An important research study below centers on fatal cardiac injuries sustained in motor vehicle accidents. It's important to note that fractured sternum in a driver can occur even while wearing a seat belt.
Journal of Forensic & Legal Medicine
by Elisabeth E. Turk, MDa, Yee-Wah Tsang, MDb, Anisha Champaneri, MDc, Klaus Pueschel, MDd, Roger W. Byard, MDe
Abstract
Motor vehicle accidents contribute widely to population morbidity and mortality around the world, and cardiac injuries are a major factor determining outcome. Autopsy reports from 380 motor vehicle occupants who died in motor vehicle crashes in Adelaide, Australia, and Hamburg, Germany, over a 6-year period were reviewed, analysing the presence and type of cardiac injuries and their correlation with factors such as crash type, presence of seatbelt/airbag and vehicle speed as well as with the presence of other injuries which might predict the presence of cardiac injuries in a clinical setting. 21.1% had cardiac injuries identified macroscopically autopsy or histology. Cardiac injuries were the only cause of death or contributed to a fatal outcome in 76% of these cases. Sternal fractures and left-sided serial rib fractures were predictive of cardiac injury.
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