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J R Crandall Center
for Applied Biomechanics, University of Virginia, 1011 Linden Avenue,
Charlottesville, Virginia 22902 USA Correspondence to: J R Crandall
jrc2h{at}virginia.edu
Collisions between pedestrians and road vehicles present a
major challenge for public health, trauma medicine, and traffic safety
professionals. More than a third of the 1.2 million people killed and
the 10 million injured annually in road traffic crashes worldwide are
pedestrians.1 Compared with injured vehicle occupants, pedestrians sustain more multisystem injuries, with concomitantly higher injury severity scores and mortality.2 Although a
disproportionately large number of these crashes occur in developing
and transitional countries, pedestrian casualties also represent a huge
societal cost in industrialised nations. In Britain pedestrian injuries are more than twice as likely to be fatal as injuries to vehicle occupants3 and result in an average cost to society of
£57 400, nearly twice that of injuries to vehicle
occupants.4
Summary points
Pedestrian-vehicle crashes are responsible for more than a third
of all traffic related fatalities and injuries worldwide
Lower limb trauma is the commonest pedestrian injury, while head injury
is responsible for most pedestrian fatalities
Standardised tests that simulate the most common pedestrian-vehicle
crashes are being used to evaluate vehicle countermeasures to reduce
pedestrian injury
Energy absorbing components such as compliant bumpers, dynamically
raised bonnets, and windscreen airbags are being developed for improved
pedestrian protection
Despite the size of the pedestrian injury problem, research to reduce traffic related injuries has concentrated almost exclusively on increasing the survival rates for vehicle occupants. Most attempts made to reduce pedestrian injuries have focused solely on isolation techniques such as pedestrian bridges, public education, and traffic regulations and have not included changes to vehicle design. The lack of effort devoted to vehicle modifications for pedestrian safety has stemmed primarily from a societal view that the injury caused by a large, rigid vehicle hitting a small, fragile pedestrian cannot be significantly reduced by alterations to the vehicle structure. Crash engineers, however, have long been aware that the same principles of car safety design that have produced enormous benefits for vehicle occupants can be extended to provide a safer environment for pedestrians during impact with the exterior of a vehicle.
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In the past, vehicle design concepts for pedestrian safety have not
coincided with the changes in public attitude, vehicle regulatory
testing, and safety technology that are necessary to develop a holistic
approach to the problem. However, current cultural, scientific, and
legislative climates provide a unique opportunity to reduce the
frequency and severity of pedestrian injuries by introducing
improvements in vehicle structure and safety devices.
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Methods of literature review |
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The frequency of pedestrian-vehicle crashes has resulted in many
papers providing epidemiological, engineering, and clinical assessments
of the problem. Since few of these papers include a multidisciplinary
analysis, we have synthesised information from articles that evaluate
the severity of the problem, injury aetiology, and biomechanical
tolerances in order to provide a scientific basis for current
countermeasure designs. In addition to referencing archival and
conference publications, we direct readers to a larger general
knowledge base of vehicle design principles for safety and
corresponding biomechanical studies through website references.
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Anatomy of a pedestrian-vehicle crash |
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Most pedestrian-vehicle crashes involve frontal impacts, and the vehicle front structures are responsible for most pedestrian injuries (fig 1). In a frontal impact, the chronology of the crash scenario is well documented: the vehicle bumper contacts the lower limbs, the leading edge of the bonnet strikes the proximal lower limb or pelvis, and, finally, the head and upper torso hit the top surface of the bonnet or windscreen (fig 2). In essence, the pedestrian "wraps around" the front of the vehicle until pedestrian and vehicle are travelling at the same speed. During subsequent braking of the vehicle, the pedestrian continues to move forward while the vehicle decelerates. Eventual contact with the ground often produces further pedestrian injuries.6
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Despite what seems to be a choreographed sequence of events, the
precise trajectory and injuries of a pedestrian depend heavily on the
relative sizes of pedestrian and vehicle, the orientation of the
pedestrian before impact, and the speed of the vehicle. The relatively
low profile of most passenger cars results in an impact below a
pedestrian's centre of gravity and produces the pedestrian trajectory
shown in fig 2. However, larger or taller vehicles such as
multi-purpose vehicles, light trucks, and vans hit a pedestrian at, or
above, the centre of gravity.7 This impact can result in
the pedestrian being projected forwards without contacting the bonnet
and then being run over by the decelerating vehicle.
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Injury profiles and countermeasures |
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Given the preponderance of bumper and bonnet contacts, the head and lower extremities are the most commonly injured body parts.8 Since head trauma is responsible for most serious injury and mortality in pedestrians (fig 3), providing a soft impact area for the head is the primary pedestrian safety design. The local stiffness of the vehicle can vary dramatically at different possible impact points for the head. Head impact with the relatively compliant central region of the windscreen generally results in minor to moderate injuries, whereas head contact with the relatively stiff windscreen frame can produce skull and facial fractures, vascular injuries, or diffuse axonal injury even in low speed impacts.10
Since the bonnet surface is made from sheet metal, it is a relatively compliant structure and does not, by itself, pose a major risk for severe head trauma. However, serious head injury can occur when the head hits a region of the bonnet with stiff underlying structures such as engine components. The solution is to provide sufficient clearance (greater than 10 cm) between the bonnet and underlying structures for controlled deceleration of a pedestrian's head. However, considerations of aerodynamic design and styling can make it extremely difficult to alter a vehicle's front end geometry to provide more under-bonnet space. Active safety systems, such as pyrotechnic devices that rapidly raise the bonnet in a crash (fig 4), can provide the necessary deceleration space during an impact while maintaining traditional bonnet geometry during normal operation of the vehicle.11 As well as providing more deceleration space under the bonnet, the raised rear edge of the bonnet can prevent the head of the pedestrian from hitting the hard area behind the scuttle and the lower windscreen and windscreen frame. More comprehensive coverage can be obtained by using airbags to cover this gap, the lower windscreen, and the stiff structural A pillars on either side of the vehicle (fig 5).
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Although head injury is the leading cause of fatalities, lower limb trauma is the most common injury (fig 3).8 A direct blow from the bumper usually leads to contact fractures of the tibia or fibula and to damage of the knee ligaments from shearing and bending at the joint. Efforts to reduce the force transmitted to the leg and to increase the area of force application are the primary design considerations. One approach is the application of an extra layer of energy absorbing material over the bumper to add compliance to the relatively stiff conventional structure. However, increasing bumper compliance is limited by the fact that the bumper must also protect the vehicle front from damage in minor vehicle-vehicle collisions.12
In experimental tests with cadavers and computer simulations the coupling of moderate alterations in bumper compliance with altered bumper height, geometry, and orientation have shown reduced injury to the lower limbs.13 In general, lower bumpers permit the femur and tibia to rotate together as the upper body falls on the car, thus limiting lateral bending of the knee.14 Bumpers that strike above knee level, common in off road vehicles and multi-purpose vehicles, cause the upper body and the leg to rotate in opposite directions, resulting in severe knee trauma. Deeper bumper profiles and support bars below the bumper can limit the rotation of the leg and provide additional distribution of impact forces. The headlamps and associated housing can also be designed as energy absorbing components to minimise injury.
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Evaluations of countermeasures |
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The European Enhanced Vehicle-Safety Committee (EEVC) has developed test specifications and rating systems for assessing the pedestrian injury potential of vehicle front structures. The EEVC recently recommended a series of "sub-system impactor" tests designed to mimic a 40 km/h car-pedestrian impact (fig 6).15 These tests cover most locations of the vehicle front and involve hitting the bonnet with free flying head forms, the leading edge of the bonnet with a proximal lower limb form, and the bumper with a leg form containing a deformable knee joint. The impactors carry force, displacement, and acceleration sensors whose outputs are interpreted relative to the biomechanical tolerance levels of human head and lower limbs.
A voluntary agreement proposed by European automotive manufacturers
stipulates that all new car types introduced after 2010 should comply
with EEVC pedestrian safety test requirements.
16 17
The
New Car Assessment Programs (NCAP) in many parts of the world have
already been performing these tests and making the results available to
consumers.18 If vehicles are required to comply with the
EEVC recommendations, estimated reductions in pedestrian fatalities
should exceed 20%.3 To obtain further casualty
reductions, updates of the test procedures will be required. In
particular, the windscreen and windscreen frame are not covered by the
current EEVC test method but are responsible for more than 15% of all pedestrian injuries8 and an even greater share of serious
injuries. In addition, improved biofidelity of the impactors and more
accurate injury prediction criteria need to be developed through
biomechanical studies.
19 20
Despite current testing
limitations, however, the EEVC methods have increased societal
awareness of vehicle design considerations for pedestrian protection
and should, when coupled with collision avoidance systems, reduce
injuries in what was once believed to be an intractable
problem.
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Sources of further information
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Footnotes |
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Competing interests: None declared.
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References |
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| 1. | The World Bank Group. Road safety. www.worldbank.org/html/fpd/transport/roads/safety.htm (accessed 8 Mar 2002). |
| 2. | Brainard B. Injury profiles in pedestrian motor vehicle trauma. Ann Emerg Med 1986; 18: 881-883. |
| 3. | Department of the Environment, Transport and the Regions. Transport statistics: Road accidents statistics: Pedestrian casualties in road accidents: Great Britain 1998. www.transtat.detr.gov.uk/facts/accident/pedest/pedest98.htm (accessed 8 Mar 2002). |
| 4. | Department for Transport, Local Government, and the Regions. Highways economics note No 1: 2000. Road safety. www.roads.dtlr.gov.uk/roadsafety/hen2000/index.htm. (accessed 8 Mar 2002). |
| 5. | US Department of Transportation National Highway Traffic Safety Administration. Traffic safety facts 2000: A compilation of motor vehicle crash data from the fatality analysis reporting system and the general estimates system. Washington, DC: US Department of Transportation, 2000 (www-nrd.nhtsa.dot.gov/pdf/nrd-30/NCSA/TSFAnn/TSF2000.pdf). |
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| 8. | Kalliske I, Friesen F. Improvements to pedestrian protection as exemplified on a standard-sized car. Report No 283. In: Proceedings of the 17th International Conference on the Enhanced Safety of Vehicles (ESV); 2001 June 4-7; Amsterdam, Holland. Washington, DC: 5. US Department of Transportation National Highway Traffic Safety Administration, 2001 (www-nrd.nhtsa.dot.gov/departments/nrd-01/esv/esv.html). |
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| 10. | Mizuno K, Kajzer J. Head injuries in vehicle-pedestrian impact. SAE Paper No 2000-01-0157. In: Proceedings of the SAE (Society of Automotive Engineers) 2000 World Congress; 2000 March 6-9; Detroit, Michigan. Warrendale, PA: SAE, 2000 (www.sae.org/servlets/productDetail?PROD_TYP=PAPER&PROD_CD=2000-01-0157). |
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| 12. | Schuster P, Staines B. Determination of bumper styling and engineering parameters to reduce pedestrian leg injuries. SAE Paper No 980361. In: Proceeding of SAE (Society of Automotive Engineers) International Congress and Exposition; 1998 February 23-26; Detroit, Michigan. (Ford Motor Co). Warrendale, PA: SAE, 1998 (www.sae.org/servlets/productDetail?PROD_TYP=PAPER&PROD_CD=980361). |
| 13. | Bunketorp O, Romans B, Hansson T, Aldman B, Thorngren L, Eppingen RH. Experimental study of a compliant bumper system. SAE Paper No 831623. In: Proceedings of the 27th Stapp Car Crash Conference. Warrendale, PA: SAE, 1983 (www.sae.org/servlets/otherProduct?PROD_CD=STAPPCD2000&PROD_TYP=SFTWR). |
| 14. | Yang JK, Lövsund P, Cavallero C, Bonnoit J. A human-body 3d mathematical model for simulation of car-pedestrian impacts. J Crash Prev Injury Control 2000; 2(2): 131-149. |
| 15. | European Enhanced Vehicle-safety Committee. EEVC Working Group 17 report: Improved test methods to evaluate pedestrian protection afforded by passenger cars. December 1998. www.eevc.org/publicdocs/WG17_Improved_test_methods.pdf (accessed 8 Mar 2002). |
| 16. | European Automobile Manufacturers Association (ACEA). Press release. Brussels, 11 July 2001: A step forward into the direction of improved pedestrian protection. www.acea.be/acea/11072001.pdf (accessed 9 Mar 2002). |
| 17. | European Commission. Press release. Brussels, 11 July 2001: Commission concludes talks with car industry and consults Council and Parliament on industry's self-commitment to enhance pedestrian protection. http://europa.eu.int/rapid/start/cgi/guesten.ksh?p_action.gettxt=gt&doc=IP/01/986|0|RAPID&lg=EN (accessed 9 Mar 2002). |
| 18. | European New Car Assessment Programme (Euro NCAP). www.euroncap.com. (accessed 8 Mar 2002). |
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