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Recent research sheds light on a stark reality of car safety: while men sustain more injuries in car accidents overall, women face a higher risk of severe and fatal injuries. The study, published in Frontiers in Public Health on March 15, uncovers gender biases in car design and safety that may contribute to these differences.

Conducted by Susan Cronn, RN, and colleagues at the Medical College of Wisconsin, the study analyzed data from over 56,000 car crash victims to evaluate injury patterns and severity between men and women. Despite men experiencing more injuries overall, women were found to sustain more severe injuries, particularly to the pelvis and liver.

One of the most concerning findings was the higher frequency of shock symptoms among women, regardless of injury severity. Shock index calculations revealed that women were more likely to surpass a critical threshold, indicating a greater risk of hemorrhagic shock and mortality. These results suggest potential differences in physiological responses to trauma between males and females, challenging the assumption of uniform vital signs across sexes.

Christopher J. Wolff, MD, from Cleveland Clinic Akron General, emphasizes the importance of these findings in reevaluating current approaches to patient care and injury prevention. The study raises questions about the adequacy of crash test dummy research, which predominantly utilizes outdated models based on male physiology.

The existing crash test dummies, approved by the National Highway Traffic Safety Administration (NHTSA), fail to represent the average-sized female or account for biological differences. The female crash test dummies, designed in the mid-1970s, only represent the smallest 5 percent of women and lack relevance to modern female body types. Moreover, they are rarely included in frontal crash tests, despite women comprising nearly half of all drivers in the United States.

Efforts to introduce a new female crash test dummy have been hindered by funding constraints, leaving women disproportionately unprotected in crash simulations. Experts argue that updating crash test dummies to reflect contemporary demographics and physiological differences is essential for enhancing car safety standards and reducing gender disparities in injury outcomes.

The study underscores the urgent need for comprehensive reforms in car safety engineering and regulatory policies to ensure equitable protection for all road users, regardless of gender. As Cronn and her team advocate for sex-specific considerations in car safety design, the call for action resonates across the automotive industry and regulatory bodies to prioritize gender-inclusive safety measures.

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