Portal de Periódicos da CAPES

Crash Scene Photography in Motor Vehicle Crashes without Air Bag Deployment

2002; Wiley; Volume: 9; Issue: 9 Linguagem: Inglês

10.1111/j.1553-2712.2002.tb02194.x

1553-2712

Craig D. Newgard, K.A. Martens, Evelyn Lyons,

Traffic and Road Safety

Academic Emergency MedicineVolume 9, Issue 9 p. 924-929 Free Access Crash Scene Photography in Motor Vehicle Crashes without Air Bag Deployment Craig D. Newgard MD, MPH, Corresponding Author Craig D. Newgard MD, MPH Division of Emergency Medicine, Loyola University Medical Center, Maywood, IL Department of Emergency Medicine, Oregon Health & Science University, Portland, OR. Department of Emergency Medicine, Harbor—UCLA Medical Center, Torrance, CA*Department of Emergency Medicine, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Road, Mailcode CR-114, Portland, OR 97201-3098. Fax: 503-494-4997; e-mail: [email protected]Search for more papers by this authorKatherine A. Martens MD, Katherine A. Martens MD Division of Emergency Medicine, Loyola University Medical Center, Maywood, ILSearch for more papers by this authorEvelyn M. Lyons RN, MPH, Evelyn M. Lyons RN, MPH Division of Emergency Medicine, Loyola University Medical Center, Maywood, IL EMS & Highway Safety, Illinois Department of Public Health, Maywood, ILSearch for more papers by this author Craig D. Newgard MD, MPH, Corresponding Author Craig D. Newgard MD, MPH Division of Emergency Medicine, Loyola University Medical Center, Maywood, IL Department of Emergency Medicine, Oregon Health & Science University, Portland, OR. Department of Emergency Medicine, Harbor—UCLA Medical Center, Torrance, CA*Department of Emergency Medicine, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Road, Mailcode CR-114, Portland, OR 97201-3098. Fax: 503-494-4997; e-mail: [email protected]Search for more papers by this authorKatherine A. Martens MD, Katherine A. Martens MD Division of Emergency Medicine, Loyola University Medical Center, Maywood, ILSearch for more papers by this authorEvelyn M. Lyons RN, MPH, Evelyn M. Lyons RN, MPH Division of Emergency Medicine, Loyola University Medical Center, Maywood, IL EMS & Highway Safety, Illinois Department of Public Health, Maywood, ILSearch for more papers by this author First published: 28 June 2008 https://doi.org/10.1197/aemj.9.9.924Citations: 9AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Objective: To determine whether vehicle characteristics, measured using crash scene photography, are associated with anatomic patterns of injury and severity of injury sustained in motor vehicle crashes (MVCs) without air bag deployment. Methods: A prospective observational study was conducted over 22 months, using 12 fire departments serving two hospitals. Two vehicle photographs (exterior and interior) were taken at each MVC. Vehicular variables were assigned by grading the photographs with a standardized scoring system, and outcome information on each patient was collected by chart review. Results: Five hundred fifty-nine patients were entered into the study. Frontal crashes and increasing passenger space intrusion (PSI) were associated with head, facial, and lower-extremity injuries, while rear crashes were associated with spinal injuries. Restraint use had a protective effect in head, facial, and upper and lower extremity injuries, yet was associated with higher odds of spinal injury. Lack of restraint use, increasing PSI, and steering wheel deformity were associated with an increased hospital length of stay and hospital charges, yet only steering wheel deformity was associated with increasing injury severity when adjusting for other crash variables. Conclusions: Out-of-hospital variables, as obtained from crash vehicle photography, are associated with injury site, injury severity, hospital length of stay, and hospital charges in patients involved in MVCs without air bag deployment. References Dischinger, PC, Cushing, BM, Kerns, TJ. Injury patterns associated with direction of impact: drivers admitted to trauma centers. J Trauma. 1993; 35: 454– 8. Jones, IS, Champion, HR. Trauma triage: vehicle damage as an estimate of injury severity. J Trauma. 1989; 29: 646– 53. Newman, RT. A prospective evaluation of the protective effect of car seatbelts. J Trauma. 1986; 26: 561– 4. Henry, MC, Hollander, JE, Alicandro, JM, Cassara, G, O'Malley, S, Thode, HC. Incremental benefit of individual American College of Surgeons trauma triage criteria. Acad Emerg Med. 1996; 3: 992– 1000. Siegel, JH, Mason-Gonzalez, S, Dischinger, P, et al. Safety belt restraints and compartment intrusions in frontal and lateral motor vehicle crashes: mechanisms of injuries, complications, and acute care costs. J Trauma. 1993; 5: 736– 59. Hunt, RC, Brown, RL, Cline, KA, Krohmer, JR, McCabe, JB, Whitley, TW. Comparison of motor vehicle damage documentation in emergency medical services run reports compared with photographic documentation. Ann Emerg Med. 1993; 22: 651– 6. Santana, JR, Martinez, R. Accuracy of emergency physician data collection in automobile crashes. J Trauma. 1995; 38: 583– 6. Hunt, RC, Whitley, TW, Allison, EJ, et al. Photograph documentation of motor vehicle damage by EMTs at the scene: a prospective multicenter study in the United States. Am J Emerg Med. 1997; 15: 233– 9. Traffic Accident Data Project Steering Committee. Vehicle Damage Scale for Traffic Accident Investigators, ed. 3. Traffic Accident Data Project—Technical Bulletin No. 1. Chicago , IL : National Safety Council, 1984. Parenteau, CS, Viano, DC, Lovsund, P, Tingvall, C. Foot—ankle injuries: influence of crash location, seating position and age. Accid Anal Prev. 1996; 28: 607– 17. Severy, DM, Mathewson, JH, Bechtol, CO. Controlled automobile rear-end crashes, an investigation of related engineering and medical phenomena. Can Serv Med J. 1955; 11: 727– 59. Miller, DB. Low velocity impact, vehicular damage and passenger injury. Cranio. 1998; 16: 226– 9. Citing Literature Volume9, Issue9September 2002Pages 924-929 ReferencesRelatedInformation