A New Tool for Coding and Interpreting Injuries in Fatal Airplane Crashes: The Crash Injury Pattern Assessment Tool Application to the Air France Flight AF447 Disaster (Rio de Janeiro–Paris), 1st of June 2009†
Corresponding Author
Yves Schuliar M.D., Ph.D.
Forensic and Criminal Intelligence Agency of the French Gendarmerie, 1 blvd Sueur, 93110 Rosny-sous-Bois, France
Laboratory of Medical Ethics and Forensic Medicine, Faculty of Medicine, Paris-Descartes University, 45 rue des Saints-Pères, 75006 Paris, France
Additional information and reprint requests:
Yves Schuliar, M.D., Ph.D.
Forensic and Criminal Intelligence Agency of the French Gendarmerie
1 blvd Sueur, 93110, Rosny-sous-Bois
France
E-mail: [email protected]
Search for more papers by this authorStéphane Chapenoire M.D., Ph.D.
Forensic and Criminal Intelligence Agency of the French Gendarmerie, 1 blvd Sueur, 93110 Rosny-sous-Bois, France
ISPED - Inserm U897, Injury Prevention and Control, 146, rue Léo-Saignat - Case 11, 33076 Bordeaux Cedex, France
Search for more papers by this authorAlain Miras M.D., Ph.D.
ISPED - Inserm U897, Injury Prevention and Control, 146, rue Léo-Saignat - Case 11, 33076 Bordeaux Cedex, France
Search for more papers by this authorBenjamin Contrand M.Sc.
ISPED - Inserm U897, Injury Prevention and Control, 146, rue Léo-Saignat - Case 11, 33076 Bordeaux Cedex, France
Search for more papers by this authorEmmanuel Lagarde Ph.D.
ISPED - Inserm U897, Injury Prevention and Control, 146, rue Léo-Saignat - Case 11, 33076 Bordeaux Cedex, France
Search for more papers by this authorCorresponding Author
Yves Schuliar M.D., Ph.D.
Forensic and Criminal Intelligence Agency of the French Gendarmerie, 1 blvd Sueur, 93110 Rosny-sous-Bois, France
Laboratory of Medical Ethics and Forensic Medicine, Faculty of Medicine, Paris-Descartes University, 45 rue des Saints-Pères, 75006 Paris, France
Additional information and reprint requests:
Yves Schuliar, M.D., Ph.D.
Forensic and Criminal Intelligence Agency of the French Gendarmerie
1 blvd Sueur, 93110, Rosny-sous-Bois
France
E-mail: [email protected]
Search for more papers by this authorStéphane Chapenoire M.D., Ph.D.
Forensic and Criminal Intelligence Agency of the French Gendarmerie, 1 blvd Sueur, 93110 Rosny-sous-Bois, France
ISPED - Inserm U897, Injury Prevention and Control, 146, rue Léo-Saignat - Case 11, 33076 Bordeaux Cedex, France
Search for more papers by this authorAlain Miras M.D., Ph.D.
ISPED - Inserm U897, Injury Prevention and Control, 146, rue Léo-Saignat - Case 11, 33076 Bordeaux Cedex, France
Search for more papers by this authorBenjamin Contrand M.Sc.
ISPED - Inserm U897, Injury Prevention and Control, 146, rue Léo-Saignat - Case 11, 33076 Bordeaux Cedex, France
Search for more papers by this authorEmmanuel Lagarde Ph.D.
ISPED - Inserm U897, Injury Prevention and Control, 146, rue Léo-Saignat - Case 11, 33076 Bordeaux Cedex, France
Search for more papers by this authorAbstract
For investigation of air disasters, crash reconstruction is obtained using data from flight recorders, physical evidence from the site, and injuries patterns of the victims. This article describes a new software, Crash Injury Pattern Assessment Tool (CIPAT), to code and analyze injuries. The coding system was derived from the Abbreviated Injury Score (AIS). Scores were created corresponding to the amount of energy required causing the trauma (ER), and the software was developed to compute summary variables related to the position (assigned seat) of victims. A dataset was built from the postmortem examination of 154/228 victims of the Air France disaster (June 2009), recovered from the Atlantic Ocean after a complex and difficult task at a depth of 12790 ft. The use of CIPAT allowed to precise cause and circumstances of deaths and confirmed major dynamics parameters of the crash event established by the French Civil Aviation Safety Investigation Authority.
References
- 1Anton DJ. Crash dynamics and restraint systems. In: J Ernsting, P King, editors. Aviation medicine. London, U.K.: Butterworths, 1988; 168–9.
- 2Ast F-W, Kernbach-Wighton G, Kampmann H, Koops E, Püschel K, Tröger HD, et al. Fatal aviation accidents in lower Saxony from 1979 to 1996. Forensic Sci Int 2001; 119: 68–71.
- 3Baker SP, Brady JE, Shanahan DF, Li G. Aviation-related injury morbidity and mortality: Data from U.S. Health Information Systems. Aviat Space Environ Med 2009; 80: 1001–5.
- 4Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14: 187–96.
- 5Baker SP, O'Neill B. The injury severity score: an update. J Trauma 1976; 16: 882–5.
- 6Booze CF Jr. Sudden inflight incapacitation in general aviation. Aviat Space Environ Med 1989; 60: 323–5.
- 7Bull JP. The injury severity score of road traffic casualties in relation to mortality, time of death, hospital, treatment and disability. Accid Anal Prev 1975; 7: 249–55.
- 8 Bureau d'Enquêtes et d'Analyses pour la sécurité de l'aviation civile (BEA), Ministère de l’Écologie, du Développement durable, des Transports et du Logement. Final report on the accident on 1st June 2009 to the Airbus A330-203 registered F-GZCP operated by Air France flight AF 447 Rio de Janeiro – Paris; July 2012; http://www.bea.aero/en/enquetes/flight.af.447/rapport.final.en.php (accessed August 12, 2013).
- 9Carter JH, Burdge R, Powers SR Jr, Campbell CJ. An analysis of 17 fatal and 31 nonfatal injuries following an airplane crash. J Trauma 1973; 13: 346–53.
- 10Chalmers DJ, O'Hare PA, McBride DJ. The incidence, nature and severity of injuries in New Zealand civil aviation. Aviat Space Environ Med 2000; 71: 388–95.
- 11 Committee on Medical Aspects of Automotive Safety. Rating the severity of tissue damage I, the abbreviated scale. JAMA 1971; 215: 277–80.
- 12Conroy C, Russell JC, Crouse WE, Bender TR, Holl JA. Fatal occupational injury related to helicopters in the United States 1980–1985. Aviat Space Environ Med 1992; 63: 67–71.
- 13Cullen SA. Injuries in fatal aircraft accidents; http://ftp.rta.nato.int/public/PubFullText/RTO/EN/RTO-EN-HFM-113/EN-HFM-113-06.pdf (accessed August 12, 2013).
- 14Cullen SA, Turk EP. The value of post mortem examination of passengers in fatal aviation accidents. Aviat Space Environ Med 1980; 51(9 Pt 2): 1071–3.
- 15Gregersen M. Air disasters. In: J Payne-James, RW Byard, T Corey, C Henderson, editors. Encyclopedia of forensic and legal medicine. vol. 1. Oxford, U.K.: Elsevier/Academic Press, 2005; 145–54.
10.1016/B0-12-369399-3/00217-2 Google Scholar
- 16Gregersen M, Knudsen PJ, Jensen S. The crash of the Partnair Convair 340/580 in the Skagerrak: traumatological aspects. Aviat Space Environ Med 1995; 66: 152–7.
- 17Hellerich U, Pollak S. Airplane crash. Traumatologic findings in cases of extreme body disintegration. Am J Forensic Med Pathol 1995; 16: 320–4.
- 18Hill IR. Mechanism of injury in aircraft accidents – a theoretical approach. Aviat Space Environ Med 1989; 60 (7, Suppl. A): 18–25.
- 19Hill IR. The Air India jumbo jet disaster Kalishna – injury analysis. In: B Caddy, editor. Uses of forensic sciences. Edinburgh, UK: Scottish Academic Press, 1987; 120–45.
- 20Hoyer CB, Nielsen TS, Nagel LL, Uhrenholt L, Boel LWT. Investigation of a fatal airplane crash: autopsy, computed tomography, and injury pattern analysis used to determine who was steering the plane at the time of the accident. A case report. Forensic Sci Med Pathol 2012; 8: 179–88.
- 21 Interpol Disaster Victim Identification Guide; http://www.interpol.int/INTERPOL-expertise/Forensics (accessed August 12, 2013).
- 22Koelmeyer TD, Beer B, Mullins PR. A computer-based analysis of injuries sustained by victims of a major air disaster. Am J Forensic Med Pathol 1982; 3(1): 11–6.
- 23Leth PM, Ibsen M. Abbreviated injury scale scoring in traffic fatalities: comparison of computerized tomography and autopsy. J Trauma 2010; 68(6): 1413–6.
- 24Li G, Baker SP. Injury patterns in aviation-related fatalities: implications for preventive strategies. Am J Forensic Med Pathol 1997; 18: 265–70.
- 25Lillehei KO, Robinson MN. A critical analysis of the fatal injuries resulting from the continental flight 1713 airline disaster: evidence in favour of improved passenger restraint systems. J Trauma 1994; 37: 826–30.
- 26Mason JK. Aviation accident pathology. Reconstruction of a fatal aircraft accident from the medical findings. Proc R Soc Med 1968; 61: 1079–84.
- 27Mason JK. Pre-existing disease and aircraft accidents. In: JK Mason, WJ Reals, editors. Aerospace pathology. Chicago, IL: American College of Pathologists Foundation, 1973; 76–85.
- 28Min JX, Jia MZ. Correlation of trauma and cause of death to accident reconstruction: a case of a flight accident report. J Forensic Sci 1992; 37(2): 585–9.
- 29Rowles JM, Kirsh G, Macey AC, Colton CL. The use of injury scoring in the evaluation of the Kegworth M1 aircrash. J Trauma 1992; 32: 441–7.
- 30Schuliar Y, Knudsen PJT. Role of forensic pathologist in mass disasters. Forensic Sci Med Pathol 2012; 8: 164–73.
- 31Vidoli GM, Mundorff AZ. Victim fragmentation patterns and seat location supplements crash data: American Airlines Flight 587. Aviat Space Environ Med 2012; 83: 1–6.
- 32Wagner G. Aviation accidents: role of pathologist. In: J Payne-James, RW Byard, T Corey, C Henderson, editors. Encyclopedia of forensic and legal medicine. vol. 1. Oxford, U.K.: Elsevier/Academic Press, 2005; 243–52.
10.1016/B0-12-369399-3/00038-0 Google Scholar
- 33Wiegmann DA, Taneja N. Analysis of injuries among pilots involved in fatal general aviation airplane accidents. Accid Anal Prev 2003; 35: 571–7.