop targeted interventions. ⋯ Valuable information was obtained from the baseline survey to provide a better understanding of the drink driving situation in Nanning and Liuzhou. From the survey data it can be seen that drinking and driving was a major issue in both cities. A drink driving intervention was developed with both components of public education/social marketing and enforcement activities after the survey, which was conducted in 2008. However, this article will focus on the methodology and results of the baseline survey, not the activities and outcome of the intervention.
-
Traffic injury prevention · Jan 2013
Head injuries to restrained occupants in single-vehicle pure rollover crashes.
Studies performed previously of seat-belted occupants in real-world passenger vehicle rollover-only crashes have identified the head as one of the body regions most often seriously injured. However, there have been few studies investigating how these head injuries occur in any detail. This study aims to investigate the characteristics and patterns of head injury to seat-belted occupants in real-world rollover-only crashes and to identify possible biomechanical mechanisms responsible for head injury to aid in the development of a dynamic rollover test protocol. ⋯ Serious brain injuries appear to occur frequently as a result of loading to the periphery of the head from contact with the roof assembly. Two mechanisms of injury for basal skull fractures in rollover crashes were identified. The injury patterns and locations of contact to the head are sensitive to the seated position of the occupant.
-
Traffic injury prevention · Jan 2013
The effect of earlier or automatic collision notification on traffic mortality by survival analysis.
This article explores the effects of earlier emergency medical services (EMS) or automatic collision notification (ACN) and EMS arrival on passenger/driver survivability within the short time frame following traffic crashes. ⋯ This article obtains the driver/passenger survival probability differences over time under different conditions of collision notifications, EMS arrivals, and crash locations; furthermore, this analysis provides an estimation of the lives that could potentially be saved (approximately 154 to 290 per year) due to earlier ACN.