Overdosing in a Motor Vehicle: Examination of Human, Geographic, and Environmental Factors.

BACKGROUND: Fentanyl, a type of opioid, in impaired driving cases increased across cities in the United States. OBJECTIVES: No empirical studies have examined motor vehicle overdoses with fentanyl use. We investigated the magnitude of the motor vehicle overdose problem in Providence, RI, and the environmental, socioeconomic, and geographic conditions associated with motor vehicle overdose occurrence. METHODS: This was a retrospective observational study of emergency medical services data on all suspected opioid overdoses between January 1, 2017, and October 31, 2020. The data contain forced-choice fields, such as age and biological sex, and an open-ended narrative in which the paramedic documented clinical and situational information. The overdoses were geocoded, allowing for the extraction of sociodemographic data from the U.S. Census Bureau's American Community Survey. Seven other data sources were included in a logistic regression to understand key risk factors and spatial patterns of motor vehicle overdoses. RESULTS: Of the 1,357 opioid overdose cases in this analysis, 15.2% were defined as motor vehicle overdoses. In adjusted models, we found a 61% increase in the odds of a motor vehicle overdose involvement for men versus women, a 16.8% decrease in the odds of a motor vehicle overdose for a one-unit increase in distance to the nearest gas station, and a 10.7% decrease in the odds of a motor vehicle overdose for a one-unit increase in distance to a buprenorphine clinic. CONCLUSION: There is a need to understand the interaction between drug use in vehicles to design interventions for decreasing driving after illicit drug use.

Examining the Trends in Motor Vehicle Traffic Deaths in New York City, 1999-2020.

Monitoring and understanding the trends in motor vehicle traffic (MVT) mortality is crucial for developing effective interventions and tracking progress in reducing deaths related to MVT. This study aimed to assess the trends in MVT mortality in New York City from 1999 through 2020. Publicly available de-identifiable mortality data were abstracted from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research. MVT deaths were identified using the International Classification of Diseases Codes, 10th Revision: V02-V04 (.1, .9), V09.2, V12-V14 (.3-.9), V19 (.4-.6), V20-V28 (.3-.9), V29-V79 (.4-.9), V80 (.3-.5), V81.1, V82.1, V83-V86 (.0-.3), V87 (.0-.8), and V89.2. Age adjusted mortality rates (AAMR) were abstracted by county (Bronx; Kings; Queens; New York), age (in years) (< 25; 25-44; 45-64; ≥ 65), sex (male; female), race/ethnicity (Non-Hispanic Black; Non-Hispanic White; Asian/Pacific Islander; Hispanic), and road user type (motor vehicle occupant; motorcyclist; pedal cyclist; pedestrian). Joinpoint regression models were fitted to estimate the annual percentage change (APC) and average annual percentage change (AAPC) in AAMR during the study period. The Parametric Method was used to compute 95% confidence intervals (CI). Between 1999 and 2020, a total of 8,011 MVT deaths were recorded in New York City. Mortality rates were highest among males (age adjusted mortality rate (AAMR) = 6.4 per 100,000; 95% CI: 6.2, 6.5), Non-Hispanic Blacks (AAMR = 4.8; 95% CI: 4.6, 5.0), older adults (AAMR = 8.9; 95% CI: 8.6, 9.3), and persons from Richmond County (AAMR = 5.2; 95% CI: 4.8, 5.7). MVT death rates, overall, have declined by 3% per year (95% CI: -3.6, -2.3) from 1999 to 2020. The rates have fallen or stabilized by race/ethnicity, county of residence, road user type, and age group. In contrast, rates have increased by 18.1% per year among females and by 17.4% per year in Kings County from 2017 to 2020.The results of this study draw attention to the worsening trends in MVT mortality among females and in Kings County, New York City. Further investigation is needed to determine the underlying behavioral, social, and environmental factors contributing to this increase, such as polysubstance or alcohol abuse, psychosocial stressors, access to medical and emergency care, and compliance with traffic laws. These findings emphasize the importance of developing targeted interventions to prevent MVT deaths and ensure the health and safety of the community.

COVID-19 and the value of safe transport in the United States.

We investigate the connection between the choice of transportation mode used by commuters and the probability of COVID-19 transmission. This interplay might influence the choice of transportation means for years to come. We present data on commuting, socioeconomic factors, and COVID-19 disease incidence for several US metropolitan areas. The data highlights important connections between population density and mobility, public transportation use, race, and increased likelihood of transmission. We use a transportation model to highlight the effect of uncertainty about transmission on the commuters' choice of transportation means. Using multiple estimation techniques, we found strong evidence that public transit ridership in several US metro areas has been considerably impacted by COVID-19 and by the policy responses to the pandemic. Concerns about disease transmission had a negative effect on ridership, which is over and above the adverse effect from the observed reduction in employment. The COVID-19 effect is likely to reduce the demand for public transport in favor of lower density alternatives. This change relative to the status quo will have implications for fuel use, congestion, accident frequency, and air quality. More vulnerable communities might be disproportionally affected as a result. We point to the need for additional studies to further quantify these effects and to assist policy in planning for the post-COVID-19 transportation future.

Deep Q-network-based traffic signal control models.

Traffic congestion has become common in urban areas worldwide. To solve this problem, the method of searching a solution using artificial intelligence has recently attracted widespread attention because it can solve complex problems such as traffic signal control. This study developed two traffic signal control models using reinforcement learning and a microscopic simulation-based evaluation for an isolated intersection and two coordinated intersections. To develop these models, a deep Q-network (DQN) was used, which is a promising reinforcement learning algorithm. The performance was evaluated by comparing the developed traffic signal control models in this research with the fixed-time signal optimized by Synchro model, which is a traffic signal optimization model. The evaluation showed that the developed traffic signal control model of the isolated intersection was validated, and the coordination of intersections was superior to that of the fixed-time signal control method.

Vehicle trajectory prediction and generation using LSTM models and GANs.

Vehicles' trajectory prediction is a topic with growing interest in recent years, as there are applications in several domains ranging from autonomous driving to traffic congestion prediction and urban planning. Predicting trajectories starting from Floating Car Data (FCD) is a complex task that comes with different challenges, namely Vehicle to Infrastructure (V2I) interaction, Vehicle to Vehicle (V2V) interaction, multimodality, and generalizability. These challenges, especially, have not been completely explored by state-of-the-art works. In particular, multimodality and generalizability have been neglected the most, and this work attempts to fill this gap by proposing and defining new datasets, metrics, and methods to help understand and predict vehicle trajectories. We propose and compare Deep Learning models based on Long Short-Term Memory and Generative Adversarial Network architectures; in particular, our GAN-3 model can be used to generate multiple predictions in multimodal scenarios. These approaches are evaluated with our newly proposed error metrics N-ADE and N-FDE, which normalize some biases in the standard Average Displacement Error (ADE) and Final Displacement Error (FDE) metrics. Experiments have been conducted using newly collected datasets in four large Italian cities (Rome, Milan, Naples, and Turin), considering different trajectory lengths to analyze error growth over a larger number of time-steps. The results prove that, although LSTM-based models are superior in unimodal scenarios, generative models perform best in those where the effects of multimodality are higher. Space-time and geographical analysis are performed, to prove the suitability of the proposed methodology for real cases and management services.

Analyzing the safety impact of longer and heavier vehicles circulating in the European market.

INTRODUCTION: The European Union (EU) has developed different strategies to internalize the costs of excessive motor traffic in the road freight transport sector. One of these is a relaxation of restrictions on the size and load capacity of trucks that circulate between member States and a proposal has been made for Longer and Heavier Vehicles (LHVs) to be allowed to circulate across borders. LHVs are the so-called "megatrucks" (i.e., trucks with a length of 25 meters and a weight of 60 tonnes). Megatrucks have allowed to circulate for decades in some European countries such as Norway, Finland, and Sweden, world leaders in traffic accident prevention, although the impact that cross-border traffic would have on road safety is still unknown. METHODS: This article provides an econometric analysis of the potential impact on road safety of allowing the circulation of "megatrucks" throughout the EU. RESULTS: The findings show that countries that currently allow megatrucks to circulate present lower traffic accident and fatality levels, on average. CONCLUSIONS: The circulation of this type of vehicle is only advisable in countries where there is a certain degree of maturity and demonstrated achievements in the field of road safety. Practical applications: European countries that have allowed megatruck circulation obtaining better road safety outcomes in terms of accidents, although the accident lethality rate seems to be higher. Consequently, introducing megatruck circulation requires a prior proper preparation and examination.

Behavioral pathways in bicycle-motor vehicle crashes: From contributing factors, pre-crash actions, to injury severities.

INTRODUCTION: This study performed a path analysis to uncover the behavioral pathways (from contributing factors, pre-crash actions to injury severities) in bicycle-motor vehicle crashes. METHOD: The analysis investigated more than 7,000 bicycle-motor vehicle crashes in North Carolina between 2007 and 2014. Pre-crash actions discussed in this study are actions of cyclists and motorists prior to the event of a crash, including "bicyclist failed to yield," "motorist failed to yield," "bicyclist overtaking motorist," and "motorist overtaking bicyclist." RESULTS: Model results show significant correlates of pre-crash actions and bicyclist injury severity. For example, young bicyclists (18 years old or younger) are 23.5% more likely to fail to yield to motor traffic prior to the event of a crash than elder bicyclists. The "bicyclist failed to yield" action is associated with increased bicyclist injury severity than other actions, as this behavior is associated with an increase of 5.88 percentage points in probability of a bicyclist being at least evidently injured. The path analysis can highlight contributing factors related to risky pre-crash actions that lead to severe injuries. For example, bicyclists traveling on regular vehicle travel lanes are found to be more likely to involve the "bicyclist failed to yield" action, which resulted in a total 44.38% (7.04% direct effect + 37.34% indirect effect) higher likelihood of evident or severe injuries. The path analysis can also identify factors (e.g., intersection) that are not directly but indirectly correlated with injury severity through pre-crash actions. Practical Applications: This study offers a methodological framework to quantify the behavioral pathways in bicycle-motor vehicle crashes. The findings are useful for cycling safety improvements from the perspective of bicyclist behavior, such as the educational program for cyclists.

Characteristics of vehicles driven by teens and adults killed in crashes, 2013-2017.

INTRODUCTION: Teen drivers experience higher crash risk than their experienced adult counterparts. Legislative and community outreach methods have attempted to reduce this risk; results have been mixed. The increasing presence of vehicle safety features across the fleet has driven fatality numbers down in the past decades, but the disparity between young drivers and others remains. METHOD: We merged Fatality Analysis Reporting System (FARS) data on fatal crashes with vehicle characteristic data from the Highway Loss Data Institute (HLDI). The analysis compared the vehicle type, size, age, and the presence of select safety features in vehicles driven by teens (ages 15-17 years) and adult drivers (ages 35-50 years) who were killed in crashes from 2013 to 2017. Results were compared with a similar analysis conducted on data from 2007 to 2012. RESULTS: Teen drivers were more likely than their adult counterparts to be killed while driving older, smaller vehicles that were less likely to have the option to be equipped with side airbags. DISCUSSION: Teenage drivers remain more likely to be killed while driving older, smaller vehicles than adult drivers. Parents and guardians are mainly responsible for teen vehicle choice, and should keep vehicle size, weight, and safety features in mind when placing their teen in a vehicle. Practical Application: These findings can help guide safer vehicle choice for new teen drivers.

Evaluating safety-influencing factors at stop-controlled intersections using automated video analysis.

INTRODUCTION: Although stop signs are popular in North America, they have become controversial in cities like Montreal, Canada where they are often installed to reduce vehicular speeds and improve pedestrian safety despite limited evidence demonstrating their effectiveness. The purpose of this study is to evaluate the impact of stop-control configuration (and other features) on safety using statistical models and surrogate measures of safety (SMoS), namely vehicle speed, time-to-collision (TTC), and post-encroachment time (PET), while controlling for features of traffic, geometry, and built environment. METHODS: This project leverages high-resolution user trajectories extracted from video data collected for 100 intersections, 336 approaches, and 130,000 road users in Montreal to develop linear mixed-effects regression models to account for within-site and within-approach correlations. This research proposes the Intersection Exposure Group (IEG) indicator, an original method for classifying microscopic exposure of pedestrians and vehicles. RESULTS: Stop signs were associated with an average decrease in approach speed of 17.2 km/h and 20.1 km/h, at partially and fully stop-controlled respectively. Cyclist or pedestrian presence also significantly lower vehicle speeds. The proposed IEG measure was shown to successfully distinguish various types of pedestrian-vehicle interactions, allowing for the effect of each interaction type to vary in the model. CONCLUSIONS: The presence of stop signs significantly reduced approach speeds compared to uncontrolled approaches. Though several covariates were significantly related to TTC and PET for vehicle pairs, the models were unable to demonstrate a significant relationship between stop signs and vehicle-pedestrian interactions. Therefore, drawing conclusions regarding pedestrian safety is difficult. Practical Applications: As pedestrian safety is frequently used to justify new stop sign installations, this result has important policy implications. Policies implementing stop signs to reduce pedestrian crashes may be less effective than other interventions. Enforcement and education efforts, along with geometric design considerations, should accompany any changes in traffic control.

Traffic control and social distancing evidence from COVID-19 in China.

We collected COVID-19 epidemiological and epidemic control measures-related data in mainland China during the period January 1 to February 19, 2020, and empirically tested the practical effects of the epidemic control measures implemented in China by applying the econometrics approach. The results show that nationally, both traffic control and social distancing have played an important role in controlling the outbreak of the epidemic, however, neither of the two measures have had a significant effect in low-risk areas. Moreover, the effect of traffic control is more successful than that of social distancing. Both measures complement each other, and their combined effect achieves even better results. These findings confirm the effectiveness of the measures currently in place in China, however, we would like to emphasize that control measures should be more tailored, which implemented according to each specific city's situation, in order to achieve a better epidemic prevention and control.

Is a flick-through enough? A content analysis of Advanced Driver Assistance Systems (ADAS) user manuals.

Advanced Driver Assistance Systems (ADAS) are being developed and installed in increasing numbers. Some of the most popular ADAS include blind spot monitoring and cruise control which are fitted in the majority of new vehicles sold in high-income countries. With more drivers having access to these technologies, it is imperative to develop policy and strategies to guarantee the safe uptake of ADAS. One key issue is that ADAS education has been primarily centred on the user manual which are not widely utilised. Moreover, it is unclear if user manuals are an adequate source of education in terms of content and readability. To address this research gap, a content analysis was used to assess the differences in ADAS-related content and readability among the manuals of the highest selling vehicles in Australia. The qualitative findings showed that there are seven themes in the user manuals: differences between driving with and without ADAS, familiarisation requirements, operational limits of the ADAS, potential ADAS errors, behaviour adaptation warnings, confusion warnings, and malfunction warnings. The quantitative analysis found that some of the manuals require several years of education above the recommended for a universal audience (>8 years) to be understood. Additionally, there is a notable number of text diversions and infographics which could make comprehension of the user manual difficult. This investigation shows that there is a lack of standardisation of ADAS user manuals (in both content and delivery of information) which requires regulatory oversight. Driver ADAS education needs to be prioritised by policymakers and practitioners as smart technology continues to increase across the transport system. It seems that current strategies based on user manuals are insufficient to achieve successful adoption and safe use of these technologies.

User perceptions of automated Truck-Mounted attenuators: Implications on work zone safety.

OBJECTIVE: Automated Truck-Mounted Attenuators (ATMAs) have the potential to improve work zone safety by removing the human driver out of a vehicle that is positioned in work zones to absorb impact from errant vehicles. However, this automated technology is expensive and can be detrimental to safety and project success if operated incorrectly (e.g., operating limitations and procedures not followed). Therefore, it is important to understand users' perceptions of ATMAs and how training can improve appropriate adoption of this technology. The objective of this study was to evaluate how work zone workers perceive the usefulness of and the capabilities of automation in Truck-Mounted Attenuators. METHODS: A survey study was conducted with 13 Department of Transportation (DOT) workers in Colorado and California. Each of the DOT workers in this study had some previous experience with the ATMA, either in real-world applications and/or formal training. The survey collected information on participant job specifications, experience with the ATMA, training received, trust in the ATMA, usability of the HMIs, and operating capabilities of the automation. RESULTS: Workers reported an overall positive acceptance of this technology. This was supported by their expectation that it would reduce crash severity; that there was a reasonable workload associated with operating procedures for the automation; and by their overall trust in the automation's reliability. However, workers noted concerns regarding their trust in the automation under various contexts, such as poor visibility and denser traffic volumes. Further, trust in the technology was greatest among workers with higher levels of ATMA training and longer experience working with the ATMA. CONCLUSIONS: This research presents a novel perspective on user acceptance of ATMA technology. These findings can help jurisdictions achieve the safety improvements that investment and deployment of automation in work zones offers, by identifying the disconnect between operators and technology.

An intelligent cluster optimization algorithm based on Whale Optimization Algorithm for VANETs (WOACNET).

Vehicular Ad hoc Networks (VANETs) an important category in networking focuses on many applications, such as safety and intelligent traffic management systems. The high node mobility and sparse vehicle distribution (on the road) compromise VANETs network scalability and rapid topology, hence creating major challenges, such as network physical layout formation, unstable links to enable robust, reliable, and scalable vehicle communication, especially in a dense traffic network. This study discusses a novel optimization approach considering transmission range, node density, speed, direction, and grid size during clustering. Whale Optimization Algorithm for Clustering in Vehicular Ad hoc Networks (WOACNET) was introduced to select an optimum cluster head (CH) and was calculated and evaluated based on intelligence and capability. Initially, simulations were performed, Subsequently, rigorous experimentations were conducted on WOACNET. The model was compared and evaluated with state-of-the-art well-established other methods, such as Gray Wolf Optimization (GWO) and Ant Lion Optimization (ALO) employing various performance metrics. The results demonstrate that the developed method performance is well ahead compared to other methods in VANET in terms of cluster head, varying transmission ranges, grid size, and nodes. The developed method results in achieving an overall 46% enhancement in cluster optimization and an F-value of 31.64 compared to other established methods (11.95 and 22.50) consequently, increase in cluster lifetime.

Phenomenon of fatigue among professional drivers in Poland.

INTRODUCTION: Given the specificity of the occupation of professional drivers, fatigue is a very serious problem. Tired drivers can pose a huge threat to themselves and to other users of public roads. The effects of fatigue can lead to loss of drivers' and other users' health or life. OBJECTIVE: The aim of the study was to analyze some aspects of fatigue in Polish professional drivers (e.g. symptoms of fatigue reported by drivers, their frequency and number, critical hours, and fatigue management) in relation to such variables as the job seniority, the mode of transport, and the covered distance. MATERIAL AND METHODS: The study involved 398 professional drivers. The method of research based on an anonymous electronic survey. RESULTS: The survey showed that 89% of the respondents declared that they suffered from fatigue at work. The most common symptoms of fatigue reported by the drivers included drowsiness (76% of the respondents), eye strain (67%), lack of concentration (45%), and lack of energy (44%). The mean number of fatigue symptoms indicated by drivers involved in different modes of transport and covering different distances did not differ significantly. CONCLUSIONS: The analysis revealed that the everyday experience of fatigue reported by the surveyed drivers depends on job seniority. There is a significant difference in the occurrence of critical hours experienced by drivers covering different distances.

An overview of tram tracks related cycling injuries in Ghent, Belgium.

OBJECTIVE: There is a paucity of data on the incidence and severity of tram tracks related cycling injuries. The aim of this study is to get insight into the incidence, severity and characteristics of tram tracks related cycling injuries, potentially defining significant 'hotspots' in the Ghent city area. METHODS: A one-year, multicenter, prospective, observational study was conducted. Patients presenting to the emergency departments of all 4 Ghent hospitals with tram tracks related cycling injury, were included. Data on patient demographics, circumstances of the accident and type of injury were collected. RESULTS: 149 patients were included, with a median age of 31 years. 42 patients had fractures, 39 patients required wound sutures, 79 and 49 patients suffered from bruising and abrasions respectively. Only 5 patients required admission. No patients died or suffered life-threatening injuries. Women (65.1%) presented more frequently than men (34.9%). Forty-tree percent of all accidents happened in autumn (p < 0.001). Accidents happened more frequently in rainy conditions (p < 0.001). Mean number of days off work was 2.7 days, significantly increasing to 6.56 days when sustaining a fracture or dislocation (p = 0.02). CONCLUSION: Tram tracks are potentially dangerous and may lead to clinically important injuries and significant number of days off work.

Effectiveness of front crash prevention systems in reducing large truck real-world crash rates.

Objective: Forward collision warning (FCW) and automatic emergency braking (AEB) have the potential to prevent or mitigate many large truck crashes. While these systems are known to be effective in passenger vehicles, less is known about their effectiveness in large trucks. The objective of this study was to estimate the effectiveness of these systems in reducing real-world crash rates of large trucks.Methods: Data on Class 8 trucks operating on limited-access highways during 2017-2019 were obtained from SmartDrive Systems. Detailed data on exposure measures and crash circumstances were extracted from video footage by both automated means and manual coding. Crash rates were compared by front crash prevention technology (FCW, AEB, neither), both for all police-reportable crashes overall and for relevant crash types.Results: FCW was associated with a statistically significant 22% reduction in the rate of police-reportable crashes per vehicle miles traveled, and a significant 44% reduction in the rear-end crash rate of large trucks. AEB also was associated with significant reductions-12% overall and 41% for rear-end crashes. Warnings were issued in 31% of rear-end crashes for FCW-equipped trucks. AEB intervened in 43% of rear-end crashes; about two thirds of these interventions involved autobrake activations. On average, speed was reduced by over half between the time of the intervention and impact for both systems. Observed reductions in same-direction sideswipe and roadway departure crashes per mile traveled were smaller in magnitude than those of rear-end crashes; these were consistent with other crash avoidance technologies suspected to be bundled with FCW/AEB in some cases, and very few front crash prevention interventions occurred in these types of crashes.Conclusions: FCW and AEB are effective countermeasures for crashes in which large trucks rear-end other vehicles. Large truck safety is expected to improve as new trucks are increasingly equipped with these systems. FCW has the advantage that some of these systems can be retrofitted to existing trucks, so benefits can be realized sooner and with less investment.

Risk to workers or vehicle damage: What makes drivers slow down in work zones?

OBJECTIVE: Speeding in work zones is common and poses significant safety hazards to motorists and workers. Previous studies have demonstrated that speeding is reduced when workers are visible to the drivers, suggesting that concern for the safety of workers influences drivers' speed choice. Conversely, the extent of speeding when workers are not visible suggests that drivers underestimate the increased risk of crashes or other damage to their vehicles associated with the poorer road conditions common at roadworks (loose surfaces and debris, narrower lane width and drop-offs etc.). To better understand the factors influencing drivers' speeds in work zones, this paper examined the extent to which drivers' speed choices are influenced by their perceived likelihoods of injuring workers and damaging their own vehicles. METHODS: Driver-nominated speeds and perceived likelihoods of worker injury and vehicle damage were collected in an online survey of 405 drivers from Queensland, Australia, by showing photographs of 12 real-world work zones. The data were analyzed using regression techniques to examine the factors influencing driver-nominated speeds and likelihood of speeding. RESULTS: The results supported the hypothesis that both drivers' perceived likelihood of injuring workers and damaging vehicles strongly influence their nominated speeds (p < 0.001). Young and middle-aged drivers nominated 2.5-6.3 km/h higher speeds than older drivers (p < 0.001). Car drivers who also held truck licenses nominated 4.5 km/h higher speeds (p < 0.001) and 81% higher odds of nominating speeds higher than posted limits (p < 0.001) than car-only licensed drivers. Drivers nominated lower speeds at road curves (12.1 km/h lower speed and 53% lower odds of speeding, p < 0.001), if adjacent areas of travel lanes were unpaved or had loose materials (11.5 km/h lower speed and 66% lower odds, p < 0.001), and when workers were visible in work zones (1.4 km/h lower speed, p = 0.004, and 27% lower odds, p = 0.041). CONCLUSIONS: In addition to driver demographic and work zone characteristics, drivers' perceptions of safe speeds depend on their perceptions of the likelihood of worker injury and vehicle damage at work zones. These findings suggest that interventions to heighten drivers' perceptions of the likelihood of damage to their vehicles may be useful in moderating speeds at roadworks.

The safety potential of enhanced lateral vehicle positioning.

OBJECTIVE: The objective of this study is to estimate the potential safety benefits of Emergency Lane Keeping (ELK) and Autonomous Emergency Steering (AES) systems with precise and reliable lateral positioning. METHODS: The material comprised in-depth studies of fatal road crashes in Sweden in 2017. Crashes resulting in passenger car occupant fatality (n = 114) were included; single vehicle (n = 60) and head-on (n = 31), intersection (n = 9), rear-end (n = 5), overtaking (n = 5), animal (n = 1), other (n = 1, U-turn), and train (n = 2). Additionally, fatal collisions between motor vehicles and vulnerable road users (VRUs) were included; pedestrians (n = 36), cyclists/moped users (n = 15), and motorcyclists (n = 17). A case-by-case analysis was conducted to identify crashes potentially prevented by ELK and AES with precise (within 0.1 m accuracy) and reliable lateral positioning. The identified crashes potentially avoided by ELK systems involved unintentional drift-out-of-lane on roads with posted speed limits of ≥70 km/h (43 mph). For comparison, the same material was used to identify the potential safety benefits of the more traditional lane departure warning (LDW) and Lane Keeping Assist (LKA) systems without enhanced lateral positioning. Crashes potentially avoided by LDW/LKA occurred on roads with visible lane markings and without rumble strips on the departure side while ELK with enhanced lateral positioning is not reliant on lane markings. Collisions potentially avoided by AES occurred on roads with sufficient escape zones and road friction. RESULTS: The study shows that ELK systems with enhanced lateral positioning could potentially avoid 33 - 45 (36 - 49%) out of 91 head-on and single car crashes resulting in passenger car occupant fatality, which corresponds to a further 18% (5/28) compared to traditional lane support (LDW/LKA) without enhanced lateral positioning. The improved lane keeping addresses crashes involving absent or nonvisible lane markings that are covered by snow. Furthermore, the study shows that the evasive steering features of AES systems with enhanced lateral positioning could potentially prevent 28 (54%) out of 52 collisions resulting in passenger car occupant fatalities (i.e., head-on, intersection, rear-end, overtaking, and animal collision). Additionally, AES with enhanced lateral positioning could potentially prevent 16 (31%) out of 51 collisions between motor vehicles and vulnerable road users resulting in fatally injured pedestrians, cyclists or moped users. The total potential safety benefits of AES include both lane keeping and evasive steering features including lane escaping. The study identified that the total number of crashes potentially avoided by AES corresponds to 42% out of all crashes resulting in passenger car occupant fatalities (n = 48/114). CONCLUSIONS: This is a first attempt to identify and quantify the increase in potential safety benefits, based on the assumption that robust lateral vehicle positioning has been applied to lane keeping as well as lane escaping. In addition to the potentially increased number of prevented crashes compared to traditional lane support, a robust lateral positioning system may have the potential to improve the redundancy in positioning systems. Previous research suggests several techniques to improve lateral vehicle positioning. However, further research is required, including testing for implementation of adequately improved lateral vehicle awareness to establish which techniques are appropriate.

Comparison of the epidemiology and injury profile among injured patients involved in special purpose vehicle-related incidents in South Korea.

Injuries caused by mobile machinery or special purpose vehicles (SPVs) can lead to high socio-medical cost and fatality. In this descriptive study, we compared the epidemiology and injury profile of injured patients involved in SPVs-related incidents. We analyzed a nationwide database of SPV-related injured patients between January 2011 and December 2016. Injured patients were classified into three groups: pedestrian, motor vehicle occupant (MVO), and SPV operator groups. Of 1,419 cases, the highest number of SPV-related injured patients were found in the age group 40-59 years (671 cases, 47.3%) and at transport area (771 cases, 54.3%). The injury was most severe in the SPV operator group. The lower extremities were the most common fracture site, and intrathoracic injury was the most common visceral regions for SPV-related injured patients. SPV operator could lead to fatal intrathoracic injuries.