Document Detail


Land motor vehicle-related drownings in Sweden.
MedLine Citation:
PMID:  19058100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Knowledge regarding drownings related to land motor vehicle events is limited although reports of these events occur globally. This study elucidates crash and injury mechanisms in motor vehicle-related drownings in a Swedish population during 1992 through 2006 in order to suggest preventive countermeasures. METHODS: The cases were identified in the National Board of Forensic Medicine database and crosschecked against the official statistics. All available autopsy reports, hospital records, and police records were analyzed. In addition, corresponding in-depth analyses performed by the Swedish Road Administration were reviewed and analyzed. RESULTS: In total, 83 drownings occurred in 64 vehicles. The great majority of victims had no serious injuries (92% MAIS <or= 2) and would probably have survived if they had not drowned. Most events took place in waters directly adjacent to a roadway (36%) or bridge (34%). The vehicles were most often (72%) found upside down, and most drownings occurred in shallow water (65% depth <2 m). One third (32%) of the drivers tested positive for alcohol (mean BAC of 2.0 g/L; range 0.16-2.6). The majority (69%) of the fatalities could possibly have been prevented if effective guardrails had been in place. CONCLUSIONS: Drownings in motor vehicles are not negligible events and in many cases they are preventable. Sufficient design and placement of guardrails can minimize these events, but further experimental investigation should be conducted to better understand these events and how to optimize vehicle design, rescue operations, and self-rescue.
Authors:
Albin Stjernbrandt; Mats Oström; Anders Eriksson; Ulf Björnstig
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Traffic injury prevention     Volume:  9     ISSN:  1538-957X     ISO Abbreviation:  Traffic Inj Prev     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-05     Completed Date:  2009-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101144385     Medline TA:  Traffic Inj Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  539-43     Citation Subset:  IM    
Affiliation:
Division of Surgery, Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic / mortality*,  prevention & control
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Databases, Factual
Drowning / epidemiology*,  prevention & control
Female
Humans
Incidence
Male
Middle Aged
Motor Vehicles
Retrospective Studies
Risk Factors
Sex Distribution
Sweden / epidemiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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