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Blunt Impact Brain Injury using Cellular Injury Criterion

Terpsma, Ryan J.; Hovey, Chad B.

The Advanced Combat Helmet (\ACH") military specification (\mil-spec") requires a helmeted magnesium (\Mg") Department of Transportation (\DOT") headform be dropped vertically, with an impact speed of 3.1 m/s (10 ft/s), onto a steel hemispherical target. The pass/fail criteria are based on translational acceleration (150 G) alone, absent of any rotational component. Without a rotational component, the specification's injury risk application is limited to skull fracture and peripheral hematomas (subdural, subarachnoid), since this translational acceleration injury risk assessment is based on the Wayne State Tolerance Curve (\WSTC"). To provide a more comprehensive view of injury for the entire brain, an alternative approach is needed. To meet this need, we worked with a larger group called PANTHER, a collaboration between national laboratories, industry, and academia. Collaborations specific to research and results presented here come from efforts led by Mr. Ron Szalkowski and Mr. Sushant Malave, Ms. Alice Fawzi, and Dr. Christian Franck. We have developed a prototypical injury risk criterion based on the neuronal response to abrupt changes in general motion (translation, rotation, or both). The cellular-based mild traumatic brain injury (\cbmTBI") criterion utilizes both the strain and strain rate of brain tissue to account for the stretch and rate of stretch that occurs throughout the brain as a result of blunt impact to the head. We conducted physical experiments of an ACH-fitted magnesium headform, which produced repeatable headform peak accelerations. Then, we developed a simulation of the experiment, and validated the simulation output with the experimental data. We then substituted the magnesium headform with a human headform, consisting of skin, muscle, bone, gray matter, white matter, cerebral-spinal fluid, membranes, vasculature, intravertebral discs, airway and sinus. We quantified brain injury risk using the cbmTBI criterion, using the current mil-spec test and a modified test. The modified mil-spec test used an inclined anvil target that was located posterior to the crown of the helmet in the axial plane. While the current mil-spec test produced brain deformation from head translation alone, the modified test produced brain deformation from head translation and rotation, which is closer to most real world and combat theater impacts (e.g., such as occur in tertiary blast exposure). Compared to the current mil-spec test, the modified test produced elevated strains in the human digital twin. These data, mapped to the cbmTBI criterion, suggest increased injury risk for blunt impacts that cause rotation and translation, rather than just translation alone. Moreover, these data may lead to a rotational performance metric, which is rooted in the biology and pathology of the brain's response to impact and blast, and which should be used to improve next-generation helmet designs.

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Head Impact from Falling Payload of a Small Balloon

Hovey, Chad B.; Terpsma, Ryan J.; Reyes, Ramon R.; Bowman, Daniel B.

Despite the increasing number of small scientific balloon missions with payloads in the gram-to- kilogram mass range, little is known about the injury risk they pose to humans on the ground. We investigated the risk of head injury using the head injury criterion (HIC) from impact with a 1.54 kg (3.40 pound) payload. Study parameters were impact speeds of 670, 1341, and 2012 cm s -1 (15, 30, and 45 mph) and protective padding wall thicknesses between zero and 10 cm (3.9 inch). Padding provided meaningful reductions of injury risk outcomes at all speeds. The maximum risk of AIS 3+ injury was approximately 3.6% (HIC 249) for the 670 cm s -1 (15 mph) case with 0.5 cm (0.2 inch) of padding, 34% (HIC 801) for the 1341 cm s -1 (30 mph) case with 3.0 cm (1.2 inch) of padding, and 67% (HIC 1147) for the 2012 cm s -1 (45 mph) case with 7.0 cm (2.8 inch) of padding. Adding 1.0 cm (0.39 inch) of padding to these two latter cases reduced AIS 3+ injury risk to approximately 13% (HIC 498) and 37% (HIC 835), respectively. Public safety can be increased when balloon operators use padded payload enclosures as adjuncts to parachutes. KFY TERMS: head injury criterion (HIC), expanded polystyrene padding, injury risk, balloons ACKNOWLEDGEMENTS We gratefully acknowledge the financial support of Sandia National Laboratories, Environment Safety & Health Planning, and John E. Myers, Safety Basis Engineer. We acknowledge Douglas Dederman for his participation in the R&A process.

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19 Results
19 Results