Accident; analysis and prevention
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This article evaluates, by means of multivariate regression, critical factors influencing the collisions of motor vehicles with adult (over 17 years) cyclists that result in fatal injury of cyclists. The analysis is based on the database of the Traffic Police of Czech Republic from the time period 1995-2007. The results suggest that the most consequential categories of factors under study are: inappropriate driving speed of automobile; the head-on crash; and night-time traffic in places without streetlights. ⋯ The most vulnerable age group are cyclists above 65 years. A fatal injury of a cyclist is more often driver's fault than cyclist's (598 vs. 370). In order to reduce the fatal risk, it is recommended to separate the road traffic of motor vehicles from bicyclists in critical road-sections; or, at least, to reduce speed limits there.
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Comparative Study
Triage and Injury Severity Scores as predictors of mortality and hospital admission for injuries: a validation study.
Many emergency departments use a rating system to establish priority based on urgency: "triage". The aim of this study was to evaluate the validity of triage in predicting hospitalization and mortality compared to that of the ICD-9-CM based Injury Severity Score (ISS). ⋯ The agreement between the two scales confirms the validity of triage as a clinical management tool in the emergency department, and as a proxy of trauma severity.
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Comparative Study
Nilsson's Power Model connecting speed and road trauma: applicability by road type and alternative models for urban roads.
Nilsson (1981) proposed power relationships connecting changes in traffic speeds with changes in road crashes at various levels of injury severity. Increases in fatal crashes are related to the 4(th) power of the increase in mean speed, increases in serious casualty crashes (those involving death or serious injury) according to the 3(rd) power, and increases in casualty crashes (those involving death or any injury) according to the 2(nd) power. Increases in numbers of crash victims at cumulative levels of injury severity are related to the crash increases plus higher powers predicting the number of victims per crash. ⋯ The estimated power applicable to serious casualties on urban arterial roads was significantly less than that on rural highways, which was also significantly less than that on freeways. Alternative models linking the parameters of speed distributions with road trauma are reviewed and some conclusions reached for their use on urban roads instead of Nilsson's model. Further research is needed on the relationships between serious road trauma and urban speeds.
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A typical hazard perception test presents participants with a single-screen view of the road ahead. This study assessed how increasing this field of view would affect hazard perception abilities. Drivers were shown video clips of driving situations containing at least one hazard either on a single screen, or with the addition of side views on two separate but adjacent screens that extended the perceived worldview to approximately 180 degrees. ⋯ A number of reasons for the three-screen advantage are discussed. This study suggests that even responses to central hazards may be under-estimated in a typical single-screen hazard perception test, and that improvements can be made for new hazard perception tests, by including visual information from the side and from behind the driver. This new methodology not only allows testing hazard perception skills in a potentially more immersive and realistic environment, but also enables to create hazard perception clips that cannot be realised in a typical single-screen test.
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Can commentary driving produce safer drivers? Producing a verbal commentary of potential hazards during driving has long been considered by the police to improve hazard perception skills. In this study we investigated whether learner drivers would benefit from being trained to produce a commentary drive. All learners were initially assessed on a virtual route in a driving simulator that contained 9 hazards. ⋯ The results showed that the trained group had fewer crashes, reduced their speed sooner on approach to hazards, and applied pressure to the brakes sooner than untrained drivers. Conversely the untrained drivers' behaviour on approach to hazards was symptomatic of being surprised at the appearance of the hazards. The benefit of training was found to be greater for certain types of hazard than others.