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Ikegami et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Advances in automobile crashworthiness have reduced both fatalities and severe injuries with different occupant restraint systems (seatbelts and airbags). However, even the appropriate use of these systems does not always completely prevent injury at the cranio-cervical junction in a high-energy accident. This report presents two such cases. Drivers should be educated not to place too much confidence in the safety provided by occupant restraint systems. In addition, physicians should pay attention to cranio-cervical trauma when a patient experiences cardiac arrest after a motor vehicle accident, even the patient is protected by occupant restraint systems.

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