Is the Rear Seat Belt Relevant in Urban India?

The mandated and prevalent use of front seat belts in 4 wheeler vehicles contrasts with the disregard for the rear seat belt usage. This case series of four instances of severe hyperextension injuries in rear seat unrestrained passengers having met with a low velocity head on collision, highlights t...

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Main Authors: Sapna Tiwari, Sumanshi Singh, Raghuram Sekhar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Indian Journal of Vascular and Endovascular Surgery
Subjects:
Online Access:https://journals.lww.com/10.4103/ijves.ijves_76_24
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author Sapna Tiwari
Sumanshi Singh
Raghuram Sekhar
author_facet Sapna Tiwari
Sumanshi Singh
Raghuram Sekhar
author_sort Sapna Tiwari
collection DOAJ
description The mandated and prevalent use of front seat belts in 4 wheeler vehicles contrasts with the disregard for the rear seat belt usage. This case series of four instances of severe hyperextension injuries in rear seat unrestrained passengers having met with a low velocity head on collision, highlights the significant morbidity associated with the latter. While other injuries sustained by unrestrained passengers in the rear seat have been highlighted in literature, there is a paucity of data in regard to peripheral vascular injuries. Each case had a similar biomechanical presentation– that of hyperextended knee injury below the front seat of the car (as the unrestrained rear seat passenger slid below and ahead post collision) giving rise to traumatic popliteal artery thrombosis and rupture at the fixed P3 (Popliteal artery third segment) segment of the popliteal artery. Despite the timely presentation and avoidance of amputation, the similar history of unrestrained passengers the similar presentation of injury in each case led to the recognition of the major preventable factor: Rear seat belts restraint. The poor enforcement of the prevalent law in the country in this respect in alignment of laws all over the world, questions the disregard with respect to rear seat belt usage at an individual level. This article hopes to bring about the awareness of the potential public health impacts of such injuries and the possible prevention of the same.
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institution Kabale University
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publisher Wolters Kluwer Medknow Publications
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series Indian Journal of Vascular and Endovascular Surgery
spelling doaj-art-320971df66bd46fd816e44207c66c1bf2025-01-10T10:34:33ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992024-12-0111421722310.4103/ijves.ijves_76_24Is the Rear Seat Belt Relevant in Urban India?Sapna TiwariSumanshi SinghRaghuram SekharThe mandated and prevalent use of front seat belts in 4 wheeler vehicles contrasts with the disregard for the rear seat belt usage. This case series of four instances of severe hyperextension injuries in rear seat unrestrained passengers having met with a low velocity head on collision, highlights the significant morbidity associated with the latter. While other injuries sustained by unrestrained passengers in the rear seat have been highlighted in literature, there is a paucity of data in regard to peripheral vascular injuries. Each case had a similar biomechanical presentation– that of hyperextended knee injury below the front seat of the car (as the unrestrained rear seat passenger slid below and ahead post collision) giving rise to traumatic popliteal artery thrombosis and rupture at the fixed P3 (Popliteal artery third segment) segment of the popliteal artery. Despite the timely presentation and avoidance of amputation, the similar history of unrestrained passengers the similar presentation of injury in each case led to the recognition of the major preventable factor: Rear seat belts restraint. The poor enforcement of the prevalent law in the country in this respect in alignment of laws all over the world, questions the disregard with respect to rear seat belt usage at an individual level. This article hopes to bring about the awareness of the potential public health impacts of such injuries and the possible prevention of the same.https://journals.lww.com/10.4103/ijves.ijves_76_24rear seat injuryroad traffic accidentstraumavascular injury
spellingShingle Sapna Tiwari
Sumanshi Singh
Raghuram Sekhar
Is the Rear Seat Belt Relevant in Urban India?
Indian Journal of Vascular and Endovascular Surgery
rear seat injury
road traffic accidents
trauma
vascular injury
title Is the Rear Seat Belt Relevant in Urban India?
title_full Is the Rear Seat Belt Relevant in Urban India?
title_fullStr Is the Rear Seat Belt Relevant in Urban India?
title_full_unstemmed Is the Rear Seat Belt Relevant in Urban India?
title_short Is the Rear Seat Belt Relevant in Urban India?
title_sort is the rear seat belt relevant in urban india
topic rear seat injury
road traffic accidents
trauma
vascular injury
url https://journals.lww.com/10.4103/ijves.ijves_76_24
work_keys_str_mv AT sapnatiwari istherearseatbeltrelevantinurbanindia
AT sumanshisingh istherearseatbeltrelevantinurbanindia
AT raghuramsekhar istherearseatbeltrelevantinurbanindia