Journal of Trauma and Injury

  • 제27권3호
  • /
  • Pages.50-56
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  • 2014
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

25인승 버스 전복사고의 탑승자 손상 분석

Injury Analysis of a 25-passenger Bus Left-quarter Turn Rollover Accident

  • 박상민 (건국대학교 충주병원 응급의학과) ;
  • 김상철 (건국대학교 충주병원 응급의학과) ;
  • 이강현 (연세대학교 원주의과대학 응급의학교실) ;
  • 이재완 (교통안전공단 자동차안전연구원) ;
  • 전혁진 (건국대학교 충주병원 응급의학과) ;
  • 김호중 (순천향대학교 부천병원 응급의학과) ;
  • 김진용 (건국대학교 충주병원 응급의학과) ;
  • 곽영수 (건국대학교 충주병원 응급의학과) ;
  • 이우성 (건국대학교 충주병원 흉부외과)
  • Park, Sang Min (Department of Emergency Medicine, School of Medicine, Konkuk University Chungju Hospital) ;
  • Kim, Sang Chul (Department of Emergency Medicine, School of Medicine, Konkuk University Chungju Hospital) ;
  • Lee, Kang Hyun (Department of Emergency Medicine, Wonju College of Medicine, Yonsei University) ;
  • Lee, Jae Wan (Passive Safety Research Office, Korea Automobile Testing & Research Institute, Korea Transportation Safety Authority) ;
  • Jeon, Hyuk Jin (Department of Emergency Medicine, School of Medicine, Konkuk University Chungju Hospital) ;
  • Kim, Ho Jung (Department of Emergency Medicine, College of Medicine, Bucheon Hospital of Soonchunhyang University) ;
  • Kim, Jin Yong (Department of Emergency Medicine, School of Medicine, Konkuk University Chungju Hospital) ;
  • Kwak, Young Soo (Department of Emergency Medicine, School of Medicine, Konkuk University Chungju Hospital) ;
  • Lee, Woo Sung (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Konkuk University Chungju Hospital)
  • 투고 : 2014.03.11
  • 심사 : 2014.07.08
  • 발행 : 2014.09.30
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초록

Purpose: Rollover motor vehicle crashes have a higher injury severity and fatality than other motor vehicle crash types. From a left-quarter turn rollover accident of 25-passenger bus, we intend to assess the injury of the occupant and the injury severities according to the occupants' position. Methods: We carried out the 3 steps investigation of occupants' interview, visiting the repair shop and using the police report. We analyzed injuries sustained by occupants, and compared injury severities considering column, row in occupant's position and passenger interaction Results: The rollover involved 14 passengers in the bus who were all old women except a man driver. The most common injury was in the upper extremity, with six occurrences being a left clavicle fracture. Major injuries including hemothorax and pneumothorax were diagnosed at left side of the occupant. In the comparison of injury severity among driver's column (left side), mid column and passengercolumn, ISS of passenger column was the highest ($9.9{\pm}7.4$, $8.8{\pm}5.5$, and $10.3{\pm}4.0$, respectively, p>0.05). The injury severity of multiple occupants by row was higher than that of single occupant (10.8 vs. 3, p<0.05). Conclusion: An occupant must fasten their seat belt to prevent an injury by passenger interaction in the left-quarter turn rollover accident of a bus.

키워드

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