Differences in urban and rural accident characteristics and medical service utilization for traffic fatalities in less-motorized societies

Introduction

Fatalities from traffic accidents in less-motorized societies are an important global issue. We aimed to characterize the geographic differences of fatalities in such societies to facilitate the development of targeted interventions.

Method

This study linked police reports, hospital data, and vital registration data from Taiwan with special reference to accident factors in pre-hospital deaths and medical care in hospital deaths.

Results

A higher percentage of pre-hospital deaths were observed following rural as compared to urban traffic accidents. The deaths due to rural accidents can be attributed to lower use of restraints (i.e., helmets or seat belts), lower percentage of motorcyclists, and more highway accidents. A higher percentage of victims in rural accidents were transported to distant medical centers rather than to local hospitals.

Conclusion

Specific interventions, such as intelligent emergency medical systems, campaigns for helmets and seat belt usage, enforcement of helmets and seat belt use, and speed control measures should be targeted to rural areas.

Impact on industry

Cooperation between the vehicle industry and emergency medical providers in rural traffic accident rescue teams may decrease the numbers of deaths in these regions.     

Investigation of head injuries by reconstructions of real-world vehicle-versus-adult-pedestrian accidents

A sizeable proportion of adult pedestrians involved in vehicle-versus-pedestrian accidents suffer head injuries, some of which can lead to lifelong disability or even death. To understand head injury mechanisms, in-depth accident analyses and accident reconstructions were conducted. A total of 120 adult pedestrian accident cases from the GIDAS (German in-depth accident study) database were analyzed, from which 10 were selected for reconstruction. Accident reconstructions initially were performed using multi-body system (MBS) pedestrian and car models, so as to calculate head impact conditions, like head impact velocity, head position and head orientation. These impact conditions then were used to set the initial conditions in a simulation of a head striking a windshield, using finite element (FE) head and windshield models. The intracranial pressure and stress distributions of the FE head model were calculated and correlated with injury outcomes. Accident analysis revealed that the windshield and its surrounding frames were the main sources of head injury for adult pedestrians. Reconstruction results indicated that coup/contrecoup pressure, Von Mises and shear stress were important physical parameters to estimate brain injury risks.     

沈阳市突发性环境污染事故应急监测能力建设现状分析

分析了沈阳市应急监测工作现状,指出了存在的问题,并指明了今后的发展方向。     

Flixborough: A final footnote

The Flixborough explosion was the largest-ever peacetime explosion in the UK. There were 28 fatalities as well as near-complete destruction on the 24 ha plant. An official Court of Inquiry was immediately established and charged with the responsibility of determining the cause(s) of the disaster and the lessons to be learnt. Reviews are made here of the evidence and arguments behind an alleged 8 in initiation to the event and briefly that of the Court's determination of failure—the simultaneous failure of two 28 in bellows attached to a temporary 20 in dog-leg pipe bridge. Both cases are seen as flawed. The only credible hypothesis appears to be one that involved the failure, most probably by fatigue, of only one of the two bellows attached to the dog-leg—this then buckled, sealing the lower reactor. The dog-leg later collapsed by the blast. This process resulted in a much smaller explosive release than either alternate hypothesis and thus may have consequences for reportable inventories and process safety. The investigation employs NIST FDS CFD analyses of the potential releases, fires and their influence.     

粉尘爆炸事故模式及其预防研究

随着粉体工业的发展,粉尘爆炸发生的危险性也随之增大。为了探讨粉尘爆炸发生的规律,笔者对粉尘爆炸发生的点火源类型、事故原因进行了统计、排序;在对已发生的典型的粉尘爆炸事故分析的基础上,总结、归纳了影响粉尘爆炸发生的,诸如粉尘自身的可燃性、粉尘所处的状态、粉尘所处的外部环境等因素;提炼出了7种粉尘爆炸事故模式,并对各种模式下粉尘爆炸发生的条件、机理进行了初步研究分析,然后提出了相应的事故预防措施。笔者所研究的成果,对粉体工业的安全生产具有实际的指导作用,对今后防灾决策的深入研究也具有一定的参考价值。     

Characteristics of worker accidents on NYSDOT construction projects

INTRODUCTION: This paper aims at providing cost-effective safety measures to protect construction workers in highway work zones, based on real data. Two types of accidents that occur in work zones were: (a) construction work area accidents, and (b) traffic accidents involving construction worker(s). METHODOLOGY/RESULTS: A detailed analysis of work zone accidents involving 36 fatalities and 3,055 severe injuries to construction workers on New York State Department of Transportation (NYSDOT) construction projects from 1990 to 2001 established that five accident types: (a) Struck/Pinned by Large Equipment, (b) Trip or Fall (elevated), (c) Contact w/Electrical or Gas Utility, (d) Struck-by Moving/Falling Load, and (e) Crane/Lift Device Failure accounted for nearly 96% of the fatal accidents, nearly 63% of the hospital-level injury accidents, and nearly 91% of the total costs. These construction work area accidents had a total cost of $133.8 million. Traffic accidents that involve contractors' employees were also examined. Statistical analyses of the traffic accidents established that five traffic accident types: (a) Work Space Intrusion, (b) Worker Struck-by Vehicle Inside Work Space, (c) Flagger Struck-by Vehicle, (d) Worker Struck-by Vehicle Entering/Exiting Work Space, and (e) Construction Equipment Struck-by Vehicle Inside Work Space accounted for nearly 86% of the fatal, nearly 70% of the hospital-level injury and minor injury traffic accidents, and $45.4 million (79.4%) of the total traffic accident costs. CONCLUSIONS: The results of this paper provide real statistics on construction worker related accidents reported on construction work zones. Potential preventions based on real statistics have also been suggested. IMPACT ON INDUSTRY: The ranking of accident types, both within the work area as well as in traffic, will guide the heavy highway contractor and owner agencies in identifying the most cost effective safety preventions.     

热油泵房火灾事故分析及控制

运用事故树分析法,对炼化企业高温泵房火灾的原因进行分析,并提出预防措施.     

茅田冲2号隧道洞门安全与质量事故的分析及整治方案

通过对茅田冲 2号隧道洞门处安全与质量事故的形态、变形特征的勘察 ,判断事故形成原因 ,然后应用抗滑桩和注浆等工程措施进行综合治理。为常见的隧道洞门安全与质量事故提供了可参考的治理方法     

安全流变理论及其在煤矿事故中的应用

提出了“安全流变理论”,分析了事物“安全流变”的基本特征和理论基础 ,描述了煤矿事故的安全流变特性 ,同时指出煤矿事故的发生和发展可以用“安全流变理论”进行解释 ,进而说明“安全流变理论”是符合事物发展变化规律的。     

Development of generic bow-tie diagrams of accidental scenarios triggered by flooding of industrial facilities (Natech)

Interactions between natural events and industrial installations may lead to dangerous phenomena. According to bibliographical research, the industrial sector is often unprepared for these joint natural and technological or Natech events mainly because of the lack of guidelines on how to apply Natech regulations and the lack of information on the dynamics of Natechs. In order to fill the gaps and provide guidance on Natech risk assessment to operators, a systematic risk analysis methodology was developed and resulted firstly in proposing general reference bow-ties that reconfigure accidental scenarios triggered by flood events. The validation of these scenarios was made in the surface treatment sector. Building on these bow-ties, the risk analysis methodology will be completed and a checklist simple to use, along with a list proposing preventive and protective measures, to be used by operators in order to decrease the vulnerability of their industrial facilities to technological accidents triggered by floods will be developed in future work.