INTRODUCTION Obesity has been shown to increase the risks of some types of injury in crashes. One way in which obesity may increase injury risk is by changing the routing of the belt relative to the underlying skeletal structures. METHODS Belt fit was measured in a laboratory study of 54 men and women, 48 percent of whom were obese, defined by body mass index (BMI) of 30 kg/m(2) or greater. T...

Front-seat safety belt use in the United States (US) was 80 percent in June, 2004. This rate represents the highest ever for the US, but indicates that there is still a sizable minority of people who do not always use safety belts despite mandatory seat belt laws in all but one state. Changing the behavior of these people will require new and innovative countermeasures. Little research has syst...

INTRODUCTION The authors have attempted to elucidate the differences between Chance, seat-belt, and flexion distraction fractures. Chance and seat-belt fractures have more common features, while flexion distraction fractures differ, in particular, due to the mechanism of injury. A difficult diagnosis is sometimes a common characteristic, while therapy is always the same. PATIENTS AND METHODS ...

Colonic seat belt injuries are rare but carry higher mortality rates than small bowel injuries. The case of a 44 year old man is described who had severe sigmoid colon compression injury from his seat belt a few days after a road traffic accident.

BACKGROUND The efficacy of seat belts in reducing deaths from motor vehicle crashes is well documented. A unique association of injuries has emerged in adults and children with the use of seat belts. The "seat-belt syndrome" refers to the spectrum of injuries associated with lap-belt restraints, particularly flexion-distraction injuries to the spine (Chance fractures). METHODS We describe the...

This paper formulates a comprehensive econometric structure that recognizes two important issues in crash-related injury severity analysis. First, the impact of a factor on injury severity may be moderated by various observed and unobserved variables specific to an individual or to a crash. Second, seat belt use is likely to be endogenous to injury severity. That is, it is possible that intrins...