Forgive me coming into this thread a bit late, but I have been otherwise occupied.
First let me state that I work as an ALS ambulance officer. I feel that qualifies me to make a contribution here.
Traumatic injuries that results from MVA’s are due to kinetic energy. The collision doesn’t stop when you car hits the other car, or when you hit the inside of your car; it stops when your internal organs stop colliding with each other in the walls of your skull, chest or abdominal cavity.
The potential for serious trauma is compiled in a list of indicators known as Champion’s Criteria:
MVA 60km/h or greater (30km/h for pedestrian)
Rollover
Death of an occupant
Ejection of an occupant
Side intrusion greater than 30cm
Displacement of an axle more than 30cm
Gross damage to the vehicle
That is the list just for MVA’s. These are used to indicate the need for medical examination of someone who otherwise appears to have little or no injury.
All vehicle safety systems are designed with this central point in point: to minimise the transfer of kinetic energy to the occupant(s) of the vehicle.
Seatbelts do save lives - there is no doubt about it. Any device that slows or stops your impact into your car’s interior reduces the amount of kinetic energy transferred to your body.
Unfortunately, the myth of “I was lucky, I was thrown clear” still persists. The Vehicle Accident Investigation Squad in South Australia assure me the statistics show that persons ejected from a vehicle are 300% more likely to sustain a serious life-threatening injury.
Airbags in Australian vehicles are technically known as supplementary restraint systems, and are designed to work in conjunction with a correctly fitted seatbelt. All cars in Australia must have lap/sash belts fitted, and by law, seatbelts must be worn at all times while the car is in motion.
Because of this, airbags conforming to the Australian standard deploy at a slower speed than those of US cars. Presumably, US airbags deploy quicker to overcome the possibility of no seatbelt being worn.
The danger of wearing an incorrectly fitted lap/sash belt, or belt that is lap or sash only, is in possibility of either “submarining” (slipping downwards uinder the belt) or in slipping out over the top.
A person slipping over the top will impact the windscreen, whereas a person submarining will risk having the belt lodge up under the ribcage, causing increased intra-abdominal and thoracic pressure, with potential damage to any underlying organs.
An airbag deploying into a person caught in this manner will cause a sudden huge thrust of additional pressure that is potentiallly fatal. The greater speed of US airbags only increases the potential.
For those of you who have airbags: great!!
Just don’t rely on them totally, and make sure you seatbelt is properly fitted while you are in the car.
Knock softly but firmly, 'cause I like soft firm knockers…