Child Occupant Protection: Latest Knowledge and Future Opportunities – Results of a 2015 Workshop in Gothenburg, Sweden

Child occupant protection research remains a critical need for industry, academia, government and safety advocacy organizations. While reductions in fatalities and serious injuries have been achieved, motor vehicle crashes remain a leading cause of death and disability for children and adolescents and as a result, represent a public health priority. To facilitate international coordination and sharing of knowledge around this topic, the fourth biennial international workshop on Child Occupant Protection was convened in September 2015, bringing together worldwide leaders in the fields of child occupant protection, biomechanics, and auto safety to critically review the state-of-knowledge in the field and identify high-priority research topics and strategize toward their implementation. Summaries of previous workshops were presented at the 2011 and 2013 Protection of Children in Cars Conferences. The following describes the recommendations that emanated from the 2015 meeting.

[1]  I M Jørgensen The epidemiology of fatal unintentional child injuries in Denmark. , 1995, Danish medical bulletin.

[2]  Kristy B Arbogast,et al.  Injuries to children in forward facing child restraints. , 2002, Annual proceedings. Association for the Advancement of Automotive Medicine.

[3]  D. Bulas,et al.  Patterns of injury to restrained children in side impact motor vehicle crashes: the side impact syndrome. , 2003, The Journal of trauma.

[4]  D. Durbin,et al.  Belt-positioning booster seats and reduction in risk of injury among children in vehicle crashes. , 2003, JAMA.

[5]  Kristy B Arbogast,et al.  An evaluation of the effectiveness of forward facing child restraint systems. , 2004, Accident; analysis and prevention.

[6]  M. Eichelberger,et al.  Not all child safety seats are created equal: the potential dangers of shield booster seats. , 2004, Pediatrics.

[7]  Michael McCrea,et al.  Unreported Concussion in High School Football Players: Implications for Prevention , 2004, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[8]  Andrew Howard,et al.  Children in side-impact motor vehicle crashes: seating positions and injury mechanisms. , 2004, The Journal of trauma.

[9]  Jikuang Yang,et al.  Head Injuries in Child Pedestrian Accidents—In-Depth Case Analysis and Reconstructions , 2007, Traffic injury prevention.

[10]  Xing Wu,et al.  Epidemiology of traumatic brain injury in eastern China, 2004: a prospective large case study. , 2008, The Journal of trauma.

[11]  Koji Mizuno,et al.  Implementation of Child Biomechanical Neck Behaviour into a Child FE Model , 2009 .

[12]  Steven Rowson,et al.  Linear and angular head acceleration measurements in collegiate football. , 2009, Journal of biomechanical engineering.

[13]  Tamitza Toroyan,et al.  Global status report on road safety , 2009, Injury Prevention.

[14]  Deborah Dewey,et al.  Epidemiology of Postconcussion Syndrome in Pediatric Mild Traumatic Brain Injury , 2010, Pediatrics.

[15]  Sjaanie Narelle Koppel,et al.  How Do Children Really Behave in Restraint Systems While Travelling in Cars , 2010 .

[16]  J. Sosnoff,et al.  Biomechanical properties of concussions in high school football. , 2010, Medicine and science in sports and exercise.

[17]  Anna-Lisa Osvalder,et al.  Effect of Booster Seat Design on Children's Choice of Seating Positions During Naturalistic Riding. , 2010, Annals of advances in automotive medicine. Association for the Advancement of Automotive Medicine. Annual Scientific Conference.

[18]  Bethany J. Wilcox,et al.  Head impact exposure in collegiate football players. , 2011, Journal of biomechanics.

[19]  Kristy B Arbogast,et al.  Kinematics and shoulder belt position of child rear seat passengers during vehicle maneuvers. , 2011, Annals of advances in automotive medicine. Association for the Advancement of Automotive Medicine. Annual Scientific Conference.

[20]  Francisco J Lopez-Valdes,et al.  Assessment of a head support system to prevent pediatric out-of-position: an observational study. , 2013, Annals of advances in automotive medicine. Association for the Advancement of Automotive Medicine. Annual Scientific Conference.

[21]  M. Craig,et al.  Development of brain injury criteria (BrIC). , 2013, Stapp car crash journal.

[22]  Kristy B. Arbogast,et al.  Naturalistic Observation of Children in Cars: An International Partnership , 2013 .

[23]  Francisco J. López-Valdés,et al.  Preventing Pediatric Out-of-Position in Frontal Crashes: Impact Assessment of a Head Support System , 2013 .

[24]  Helen Loeb,et al.  Use of kinect™ for naturalistic observation of occupants in vehicles. , 2013, Annals of advances in automotive medicine. Association for the Advancement of Automotive Medicine. Annual Scientific Conference.

[25]  Karin Brolin,et al.  Kinematics of Child Volunteers and Child Anthropomorphic Test Devices During Emergency Braking Events in Real Car Environment , 2013, Traffic injury prevention.

[26]  Heiko Johannsen,et al.  Q6 Dummy Thoracic Response and Diagonal Belt Interactions: Observations based on Dummy Testing and Human and Dummy Simulations , 2014 .

[27]  Kristy B Arbogast,et al.  Validation of a helmet-based system to measure head impact biomechanics in ice hockey. , 2014, Medicine and science in sports and exercise.

[28]  Mari A. Allison,et al.  Measurement of Hybrid III Head Impact Kinematics Using an Accelerometer and Gyroscope System in Ice Hockey Helmets , 2015, Annals of Biomedical Engineering.

[29]  Katarina Bohman,et al.  Long-Term Medical Consequences for Child Occupants 0 to 12 Years Injured in Car Crashes , 2014, Traffic injury prevention.

[30]  Matthew P Reed,et al.  Kinematics of Pediatric Crash Dummies Seated on Vehicle Seats with Realistic Belt Geometry , 2014, Traffic injury prevention.

[31]  Karin Brolin,et al.  Safety of children in cars: A review of biomechanical aspects and human body models , 2015 .

[32]  Anne T McCartt,et al.  Rear seat safety: Variation in protection by occupant, crash and vehicle characteristics. , 2015, Accident; analysis and prevention.

[33]  A. Kullgren,et al.  Risk of Permanent Medical Impairment (RPMI) in Car Crashes Correlated to Age and Gender , 2015, Traffic injury prevention.

[34]  Katarina Bohman,et al.  Responses of the Q6/Q6s ATD Positioned in Booster Seats in the Far-Side Seat Location of Side Impact Passenger Car and Sled Tests. , 2015, Stapp car crash journal.

[35]  J. Haagsma,et al.  Burden of road traffic injuries: Disability-adjusted life years in relation to hospitalization and the maximum abbreviated injury scale. , 2015, Accident; analysis and prevention.

[36]  Joel D. Stitzel,et al.  Mortality Risk in Pediatric Motor Vehicle Crash Occupants: Accounting for Developmental Stage and Challenging Abbreviated Injury Scale Metrics , 2015, Traffic injury prevention.

[37]  Dennis R Durbin,et al.  Association Between NCAP Ratings and Real-World Rear Seat Occupant Risk of Injury , 2015, Traffic injury prevention.