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Journal of Trauma and Injury 2014;27(3):50-56.
Injury Analysis of a 25-passenger Bus Left-quarter Turn Rollover Accident
Sang Min Park, Sang Chul Kim, Kang Hyun Lee, Jae Wan Lee, Hyuk Jin Jeon, Ho Jung Kim, Jin Yong Kim, Young Soo Kwak, Woo Sung Lee
1Department of Emergency Medicine, School of Medicine, Konkuk University Chungju Hospital, Chungju, Korea. ooiarahan@nate.com
2Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
3Passive Safety Research Office, Korea Automobile Testing & Research Institute, Korea Transportation Safety Authority, Hwaseong, Korea.
4Department of Emergency Medicine, College of Medicine, Bucheon Hospital of Soonchunhyang University, Korea.
5Department of Thoracic and Cardiovascular Surgery, School of Medicine, Konkuk University Chungju Hospital, Chungju, Korea.
25인승 버스 전복사고의 탑승자 손상 분석
박상민, 김상철, 이강현1, 이재완2, 전혁진, 김호중3, 김진용, 곽영수, 이우성4
건국대학교 충주병원 응급의학과, 1연세대학교 원주의과대학 응급의학교실, 2교통안전공단 자동차안전연구원,3순천향대학교 부천병원 응급의학과, 4건국대학교 충주병원 흉부외과
Received: 11 March 2014   • Revised: 10 June 2014   • Accepted: 8 July 2014
Abstract
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+/-7.4, 8.8+/-5.5, and 10.3+/-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.
Key Words: Traffic accident; Automobiles; Injury severity score; Seat belts
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