Fatal and Nonfatal Injury Patterns of Stranded Motorists.

ABSTRACT: Because nonfatal and fatal incidents for stranded motorists are not separated from vehicular accidents, little data are available on incident characteristics. To close this gap, data fields were inserted into databases at a medical examiner's office and two trauma centers to collect injury-related information. Forensic nurses and pathologists aided in forming a collaboration among the agencies involved and supported data collection efforts. Data collected over a 5-year period were examined for injury patterns to determine risk factors affecting these patterns. Of the total sample (N = 219), 24.7% had spinal injuries resulting in fatal injuries for 46 of 54 individuals. The odds were stranded motorists with spine-related injuries (C1-C7) had 9.13 times higher risk for a fatal outcome compared with those without spine-related injuries. Severe injuries (Abbreviated Injury Scale scores ≥ 4) noted for head/neck (29.7%) and chest (24.2%) were significantly associated with fatality. Of the 219 cases, 22.8% were inside of a stopped vehicle, and 77.2% were outside a vehicle at the time of injury. Outcomes illustrated the success of the interprofessional collaboration between trauma centers and a medicolegal death investigation agency that resulted in data useful for forensic nurses and pathologists documenting evidence, emergency and trauma responding personnel in patient priority stabilization, and injury prevention specialists for highway safety programs.

Stranded Motorist Deaths in Harris County, Texas: A Deadly Game of Highway Roulette.

The Centers for Disease Control and Prevention recognize that nonintentional injuries are a leading cause of death and disability. Current literature identifies risk factors and prevention strategies for motor vehicle crashes and auto-pedestrian incidents. However, scant literature provides prevention strategies for the stranded motorist (SM). The SM is defined as any occupant of a vehicle that is stopped in or on the side of a road. The purpose of this case report was to identify and describe the circumstances of SM death. Death data were identified from the medicolegal death investigation agency. Between 2004 and 2014, Harris County, Texas, had 46 SM deaths, and of those deaths, 74% occurred while outside the vehicle, and most motorists become stranded because of mechanical issues (67%). An outcome of the report was a public service announcement aimed at primary injury prevention. The medicolegal death investigation agency changed how they categorize the SM.