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The National Highway Traffic Safety Administration (NHTSA) Special Crash Investigations database contains twelve completed cases of child fatalities in rearward facing child seats caused by deploying air bags. Three of these are now available for examination. An additional two cases were investigated by the William Lehman Injury Research Center at the University of Miami School of Medicine. These five cases are examined to evaluate crash environment, injury mechanisms, and circumstances which caused the child to be in front of the passenger side air bag Four of the cases were crashes with impacts with the side of other cars with crash severities less than 15 mph. The predominate injury mechanism was brain and skull injury from a blow transmitted to the rear of the head through the child seat back. In one case, the force to the head was transmitted downward, directly from air bag contact.

The William Lehman Injury Research Center has conducted multi-disciplinary investigations of one hundred seventy-eight crashes involving adult occupants protected by safety belts and air bags. In all cases, serious injuries were suspected. Nine cases involved serious heart injuries. These cases are not representative of crashes in general. However, when used in conjunction with National Accident Sampling System; Crashworthiness Data System (NASS/CDS) they provide insight into the most severe injuries suffered by restrained occupants in frontal crashes. Heart injuries are rare, but when they occur they are usually life threatening. NASS/CDS shows that heart injuries comprise about 0.2% of the injuries in frontal tow-away crashes. In the NHTSA file of Special Crash Investigations (SCI) of air bag cases, heart injuries are reported in 1% of the occupants over 15 years of age. Twenty-five percent of the fatally injured occupants had heart injuries, and 83% of those with heart injury died.