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In recent years, the discussion around the advent of highly automated vehicles has shifted from “if” to “when.” Commercially available vehicles already incorporate automated vehicle (AV) technologies of varying capability, and the eventual transition to fully automated systems, at least within certain predefined Operational Design Domains, is largely considered inevitable. While the full ramifications of this shift and the eventual depreciation of human driver control are still under intense debate, there is broad agreement on one issue -the advent of driverless systems will remove several constraints on the design of vehicle interior spaces, creating the opportunity for innovation. Even at this early stage, ambitious design concepts of purpose specific vehicles - mobile gyms, offices, bedrooms - have been proposed. More grounded designs, such as rotating passenger seats, have also been put forward.

Certain ankylosing spondyloarthropathies such as ankylosing spondylitis (AS) or diffuse idiopathic skeletal hyperostosis (DISH) can substantially alter clinicopathologic spine biomechanics as well as injury mechanisms in rear-end motor vehicle collisions. AS is an inflammatory disease which can lead to structural impairments of the spine secondary to flowing ossification along the spinal column, including ossification across the spinal discs, facet joints, and ligaments, and it has also been associated with diffuse osteoporosis of the spine. DISH is characterized by excess bone formation along the spinal column, encompassing the annulus and forming the thickest and strongest bridging osteophytes over adjacent vertebral bodies at the level of the disc space. In both conditions the spine is mechanically stiffened and generally more kyphotic than a healthy spine.

Low- to moderate-speed motor vehicle collisions are common roadway occurrences that are generally associated with low rates of reported injury. While such complaints are generally infrequent, claims of injuries resulting from low- to moderate-speed motor vehicle collisions persist. A limited body of literature using quantitative techniques and full-scale crash tests is available to assess the injury potential associated with such collisions. Prior studies have analyzed occupant kinematics and kinetics as well as human injury risk in low- to moderate-speed collisions with older vehicle vintages but do not assess the effects of updated vehicle interior designs and occupant protection devices reflective of efforts to optimize occupant kinematics and reduce occupant loading and injury risk in more modern vehicles.

Approximately 600,000 fatalities occur each year as a result of pedestrians being impacted by motor vehicles (World Bank, 2008). Previous studies (Heller et al., 2009) have utilized databases such as the National Inpatient Sample (NIS) to gain a more thorough understanding of the common injury patterns that occur in real-world traffic collisions involving pedestrians in the United States. The NIS contains records on five to eight million hospital stays annually and provides a wealth of information regarding injuries to hospitalized pedestrian casualties in the U.S. Because of the large number of applicable records in the NIS and the randomized sampling procedure, the data can be used to complete analyses that are not possible with smaller databases such as the Pedestrian Crash Data Study (PCDS), which is not intended to be statistically representative of pedestrian crashes in general.

Over half of the 1.2 million annual traffic fatalities worldwide are pedestrians struck by motor vehicles [ 1 ]. Medical databases, such as the National Inpatient Sample (NIS), have been utilized to ascertain injury patterns in the general population of injured pedestrians [ 2 - 3 ]. However, the authors are not aware of any studies investigating how factors, such as physical impairments, intoxication, and pre-existing medical implants (e.g. hip replacement, artificial knee, etc.) affect the prevalence of pedestrian accidents or injury outcomes. Five to eight million inpatient hospitalization records are included in the NIS annually, and this large sample size allows for analyses that are not possible with smaller data sets on pedestrian injuries. The current study utilizes the NIS to evaluate how several factors such as blindness, deafness, intoxication, and pre-existing medical implants affect injury patterns when compared to the general population of hospitalized pedestrians.

Each year, over half of the world's 1.17 million fatalities resulting from traffic collisions are pedestrians (World Bank, 2008). Mitigation of such fatalities and serious injuries requires a thorough understanding of the common injury mechanisms that occur in pedestrian impacts. Studying the frequency of injury to each body region and how injury patterns are related may provide additional insight into pedestrian injury mechanisms, which could be used to develop additional prevention strategies. There is a wealth of information regarding pedestrian collisions within national databases that have not been extensively used to investigate these issues to date. This paper presents a review of selected databases that contain information regarding injuries to pedestrians who have been involved in a motor vehicle collision, including the strengths and weaknesses of each in performing this type of analysis.

Review of field accident data is an important tool in understanding injuries in motor vehicle crashes (MVCs). Multiple databases are available that contain information about traffic-related traumatic injuries, many of which are not commonly used in traffic injury research. This work discusses some databases commonly used to evaluate field accident data and introduces additional databases (primarily hospital, medical, and trauma) that include traffic-related injuries. These data represent a new source of information about MVC traumas and often contain additional health information. The strengths and limitations of each database for evaluating vehicular injuries are compared and discussed.

Obesity is a growing problem in the general population. Recent studies have suggested a link between occupant anthropometry and injury risk in motor vehicle accidents. Adult subjects covering a range of heights, weights, and body mass index (BMI) were seated in passenger cars and asked to adjust the seat and restraint to a comfortable driving position. Differences75 in driver position and clearance measures between normal weight, overweight, and obese occupants were assessed. Occupant height was found to be a good predictor of some seating position and clearance measures, while BMI was found to be a better predictor of others. Relationships were also found relating waist circumference to measures of seating position and clearance. The results of this study are essential in developing quantitative models to investigate relationships between anthropometry and injury potential.