Strangulation associated with a passive restraint shoulder harness seatselt: case report

Veenema, Kenneth R.

doi:10.1016/0736-4679(94)90272-0

Cited by 16 publications

(9 citation statements)

References 13 publications

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“…6,7 Numerous studies also report injuries from use of the shoulder harness alone. [8][9][10][11][12][13] The purpose of this study was to examine the effectiveness of automatic shoulder belts when used with and without a manual lap belt.…”

Section: Arious Strategies Have Beenmentioning

confidence: 99%

Effectiveness of Automatic Shoulder Belt Systems in Motor Vehicle Crashes

Rivara¹

2000

JAMA

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Section: Arious Strategies Have Beenmentioning

confidence: 99%

Effectiveness of Automatic Shoulder Belt Systems in Motor Vehicle Crashes

Rivara¹

2000

JAMA

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“…With the former restraints, the injuries run the spectrum from laryngeal contusions to decapitation and with the 3‐point restraints, from minor laryngeal lacerations and contusions to cervical vertebral dislocation. In addition, asphyxiation resulting from shoulder harness 2‐ and 3‐point seat belts has been reported (29–31). The risk of submarining (the occupant slides under the belt) is much lower in car occupants wearing 3‐point restraints than in those wearing shoulder belts only when involved in head‐on collisions.…”

Section: Discussionmentioning

confidence: 99%

Motor Vehicle Occupants, Neck Injuries, and Seat Belt Utilization: A 5‐Year Study of Fatalities in New York City

Sgarlato¹,

deRoux²

2010

Journal of Forensic Sciences

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Despite the implementation of numerous safety devices in automobiles, vehicular occupant fatalities following collisions remain common. We reviewed all fatalities of vehicular occupants in New York City over a 5-year period on whom autopsies were performed (437) to determine the incidence of neck injuries and correlate them with seat belt utilization; 26.5% had neck injuries (mild to severe) and only 10.3% of these occupants were confirmed to be wearing seatbelts. Of those that had documentation of seat belt utilization there were twice as many neck injuries in the unbelted group. We highlight two cases of submarining with severe neck injuries that were related to automatic 2-point shoulder harness restraints without engagement of the lap belt.

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“…Although it is well recognized that the wearing of seatbelts in motor vehicles has significantly reduced morbidity and mortality from accidents 4−6 , particular injuries may occur that are directly attributable to the effect of belts. Seatbelts have caused deaths from direct trauma and from asphyxiation, and may prevent occupants leaving a dangerous vehicle environment 7,8 . In children, deaths have occurred from vascular injuries to the carotid artery and aorta 9,10 .…”

Section: Discussionmentioning

confidence: 99%

Child booster seats and lethal seat belt injury

Byard¹,

Noblett²

2004

J Paediatrics Child Health

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A 7-year-old boy travelling in the rear seat of a sedan car was wearing a lap-shoulder seat belt and sitting on a booster seat. Following a collision the boy 'submarined' under the seat belt sustaining trauma to the anterior aspect of his neck, cardiac arrest and subsequent death from hypoxic-ischaemic encephalopathy. This case demonstrates a potential problem with unsecured older-style booster seats. Movement of a seat in a collision may cause a child to slip under a seat belt and sustain significant neck injuries. Seatbelts for children must be correctly fitted, booster seats or capsules must be securely fastened and manufacturer's recommendations for size and weight limits should be followed. Unfortunately older booster seats may not have attached instructions for installation and use, may not fit later model vehicles, may not conform to current safety recommendations and may have worn webbing. For these reasons their use should be discouraged.

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Strangulation associated with a passive restraint shoulder harness seatselt: case report

Cited by 16 publications

References 13 publications

Effectiveness of Automatic Shoulder Belt Systems in Motor Vehicle Crashes

Effectiveness of Automatic Shoulder Belt Systems in Motor Vehicle Crashes

Motor Vehicle Occupants, Neck Injuries, and Seat Belt Utilization: A 5‐Year Study of Fatalities in New York City

Child booster seats and lethal seat belt injury

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