Retrospective Study of Juvenile Motor Vehicle Deaths

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Retrospective Study of Juvenile Motor Vehicle Deaths Karin Wells, BA Michelle A. Jorden, MD Santa Clara County Medical Examiner-Coroner s Office

Why this study? Dr. Jorden is Chair of the Child Death Review Team and continuously monitors child deaths Increase in number of deaths 2013-2015 triannual report recently released Increase in motor vehicle fatalities among youth In 2010-2012 reporting cycle 14 fatalities In 2013-2015 reporting cycle 24 fatalities

Research Parameters 67 total cases of accidental motor vehicle deaths involving juveniles aged 0 to 17 years during 2006-2015 in Santa Clara County 31% were aged 10 years or younger at the time of the accident and/or death 21% of decedents were age 15

Classifications Percentage of Incident Types Solo Vehicle 27% Multi Vehicle 36% Pedestrian 37%

Restraint and Ejection Restraint Restrained 45% Unrestrained 36% Unknown 14% 63% of all cases were single or multi vehicle incidents 45% of the decedents were restrained and 36% were unrestrained, with 67% of all ejected decedents being unrestrained 11 decedents involved in these incidents were 10 years or younger, with 4 of them being unrestrained

Speeding and Racing 31% of the cases involved speeding, and 7% involved racing The highest concentration of any age group involved in speeding or racing incidents were 15-years-old, 27% 10 of the 32 cases involved the use of drugs and/or alcohol

10 Locations of Pedestrians when Struck 9 8 7 6 5 4 Number of Decedents 3 2 1 0 Crosswalk Street Sidewalk Bike Lane Parking Lot Highway Light Rail Tracks

Age of Decedent involved in Pedestrian Incident Number of Decedents 2 years 1 3 years 2 5 years 5 6 years 1 8 years 1 12 years 2 14 years 3 15 years 5 16 years 1 17 years 4 10 of the pedestrian decedents were under age 10 The remaining 15 decedents were between ages 12 and 17

Vehicles Involved in Pedestrian Accidents 8 automobiles, 6 trucks, 2 vans, 5 SUVs, 2 light rail trains, and 2 semi-trucks 17 of the 25 pedestrian fatalities involved a vehicle larger than an automobile These larger vehicles range from 3700-9900 lbs. and 66-76 inches in height The decedents range in height from 32-73 inches

Helmet Use Of the 11 total decedents riding a bike or scooter, only 2, or 18% were wearing a helmet 82% were without a helmet Of 15 total instances where a helmet should have been worn, only 3 decedents were found to be wearing a helmet

DUI Cases Of the 68 cases, 18, or 26% involved the use of drugs and/or alcohol by a driver, passenger, or pedestrian Types of DUI Cases Pedestrians 22% Sober passengers struck by drivers under the influence 17% Sober passengers in vehicle driven by driver under the influence 17% Passengers under the influence 44%

DUI Cases The majority of decedents involved in DUI cases were 15 and 16 years old Marijuana and alcohol were the most common drugs found 56% of the incidents occurred after midnight

Distractions 13 of the 68 cases, 19%, involved some form of distraction Distractions include momentarily taking one s eyes off the road, blacking out, talking on or looking at a cell phone, emotional distress, loud music, arguing, wearing headphones, reaching into the back seat, and placing a drink into the cup holder (looking down)

Unprotected Left Turns A left turn made at a solid green light, or from a center lane, where the driver must yield to oncoming traffic 4 of the 68 cases involved an unprotected left, 3 of which were pedestrian incidents

Overall Results Using a crosswalk does not automatically mean a pedestrian is safe Drivers need to be more cognizant of pedestrians in or near the roadway and vise versa Children should be supervised in and around vehicles, crosswalks, and roads at all times Our data supports the CDC s data that you are more likely to be ejected if you are not wearing a seat belt The data also shows that children, no matter what they are riding, need to wear a helmet

Summary These data can be used to provide important outreach education stressing the importance of vehicle safety and children Applying this information would improve youth safety in our county

References Centers for Disease Control and Prevention. Injury Prevention and Control: Motor Vehicle Safety. http://www.cdc.gov/motorvehiclesafety/seatbeltbrief/index.html. Accessed June 25, 2016. National Highway Traffic Safety Administration. Traffic Safety Performance Measures for California. http://www-nrd.nhtsa.dot.gov/departments/nrd- 30/ncsa/STSI/6_CA/2013/6_CA_2013.htm. Accessed July 11, 2016. National Highway Traffic Safety Administration. Traffic Safety Facts 2014 Data. http://www-nrd.nhtsa.dot.gov/pubs/812271.pdf. Accessed July 11, 2016. California Department of Motor Vehicles. California Driver Handbook- Special Section- Minors. http://www.dmv.ca.gov/portal/dmv/detail/pubs/hdbk/minors#minorrestri ctions. Accessed July 5, 2016. Safe Kids Worldwide. Ten Strategies for Keeping Kids Safe on the Road. http://www.safekids.org/research-report/ten-strategies-keeping-kidssafe-road-pdf. Accessed July 5, 2016.