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Facial Injury after Airbag Deployment in Occupant Motor Vehicle Accident

자동차 교통사고 시 에어백에 의한 안면부 손상특성

  • 이희영 (연세대학교 원주의과대학 응급의학교실) ;
  • 이강현 (연세대학교 원주의과대학 응급의학교실) ;
  • 이정훈 (연세대학교 원주의과대학 응급의학교실) ;
  • 성실 (연세대학교 원주의과대학 응급의학교실) ;
  • 강찬영 (연세대학교 원주의과대학 응급의학교실) ;
  • 김호중 (순천향대학교 부천병원 응급의학과) ;
  • 김상철 (건국대학교 의학전문대학원 응급의학과) ;
  • 윤영한 (한국기술교육대학교 메카트로닉스공학부)
  • Received : 2016.04.28
  • Accepted : 2016.09.27
  • Published : 2016.09.30

Abstract

The purpose of this study is to evaluate the injury mechanism of facial injury related to an air-bag's deployment in occupant motor vehicle accident (MVA) by using Hospital Information System (HIS) and reconstruction program, based on the materials related to motor vehicle accidents. Among patients who visited the emergency department of Wonju Severance Christian Hospital due to motor vehicle accidents from August 2012 to February 2014, we collected data on patients with agreement for taking the damaged vehicle's photos. After obtaining the verbal consent from the patient, we asked about the cause of the accident, information on vehicle involved in the accident, and the location of car repair shop. The photos of the damaged vehicle were taken on the basis of front, rear, left side and right side. Damage to the vehicle was presented using the CDC code by analytical study of photo-images of the damaged vehicle, and a trauma score was used for medical examination of the severity of the patient's injury. Among the 309 patients with agreement for an investigation, thirty five (11.3 %) were the severe who had ISS over 15. And also, sixteen (5.2%) derived from the reconstructed data (maximum collision energy, maximum acceleration, delta V) by PC-Crash. As a result, ISS including the facial injuries was affected by the condition. It was high when the number of crash extent, the safety belt was not fastened, and the seating position of occupant and the direction of collision is same. For accurate analysis of the relationship between occupant injury and vehicle damage in MVAs, build-up of an in-depth database through carrying out various policies for motor vehicle accidents is necessary for sure.

Keywords

References

  1. 도로교통공단, 2013, "2013년판(2011년 통계) OECD 회원국 교통사고 비교," pp. 22-33.
  2. Graham J. D., Thompson K. M., Gildie S. J., Segui-Gomez M., Weinstein M. C., 1997, "The Cost of Effectiveness of Air Bags by Seating Position," Journal of the American Medical Association, Vol. 278, pp. 1418-1425. https://doi.org/10.1001/jama.1997.03550170048031
  3. Huelke D. F., Moore J. L., Ostrom M., 1992, "Air bag Injuries and Occupant Protection," Journal of Trauma, Vol. 33, pp. 894-898. https://doi.org/10.1097/00005373-199212000-00017
  4. Kim S. Y., 1990, "The Road Traffic Law, Revised Version; A Guide," No. 313, Monthly Legislation: The Government Legislation Agency.
  5. Almahmoud T., Marss P., 2013, "Vehicle Occupant Restraint Systems Impact on Eye Injuries," Survey of Ophthalmology, In Press, Corrected Proof.
  6. Kim G. Y., Bae J. H., Seo Y. W., Cho H. R., Hong E S., 2003, "Injuries from Airbag Deployment during Low Speed Accidents," Journal of Trauma and Injury, Vol. 16, No. 2, pp. 170-176.
  7. Roccia F., Servadio F., Gerbino G., 1999, "Maxillofacial Fractures Following Airbag Deployment," Journal of Cranio-Maxillofacial Surgery, Vol. 27, pp. 335-338. https://doi.org/10.1054/jcms.1999.0082
  8. Chung I. Y., Shim H. S., Park J. M., Song J. K., 1999, "A Case of Airbag Related Ocular Trauma," Journal of The Korean Ophthalmological Society, Vol. 40, No. 9, pp. 292-296.
  9. Antosia R. E., Partridge R. A., Virk A. S., 1995, "Air bag Safety," Annauls of Emergency Medicine, Vol. 25, pp. 794-798. https://doi.org/10.1016/S0196-0644(95)70210-5
  10. Lemley H. L., Chodosh J., Wolf T. C., Bogie C. P., Hawkins T. C., 2000, "Partial Dislocation of Laser in Situ Keratomileusis Flap by Air bag Injury," Journal of Refractive Surgery, Vol. 16, pp. 373-374.
  11. Lundy D. W., Lourie G. M., 1998, "Two Open Forearm Fractures after Airbag Deployment during Low Speed Accidents," Clinical Orthopaedics and Related Research, Vol. 351, pp. 191-195.
  12. Ghafouri A. L. I., Burgess S. K., Hrdlicka Z. K., Zagelbaum B. M., 1997, "Airbag Related Ocular Trauma," American Journal of Emergency Medicine, Vol. 15, No. 4, pp. 389-392. https://doi.org/10.1016/S0735-6757(97)90135-2
  13. Rimmer S., Schuler J. D., 1991, "Severe Ocular Trauma from A Driver's-side Air bag," Archives of Ophthalmology, Vol. 109, pp. 774.
  14. Mishler K. E., 1991, "Hyphema Caused by Air bag," Archives of Ophthalmology, Vol. 109, pp. 1635.
  15. Rosenblatt M., Freilich B., Kirsch D., 1991, "Air bags; Trade Offs," The New England Journal Medicine, Vol. 325, pp. 1518-1519.