Scaling Methods Applied to Thoracic Force Displacement Characteristics Derived from Cardiopulmonary Resuscitation

Motor vehicle crashes are the leading cause of death for children and adults for every year of age from 3 to 36 years in the United States. Anthropomorphic Test Devices (ATDs) and computer models are key tools for evaluating the performance of motor vehicle safety systems, yet current data available for the validation of pediatric ATDs and computer models are derived from adult data through scaling or from sparse PMHS experiments. Recent measurement of large datasets of cardiopulmonary resuscitation (CPR) on children and adults provides valuable information for validating the aforementioned models. Thus, the objective of this work was to: a) evaluate the changes in the elastic force-displacement properties of the chest across the pediatric and young adult age range, and b) apply three published methods to estimate the composite modulus of the chest and scale the elastic force-displacement properties of the 8 to 10 year old to the 6 year old. In general, the data show a gradient of increasing stiffness (i.e. higher force at any given displacement) with age. CPR subjects in the 20 to 22 year old and 17 to 19 year old age ranges showed similar force-displacement behavior as did subjects in the 11 to 13 and 14 to 16 year old age ranges. The scaled elastic force-displacement curves for the 6 year old were quite similar for the femur and skull based modulus, but the CPR based curve was lower in stiffness. Elastic force-displacement properties for chests of subjects 8 to 22 years old are provided, along with similar data for 6 year old subject scaled from 8 to 10 year old subjects. These data are useful for validation of ATDs and computer models of the human pediatric chest.

[1]  H. Halperin,et al.  Elastic properties of the human chest during cardiopulmonary resuscitation , 1983, Critical care medicine.

[2]  Kristy B Arbogast,et al.  Incorporation of CPR Data into ATD Chest Impact Response Requirements. , 2010, Annals of advances in automotive medicine. Association for the Advancement of Automotive Medicine. Annual Scientific Conference.

[3]  Sven Ole Aase,et al.  Compression depth estimation for CPR quality assessment using DSP on accelerometer signals , 2002, IEEE Transactions on Biomedical Engineering.

[4]  Rolf H. Eppinger,et al.  Development of dummy and injury index for NHTSA's thoracic side impact protection research program , 1984 .

[5]  Kristy B Arbogast,et al.  Methods for determining pediatric thoracic force-deflection characteristics from cardiopulmonary resuscitation. , 2008, Stapp car crash journal.

[6]  Marc C. Beusenberg,et al.  Biomechanically Based Design and Performance Targets for a 3-Year Old Child Crash Dummy for Frontal and Side Impact , 1997 .

[7]  C. Hall,et al.  Developmental juvenile osteology.: By L. Scheuer and S. Black. Pp 587. San Diego: Academic Press, 2000. ISBN: 0-12-624000-0. £159.95. , 2001 .

[8]  David Lessley,et al.  Thoracic response to dynamic, non-impact loading from a hub, distributed belt, diagonal belt, and double diagonal belts. , 2004, Stapp car crash journal.

[9]  R. G. Snyder Physical characteristics of children as related to death and injury for consumer product safety design. Final report , 1975 .

[10]  Jun Ouyang,et al.  Thoracic impact testing of pediatric cadaveric subjects. , 2006, The Journal of trauma.

[11]  Jason F Luck,et al.  Pediatric thoracoabdominal biomechanics. , 2009, Stapp car crash journal.

[12]  C. K. Kroell,et al.  Impact Response of the Human Thorax , 1973 .

[13]  H. Langhaar Dimensional analysis and theory of models , 1951 .

[14]  Subcommittees 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. , 2005 .

[15]  Kristy B Arbogast,et al.  Quantitative Analysis of CPR Quality During In-Hospital Resuscitation of Older Children and Adolescents , 2009, Pediatrics.

[16]  Peter Dangerfield,et al.  Developmental Juvenile Osteology. By LOUISE SCHEUER and SUE BLACK. (Pp. x+587; fully illustrated; $159 hardback; ISBN 0 12 624000 0.) San Diego: Academic Press. 2000 , 2001 .

[17]  Harold J. Mertz,et al.  Biomechanical basis for the CRABI and Hybrid III child dummies , 1997 .

[18]  H. Halperin,et al.  System for mechanical measurements during cardiopulmonary resuscitation in humans , 1990, IEEE Transactions on Biomedical Engineering.

[19]  H. Halperin,et al.  Identification of dynamic mechanical parameters of the human chest during manual cadiopulmonary resuscitation , 1990, IEEE Transactions on Biomedical Engineering.

[20]  Jeffrey Richard Crandall,et al.  Lateral Injury Criteria for the 6-year-old Pedestrian - Part I: Criteria for the Head, Neck, Thorax, Abdomen and Pelvis , 2004 .