{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:23:26Z","timestamp":1790691806198,"version":"4.1.0"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2016,2,9]],"date-time":"2016-02-09T00:00:00Z","timestamp":1454976000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X16000030_abs1\" sec-type=\"intro\"><jats:title>Introduction<\/jats:title><jats:p>The worldwide use of rail transport has increased, and the train speeds are escalating. Concurrently, the number of train disasters has been amplified globally. Consequently, railway safety has become an important issue for the future. High-velocity crashes increase the risk for injuries and mortality; nevertheless, there are relatively few studies on high-speed train crashes and the influencing factors on travelers\u2019 injuries occurring in the crash phase. The aim of this study was to investigate the fatal and non-fatal injuries and the main interacting factors that contributed to the injury process in the crash phase of the 2013 high-velocity train crash that occurred at Angrois, outside Santiago de Compostela, Spain.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X16000030_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Hospital records (n=157) of all the injured who were admitted to the six hospitals in the region were reviewed and compiled by descriptive statistics. The instant fatalities (n<jats:italic>=<\/jats:italic>63) were collected on site. Influencing crash factors were observed on the crash site, by carriage inspections, and by reviewing official reports concerning the approximated train speed.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X16000030_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The main interacting factors that contributed in the injury process in the crash phase were, among other things, the train speed, the design of the concrete structure of the curve, the robustness of the carriage exterior, and the interior environment of the carriages. Of the 222 people on board (218 passengers and four crew), 99% (n=220) were fatally or non-fatally injured in the crash. Thirty-three percent (n=72) suffered fatal injuries, of which 88% (n=63) died at the crash site and 13% (n=9) at the hospital. Twenty-one percent (n=32) of those admitted to hospital suffered multi-trauma (ie, extensive, severe, and\/or critical injuries). The head, face, and neck sustained 42% (n=123) of the injuries followed by the trunk (chest, abdomen, and pelvis; n=92; 32%). Fractures were the most frequent (n=200; 69%) injury.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X16000030_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>A mass-casualty incident with an extensive amount of fatal, severe, and critical injuries is most probable with a high-velocity train; this presents prehospital challenges. This finding draws attention to the importance of more robust carriage exteriors and injury minimizing designs of both railway carriages and the surrounding environment to reduce injuries and fatalities in future high-speed crashes.<\/jats:p><jats:p><jats:mixed-citation id=\"S1049023X16000030_refa1\" publication-type=\"journal\"><jats:name name-style=\"western\"><jats:surname>Forsberg<\/jats:surname><jats:given-names>R<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>V\u00e1zquez<\/jats:surname><jats:given-names>JAI<\/jats:given-names><\/jats:name>. <jats:article-title>A case study of the high-speed train crash outside Santiago de Compostela, Galicia, Spain<\/jats:article-title>. <jats:source>Prehosp Disaster Med<\/jats:source>. <jats:year>2016<\/jats:year>;<jats:volume>31<\/jats:volume>(<jats:issue>2<\/jats:issue>);<jats:fpage>163<\/jats:fpage>\u2013<jats:lpage>168<\/jats:lpage>.\n<\/jats:mixed-citation><\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x16000030","type":"journal-article","created":{"date-parts":[[2016,2,9]],"date-time":"2016-02-09T05:59:26Z","timestamp":1454997566000},"page":"163-168","source":"Crossref","is-referenced-by-count":8,"title":["A Case Study of the High-speed Train Crash Outside Santiago de Compostela, Galicia, Spain"],"prefix":"10.1017","volume":"31","author":[{"given":"Rebecca","family":"Forsberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Antonio Iglesias","family":"V\u00e1zquez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,2,9]]},"reference":[{"key":"S1049023X16000030_ref11","doi-asserted-by":"publisher","DOI":"10.1258\/rsmmsl.44.1.67"},{"key":"S1049023X16000030_ref20","first-page":"772","article-title":"Application of commercial aircraft accident techniques to a railroad derailment","volume":"45","author":"Braden","year":"1974","journal-title":"Aero Med"},{"key":"S1049023X16000030_ref2","unstructured":"About high speeds. 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Informe Final Sobre el Accidente Grave Ferroviario No 0054\/2013. Ocurrido el D\u00eda 24.07.2013. En las Proximidades del la Estaci\u00f3n de Santiago de Compostela (A Coruna) [in Spanish]. http:\/\/www.fomento.gob.es\/NR\/rdonlyres\/0ADE7F17-84BB-4CBD-9451-C750EDE06170\/125127\/IF240713200514CIAF.pdf. Published 2013. Accessed March 2, 2015."},{"key":"S1049023X16000030_ref16","unstructured":"The Swedish National Board of Health and Welfare. Kamedo Report: The Train Crash in Buenos Aires, Argentina, 2012 [in Swedish]."},{"key":"S1049023X16000030_ref23","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v6i4.8401"},{"key":"S1049023X16000030_ref13","first-page":"287","article-title":"Facts about the disaster at Eschede","volume":"14","author":"Oestern","year":"2000","journal-title":"Journal of Trauma"},{"key":"S1049023X16000030_refa1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X16000030"},{"key":"S1049023X16000030_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.03.025"},{"key":"S1049023X16000030_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2006.08.016"},{"key":"S1049023X16000030_ref8","doi-asserted-by":"publisher","DOI":"10.1533\/ijcr.2006.0138"},{"key":"S1049023X16000030_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(94)90177-5"},{"key":"S1049023X16000030_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-4575(00)00032-4"},{"key":"S1049023X16000030_ref5","unstructured":"Forsberg R . 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Railway Gazette Web site. http:\/\/www.railwaygazette.com\/news\/policy\/single-view\/view\/design-flaws-and-poor-management-caused-wenzhou-collision-report-confirms.html?sword_list%5B%5D=Wenzhou&sword_list%5B%5D=collision&no_cache=1. Published 2012. Accessed February 24, 2015."}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X16000030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T15:49:26Z","timestamp":1555688966000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X16000030\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,9]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["S1049023X16000030"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x16000030","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,9]]}}}