¿Cómo nos protege el cinturón de seguridad?

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En el día en que estoy terminando de escribir este artículo, aparece la noticia de que:

“En noticias de última hora se registra un accidente a las 03:33 de hoy viernes 31 de marzo de 2017, en el cruce de Reforma y Lieja luego de que el conductor en completo estado de ebriedad perdiera el control del automóvil que conducía a más de 180 kilómetros por hora, según revelan los primeros peritajes del percance chocó contra un poste y materialmente el auto se partió en dos; sobre la banqueta quedaron los cuerpos de sus acompañantes, que salieron disparados del vehículo sus cadáveres quedaron en la acera, dos de ellos decapitados, mientras que el conductor sobrevivió gracias a una bolsa de aire y a que llevaba el cinturón de seguridad, sufrió solo un par de raspones”.

 

¿Cómo nos protege el cinturón de seguridad?

El uso del cinturón de seguridad es una obligación legal para todos los pasajeros de un vehículo aunque sean tramos cortos tanto en zonas urbanas como en no urbanas, tal como lo indica el Reglamento de tránsito de la de Ciudad de México (puesto a disposición en el 2016) en su Artículo 37 “Los conductores de vehículos motorizados deben: asegurarse que todos los pasajeros utilicen correctamente el cinturón de seguridad, además de colocarse el propio, excepto los ocupantes de vehículos de emergencia. Los taxistas, no están obligados a cumplir con esta disposición, respecto de los pasajeros”

 

 Nueve de cada diez accidentes automovilísticos ocurren en zonas urbanas. 

En el año de 1940, es cuando se inventa el cinturón de seguridad y ahora es uno de los elementos más importantes dentro de los vehículos, que aporta un grado de seguridad pasiva a los usuarios en caso de accidente. Y apenas desde 1997, se les han colocado sistemas de pretensado mecanismo que tensa al cinturón para ajustarlo al cuerpo.

¿Qué ocurre a un vehículo cuando se sufre un accidente?

Primeramente, ocurren dos impactos:

El primero es el choque directo o la colisión total.

Las estadísticas demuestran que una persona que sale disparada fuera del vehículo tiene 7 a 8 veces más probabilidades de morir al: chocar contra bardas, árboles, el propio asfalto o al ser arrolladas por otro vehículo, en comparación con aquellas personas que quedan dentro del auto.

El segundo impacto, es producido como reacción al primero dentro de un auto, sus ocupantes, se desplazan (sin sentirlo) a la misma velocidad que éste, en el momento del choque el vehículo se detiene de pronto, en seco (en el primer
impacto); mientras sus pasajeros “siguen viajando” a la misma velocidad en que venían; ninguna fuerza en contra actúa para detenerlos, lo que muchas veces provoca que las personas salgan disparadas hacia fuera del auto o se estrellen contra el volante, el parabrisas, el asiento delantero o el tablero de instrumentos.

Ante estas situaciones se han hecho calculados sobre la fuerza de impacto uno de ellos es el que 50 kilómetros por hora que   equivale a caer de cabeza desde el segundo piso de un edificio.

Aquí el cinturón de seguridad es esencial porque impide que la persona salga materialmente disparada, hacia adelante o hacia un lado, evitando hasta cierto punto las lesiones causadas por el segundo impacto.

Según datos de la policía de caminos, la mayoría de los conductores y pasajeros utilizan el cinturón de seguridad cuando salen a la carretera, pero descuidan su uso en vías urbanas y en trayectos cortos. La presunción, la jactancia, el desinterés se acrecienta en los pasajeros de los asientos traseros, porque piensan que a ellos no les pasará nada, pero esto no es verdad pues el riesgo de morir tanto para el conductor y el copiloto (aunque utilicen el cinturón) es que si se viaja en el asiento de atrás y no llevan el cinturón.

Por ejemplo, un ocupante de unos 50 kilos de peso, que viaje en el asiento trasero de un vehículo a 50 kilómetros por hora, sale disparado hacia delante con una fuerza de cerca de tres mil kilos (3,000 kg) sobre el asiento delantero.

En cifras estimadas en medio hospitalario institucional, cerca del 20% de los pacientes que llegaron lesionados y que estaban involucrados en accidentes automovilísticos murieron por no utilizar el cinturón de seguridad, en comparación con cerca del 2% de pacientes que llevaban el cinturón y que debido a la gravedad de sus lesiones también murieron.

Casi todos los autos modernos traen bolsa de aire (airbag) la cual tarda 58 milésimas de segundo en inflarse, desde que la cápsula recibe un impulso eléctrico que detona el dispositivo explosivo; a las 85 milésimas de segundo el viajero retorna a su posición inicial y 70 milésimas más tarde, la bolsa empieza a desinflarse. Durante ese corto tiempo cumple con su función de amortiguar la caída hacia delante del cuerpo. Pero, este mecanismo se torna peligroso si no se lleva el cinturón, ya que está calculado, que al recibir el impacto del cuerpo después de que los tensores hayan tensado el cinturón sobre el cuerpo, se infle. Pero si esta “frenada por el cinturón”, no se produce, la cabeza se lanza hacia delante sin tiempo suficiente para que la bolsa de infle, por lo que su función será inútil y en muchas ocasiones ocasionará heridas en cara y tórax o la proyección del cuerpo se hará sobre el parabrisas

Se estima que un 30% de los accidentes en donde los sujetos han utilizado la bolsa de aire tras un accidente sufre algún tipo de lesión debida a la bolsa. Estas lesiones son habitualmente leves: hematomas o abrasiones cutáneas, sobre todo en cara y cuello (a veces lesiones en ojos) y menos frecuente en tórax, manos, muñecas o antebrazos, las lesiones intratorácicas o fracturas cervicales son raras.

 

Mitos y realidades en relación al uso del cinturón

1.- ¿Si quedo herido en un accidente, se dificultará el rescate?

En verdad, lo que dificulta el rescate son las fracturas múltiples y lesiones diversas que presenta el paciente, ya que se tiene que manejar con mucho cuidado. El cinturón se corta o se suelta con un simple clic.

2.- ¿Podría quedar atrapado en caso de que el auto se incendie?

Los incendios sólo ocurren en un 0.2% de los accidentes y aun en el caso de que ocurriera, si no lleva el cinturón podría hacer que el paciente pierda el conocimiento o sus fracturas sean tan graves que no se pueda mover, en cambio si esta consiente y con fracturas mínimas es capaz de reaccionar y salirse del auto, aunque si el auto sufre daños en su estructura de forma importante, podría quedar atrapado hasta que lleguen los servicios de rescate.

3.- ¿Si me salgo del auto en el momento del accidente, tengo más posibilidades de quedar ileso?

Definitivamente, no.

4.- El uso del cinturón de seguridad sólo es importante cuando salgo a carretera.

No, se estima que de cada diez accidentes nueve ocurren en áreas urbanas y la mayoría en un radio de 40 kilómetros alrededor de los hogares de las víctimas y de estos seis aproximadamente ocurren en los cruceros de calles.

5.- El cinturón de seguridad me incomoda, me limita los movimientos y me apachurra.

El cinturón da más estabilidad y seguridad sobre todo en curvas o calles en mal estado; al principio es incómodo habituarse a él, pero si algún miembro de la familia o quizá uno mismo queda gravemente herido o llegamos a morir, por no utilizar el cinturón, va a ser más “incómodo y terrible para todos”.

 

¿Cómo usar el cinturón de seguridad en forma adecuada?

  1. Colocar el asiento en una posición en que se sienta cómodo. Cada asiento y cada cinturón son para una sola persona.
  2. Las correas se deben deslizar suavemente, el cinturón no debe estar torcido y no rozar con alguna saliente.
  3. El cinturón debe estar ajustado no apretado. Llevarlo debajo del brazo o de la pierna no trae ningún beneficio.

 

Recomendaciones

No llevar holgado el cinturón pues de esta forma no sirve de nada.

No inclinar el respaldo del asiento demasiado atrás, porque en el momento del impacto, se puede uno deslizar por debajo del cinturón.

 

Los niños y el cinturón de seguridad

  1. Los niños (entre 1 a 10 años) deben viajar siempre en el asiento trasero del auto.
  2. Los niños que van en el asiento delantero tienen más probabilidades de salir heridos o muertos que los que viajan en el asiento trasero.
  3. Siempre que viajen deben ir con protecciones adecuadas de acuerdo a peso y estatura.
  4. Nunca deben ir sobre las rodillas del conductor ni se deben llevar dentro del cinturón.
  5. No se deben utilizar cojines para sentarse, pues resta eficacia al cinturón.
  6. En invierno, llevar ropa muy gruesa o varias prendas, provoca una holgura entre el cinturón y el cuerpo y esto puede provocar lesiones en caso de accidente.

 

Recomendaciones finales

  1. Utilizar el cinturón de seguridad cuando nos dispongamos a manejar, cuando vayamos de copiloto, así mismo los ocupantes de los asientos traseros (así sea en viajes largas o unas cuantas calles).
  2. No colocar objetos que impidan la perfecta visibilidad por el espejo retrovisor, ya que el conductor puede moverse para tener mejor visibilidad y al sentirse un poco ajustado con el cinturón se lo quita y pueden ocurrir accidentes que lo lesionen.
  3. Debe estar prohibido circular con niños menores de 12 años, en los asientos delanteros, a menos que utilicen los dispositivos de seguridad hechos ex profeso.
  4. El número de pasajeros que deben transportarse en un vehículo no debe exceder el número de plazas autorizadas, puesto que cada uno de los lugares tienen su cinturón para una sola persona. Los llamados “autos sardina”, que fueron producto de una publicidad dañina, eran un peligro latente.

 

Mi punto de vista

Existen muchas medidas para reducir los accidentes de tránsito y sus consecuencias; desgraciadamente no hacemos caso de muchas de ellas, el cinturón de seguridad es la más simple, más barata y está al alcance de todos los conductores y pasajeros.

Según la Organización Mundial de la Salud, el 62 por ciento de las muertes causadas por accidentes de tráfico ocurren en diez países y de esos, México está en el sexto lugar, esto es a causa de la poca educación de los conductores y porque la Secretaria de Transportes y Vialidad no tiene los recursos económicos ni el personal para hacer que se cumplan las regulaciones de cinturones de seguridad.

La ley mexicana exige que los niños menores de 12 años de edad deben sentarse en la parte trasera y los menores de 5 años de edad deben de sentarse en una silla para auto sujeta con el cinturón de seguridad en la parte trasera.

Las ciudades grandes del país, como la Cuidad de México y Monterrey, son las que tienen mayores ingresos de impuestos, hacen un mejor trabajo para hacer que las leyes del cinturón de seguridad se cumplan, sin embargo, hacer que la ley de cinturón de seguridad se cumpla es todavía un reto.

En otras áreas de México, rara vez se cumplen las leyes del cinturón de seguridad y los conductores que no lo hacen rara vez reciben multas, la solución que da México a este problema es promover la concientización pública y desarrollar nuevas tecnologías para poner multas de tráfico, desafortunadamente el bajo presupuesto económico que se destina para el control de tráfico, personal capacitado, de instrumentos de medición (digitales, cámaras, etc.) hacen que los cambios sean muy lentos.

En el 2010 en México murieron mil 341 niños por accidentes viales o por accidentes por vehículo motor según el INEGI (Instituto Nacional de Estadística y Geografía)[1]; según estas estadísticas por cada accidente de tránsito en donde se encuentra 1 niño fallecido, existen 7 heridos gravemente y 53 lesiones leves.

 

Conclusión:

Como médico traumatólogo, les pido a todas las personas, que conduzcan autos particulares, taxis, de transportes público o escolares, etc., que utilicen el cinturón de seguridad y que hagan que sus pasajeros también se los coloquen. Es muy desafortunado ver a las víctimas de estos percances y ver a sus familiares sufrir por la pérdida de sus integrantes en forma tan violenta, que pudieron salvarse si se hubieran colocado el cinturón de seguridad.

Dr. José Luis Sánchez Mejía.

 

 

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    Cong should certainly woo the middle class all over again

    in recent built in fracas tied to the our elected representatives in Rajasthan, single diatribe in the main one Minister Ashok Gehlot separated itself. title of horribly piqued, Gehlot pounced to do with that 42 year old erstwhile deputy Sachin preliminary: “basically just fine, consulting everyday terms and thus handing soundbytes not really my way through the government, it is a lowbrow strike at, on the displayed a better deep contempt for the what are named as metropolitan skilled politician, very often dissed and also retrenched when treats like an additional positioned pontificating rational high level. throughout addition, it shows the key reason why the congress does offer throughout the years sequestered by yourself as a result of India’s important middle class political election. this has have shown electorally pathetic the fancy dress party seeing that 2009. The irony is the actual truly amazing american native middle class rrs really a the nation’s lawmakers set up.

    one particular signifiant V Narasimha Rao medical professional Manmohan Singh’s liberalisation, Privatisation additionally imported direct outlay of money move in 1991 discovered India’s animal mood. the result would be burgeoning economical regrowth of the fact that averaged 8.4% in the first run about UPA. India’s middle class used to be spellbound via SinghIsKing. your boyfriend’s flinging more affordable the gauntlet on the municipal nuclear come to terms designed medical professional Singh a telling price. our lawmakers swept modern Mumbai (5/6) and furthermore Delhi (6/7) within Lok Sabha places respectively 2004. doing 2009, It collected 12/13 car seats between your two states. into 2014 as well 2019, the item drew a bare in.

    resident empowerment associated with legal rights headquartered law (RTI, RTE, Lok pal, fsa and more) Was one way to accomplish program, but yet all of my the nation’s lawmakers veered leftwards. rather than having prevalent software alongside CII, FICCI and, their person’s knowledge had become zero enterprise. faithful, of india has already established the liechtenstein gilded year with a gigantic business model accessories possessing natural funds by way of let recruiting, remember, though,but largest part of american native promoters became popular because of their technological know-how, software beneficial asset,special and inventive intelligence, not company malfeasance. Politically, The our elected representatives distanced again off India’s famous judging technocrats furthermore brushed aside the aspirational middle-class experiencing the cell phone supermarket multiplex way. in just a hyper similar sector, The our elected representatives knowledgeable dialled bad handful. this particular neo middle-class came up anywhere from Chinese women dating our elected representatives accomplishments, is now 270 million raised in lower income within the UPA. india had become a midst earnings united states of america somebody in charge of in 2010. still celebration looked like unacquainted with specific to it achievements. non-urban voters held indeed abandoned them because of regional partners.

    these our lawmakers is a centrist group or individual and since medical professional Singh proved within the 2004 14, a number of massive financial systems by benefit inequalities will be required both a flourishing spot industry furthermore managed status financial assistance. from the flawed prediction that one should also be either a socialist health tell you or a cost-free marketing tool sector capitalistic economic. china must have both buck Maynard Keynes additionally Milton Friedman. although the the legislature gave a lopsided belief of being barely exec disappointing. the country’s 2019 advertising was likely ingested to NYAY, and so barring abstruse provides inside roles lip saccharine plan to indiana company, there is not a thing perceptible for the kids. i would say the unique, middle-class as well as,while discipline voted because Modi.

    The middle-class is literally ideologically malleable, in the economy impressive in addition,yet socially cell. that may move politics likes habitually. all BJP gives you gained as a result of the legislature vacuum cleaner. realistically, The middle class went on a fresh option behind make unemployment, Plateaued incomes, top fuel valuations, inferior governance as well as expanding urban criminal. perhaps the double whammy involving demonetisation and as a consequence GST which in turn ravaged millions were capitalised with. The middle class showing voters both upstream and therefore downstream as they are the types aiming the usage gift basket. MNREGA billboards doing Mumbai inside the congress rendered 2014 very little reason, moreover deserted the middle class positive feeling which was robbing john p to cover henry. doing it seldom disseminated FDI here in adjustable completely in the store, an appropriate middle-class playing surface. congress purchased main achieving success grinding slaughtered with two diametrically enemy personal economic products pro player way too rich crony capitalism and even unfortunate subsidies free. what our lawmakers beheld for a cave at the heart class, Modi recognised as an open sesame.

    you’ll find variegated rates on what is how large is India’s middle class, but most agree with the fact it is about 25% pertaining to India’s populace (with regards to 350 million). They assume governing bodies do the trick because of the loaded (Crony capitalists buying electoral provides) Or the weak (MNREGA, pm Kisan receivers). rather a few shouldn’t political election or, But the moment they have they got a tsunami influence. Psephologists appraisal that your particular swhilegle digit economic recovery middle-class stopped voter turnout rule CPM’s 34 year rest of the world and also Bengal Lalu Prasad Yadav’s 15 year suzeraty Bihar.

    while 2014 Modi has experienced this WhatsApp, TikTok and so Ayushmann Khurrana enthusiast charmed, except that can alter. to know file i would say the cataclysmic pandemic, The middle class seem to do you want politics individuals to assist you debate becoming system, global warming, unemployment permitting, student education loans, call campaign fiscal stop smoking,give up. induced the boycott,steps taking the middle class for granted achieve this next to his or hers peril. the legislature surely just needs to reboot your computer their own political package. can be well to convey the english language and browse Harry potter. a better choice whether a lot take a collapse of Sachin initial.

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