مورد إلكتروني
Fatalities in Swedish fire-related car crashes from a toxicologic perspective
| العنوان: | Fatalities in Swedish fire-related car crashes from a toxicologic perspective |
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| بيانات النشر: | Umeå universitet, Kirurgi Umeå universitet, Statistik Department of Anaesthesia and Intensive Care Medicine, Karolinska University Hospital, Huddinge, Sweden 2023 |
| تفاصيل مُضافة: | Thermaenius, Filip Björnstig, Ulf Svensson, Johan Westman, Anton |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Objective: Vehicle materials developments raise concerns about new patterns of vehicle fire toxic gas emissions. This study aimed to describe toxicologic components in a recent material of fatal car crashes on Swedish roads in which the vehicle caught fire and compare the results to a previous material. Methods: Retrospective registry study. All fatal car crashes with fire in Sweden 2009–2018 were extracted from the Swedish Transport Administration’s In-Depth Studies Database and compared with an earlier study of the time period 1998–2008. Results: A total of 79 crashes and 94 fatalities were included. Carbon monoxide (COHb) blood levels >10% were found in 13 cases. Hydrogen cyanide (HCN) blood levels 0.1–1.7 µg/g were found in 10 cases. In 31 of the cases the person had a blood alcohol level (BAC) >0.2‰, which is the legal driving limit in Sweden. A total of 15 people died due to burn injuries and 2 individuals died due to toxic gas emissions without any other fatal traumatic injury. Total number of deaths in fire-related crashes halved from 181 (1998–2008) to 94 (2009–2018) but the percentage of fatalities in burning vehicles was unaltered (5% vs. 6%). The proportion of fatalities with HCN in the blood increased from 2% between 1998–2008 to 10% during 2009–2018 (p = 0.006). The age of the car involved in a crash increased by 0.26 years per calendar year (p = 0.001). Conclusions: The proportion of fatalities with measured levels of HCN in the blood has increased. Eleven of the 15 burn injury fatalities had high levels of alcohol, HCN, or COHb, possibly contributing to an inability to leave a burning vehicle. Faster rescue brought by improved specific education and training of ambulance and rescue services personnel may be of future importance, as may on-scene antidote administration and revised regulations of vehicle flammability. |
| مصطلحات الفهرس: | car crashes, carbon monoxide, hydrogen cyanide, Toxic gas emissions, vehicle fire, Vehicle Engineering, Farkostteknik, Public Health, Global Health, Social Medicine and Epidemiology, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Article in journal, info:eu-repo/semantics/article, text |
| DOI: | 10.1080.15389588.2022.2148831 |
| URL: | Traffic Injury Prevention, 1538-9588, 2023, 24:1, s. 21-25 |
| الإتاحة: | Open access content. Open access content info:eu-repo/semantics/openAccess |
| ملاحظة: | application/pdf English |
| أرقام أخرى: | UPE oai:DiVA.org:umu-202004 0000-0002-8601-0159 doi:10.1080/15389588.2022.2148831 PMID 36480228 ISI:000894957000001 Scopus 2-s2.0-85144170224 1372215777 |
| المصدر المساهم: | UPPSALA UNIV LIBR From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.on1372215777 |
| قاعدة البيانات: | OAIster |
| DOI: | 10.1080.15389588.2022.2148831 |
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