BioTab-A New Method for Analyzing and Documenting Injury Causation in Motor-Vehicle Crashes

被引：23

作者：

Schneider, Lawrence W. ^{[1
,2
]}

Rupp, Jonathan D. ^{[1
,3
]}

Scarboro, Mark ^{[4
]}

Pintar, Frank ^{[5
]}

Arbogast, Kristy B. ^{[6
,7
]}

Rudd, Rodney W. ^{[4
]}

Sochor, Mark R. ^{[8
]}

Stitzel, Joel ^{[9
]}

Sherwood, Chris ^{[10
]}

MacWilliams, Joel B. ^{[1
]}

Halloway, Dale ^{[5
]}

Ridella, Stephen ^{[4
]}

Eppinger, Rolf

机构：

[1] Univ Michigan, Transportat Res Inst, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Dept Biomed Engn, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Dept Emergency Med, Ann Arbor, MI 48109 USA

[4] Natl Highway Traff Safety Adm US, Human Injury Res Div, Washington, DC 20590 USA

[5] Med Coll Wisconsin, Milwaukee, WI 53226 USA

[6] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA

[7] Univ Penn, Philadelphia, PA 19104 USA

[8] Univ Virginia, Charlottesville, VA USA

[9] Wake Forest Univ, Winston Salem, NC 27109 USA

[10] Insurance Inst Highway Safety, Ruckersville, VA USA

来源：

TRAFFIC INJURY PREVENTION | 2011年 / 12卷 / 03期

关键词：

CIREN; Crash investigation; Injury;

D O I：

10.1080/15389588.2011.560500

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To describe a new method for analyzing and documenting the causes of injuries in motor vehicle crashes that has been implemented since 2005 in cases investigated by the Crash Injury Research Engineering Network (CIREN). Methods: The new method, called BioTab, documents injury causation using evidence from in-depth crash investigations. BioTab focuses on developing injury causation scenarios (ICSs) that document all factors considered essential for an injury to have occurred as well as factors that contributed to the likelihood and/or severity of an injury. The elements of an injury causation scenario are (1) the source of the energy that caused the injury, (2) involved physical components (IPCs) contacted by the occupant that are considered necessary for the injury to have occurred, (3) the body region or regions contacted by each IPC, (4) the internal paths between body regions contacted by IPCs and the injured body region, (5) critical intrusions of vehicle components, and (6) factors that contributed to the likelihood and/or the severity of injury. Results: Advantages of the BioTab method are that it attempts to identify all factors that cause or contribute to clinically significant injuries, allows for coding of scenarios where one injury causes another injury, associates injuries with a source of energy and allows injuries to be associated with sources of energy other than the crash, such as air bag deployment energy, allows for documenting scenarios where an injury was caused by two different body regions contacting two different IPCs, identifies and documents the evidence that supports ICSs and IPCs, assigns confidence levels to ICSs and IPCs based on available evidence, and documents body region and organ/component-level oinjury mechanismso and distinguishes these mechanisms from ICSs. Conclusion: The BioTab method provides for methodical and thorough evidenced-based analysis and documentation of injury causation in motor vehicle crashes.

引用

页码：256 / 265

页数：10

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