Amtrak Crash Injury Description

Injury Group Chairman's Factual Report:
Attachment A: Occupant Injuries, Amtrak Derailment, May 2015

Occupant 1
Age: 20
Sex: Male
Height (inches):
Weight (lbs):
Train car:
First Hospital Time
Notes: Found outside Car 3.

Body Region
AIS code
NTSB Injury Severity Fatal

Injury Severity Score:
AIS Severity
AIS Narrative Description
Other Injury Description
Pericardial laceration
Pulmonary contusions, bilateral
Multiple abrasions of the face and neck
Multiple abrasions of the extremities
Liver lacerations, multiple, right lobe
Cardiac lacerations, right and left atria
Fractures, multiple bilateral ribs
Fracture, sternum, transverse
Depressed skull fracture, left tempoparietal
Laceration, right frontparietal scalp, 7
inches
Abrasions of the head, torso, and
extremities
Hemothorax, left, 800 cc
Page 1 of 62

Occupant 2
Age: 39
Sex: Male
Height (inches):
Weight (lbs):
Train car:
First Hospital Time

Body Region
AIS code

AIS Severity
Fractures, left anterolateral ribs 6-8

Fracture, middle phalanx, pinky
Laceration, left leg, posterolaterally, 8.5
inches
Laceration, occipital scalp, 1 inch
Multiple contusions and abrasions of face,
left flank, posterior torso, and extremities
Fractures, right tibia and fibula, open, with
11 inch laceration
Petechiae of face, conjunctiva, upper torso
Page 2 of 62

Occupant 3
Age: 39
Sex: Female Height (inches):
Weight (lbs):
Train car:
First Hospital Time
Notes: Partially ejected from Car 3.

Body Region
AIS code
AIS Severity

Fractures, left ribs 2-9 anteriorly

Hemothoraces, right, 50 cc; left 70 cc
Pulmonary contusions, right and left upper
lobes
Lacerations, right radial and ulnar arteries
Compound fracture, distal right radius and
ulna with partial amputation
Fractures, left radius and ulna
Fracture, left humerus
Pulmonary laceratation, right upper lobe
Multiple abrasions, all extremities
Flail chest, right; fractures of anterior ribs 12 and posterior ribs 1-4
Large abrasion of right medial
chest/abdomen to left flank/back
Laceration, left frontal scalp, 3.5 inches
Multiple contusions, lacerations, and
abrasions of the face and head
Page 3 of 62

Occupant 4
Age: 45
Sex: Male
Height (inches):
Weight (lbs):
Train car:1
First Hospital Time

Body Region
AIS code

AIS Severity
Fracture, left femur, open

Hemoperitoneum, 200 cc
Fracture, right humerus
Fracture, left humerus, open
Multiple abrasions of the extremities
Lacerations, left thigh, three, largest is 4/5
inches
Fracture, sternum
Liver lacerations, multiple
Multiple lacerations of the scalp and face,
up to 2.5 inches
Pericardial laceration
Cardiac laceration
Fractures, right ribs 1-11, laterally and
posteriorly; left ribs 1-12 laterally and
posteriorly
Pelvic fractures: bilateral displaced pubic
bones and left sacroiliac joint separation
Complex laceration, right neck, 2.5 x 0.5
inches
Bilateral hemothoraces, right 300cc; left
150 cc
Multiple abrasions of the torso
Page 4 of 62

Occupant 5
Age: 45
Sex: Male
Height (inches):
Weight (lbs):
Train car:1
First Hospital Time
Notes: Found inside Car 1.

Body Region
AIS code

AIS Severity
Hemothoraces, bilateral: right 300 cc and

left 200 cc
Bilateral renal contusions, upper poles
Bilateral adrenal gland hemorrhages
Compound fracture, left tibia and fibula,
open 3 inches
Splenic laceration, 3 inches
Spinal subdural hemorrhage, T12-L3
Subarachnoid hemorrhage, patchy,
bilateral parietal cortices, 2cm diameter
Multiple large abrasions of the torso and
extremities
Spinal cord hemorrhage, petechial, T12-L3
Spinal epidural hemorrhage, T12 to L3
Fracture, T12, widely displaced
Cerebral edema
Liver laceration, 6 inches, right lobe,
inferior surface
Multiple contusions and abrasions of the
head and neck
Fractures, right ribs 4-8 anteriorly and 2-12
posteriorly
Subdural hematoma, 10cc, left crebrum
Page 5 of 62

Occupant 6
Age: 48
Sex: Male
Height (inches):
Weight (lbs):
Train car:1
First Hospital Time
Notes: Found inside Car 1.

Body Region
AIS code

AIS Severity

head, neck, torso, and extremities
Laceration, 6 inches, lower back
Fractures, right ribs 3-8 posteriorly, left ribs
2-9 anteriorly
Nasal bone fracture
Laceration, 7 inches, mid-back
Hemothoraces, bilateral, 300 cc right and
200 cc left
Liver lacerations, right lobe
Cerebellar subarachnoid hemorrhage
Laceration of the pontomedullary junction
of the brain
Fracture, C2
Laceration, 7 inches, vertex of scalp
Fracture, right femur
Splenic laceration, 3 inches
Page 6 of 62

Occupant 7
Age: 55
Sex: Male
Height (inches):
Weight (lbs):
Train car:
First Hospital Time
Notes: Partially ejected from Car 3.

Body Region
AIS code
AIS Severity

Hinge fracture of the base of the skull (left)

Liver lacerations, multiple
Fracture, sternum
Fracture, right humerus
extremities
Hematoma, right kidney
Partial disarticulation of C6-C7
chest wall
Subarachnoid hemorrhage
face and neck
Fractures, right ribs 1-12 posteriorly and
laterally; left ribs 1-9 posteriorly
Laceration right frontotemporoparietal
scalp, 5 inches
Hemoperitoneum, 200cc
Pulmonary contusions, all lobes of the right
lung
Page 7 of 62

Occupant 8
Age: 47
Weight (lbs):
Train car:
First Hospital Time
Notes: Found under Car 3.

Body Region
AIS code

AIS Severity

Large facial laceration extending to scalp
Compound fracture, right radius and ulna
Avulsed laceration, right anterior shoulder,
right
Large lacerations of bilateral anterior thighs
Laceration, anterior neck, 3 inches
Fracture of the left mandibular ramus
Complex open fractures of the dome of the
skull
Fractures of the cervical spine, multiple
Transection of the torso through the lower
abdomen
Amputation of the left arm below the
shoulder
Page 8 of 62

Occupant 9
Age: 60
Sex: Female Height (inches): 66
Weight (lbs): 161
Train car:
First Hospital Time 22:45
NTSB Injury Severity Serious
Notes:
Injury Severity Score: 6
Body Region
AIS code
AIS Severity
External
External
External
Extremities/pelvic girdle
710202
810202
110602
854463
1
1
1
2
Head/neck
750651
877110
161001
2
1
1
Abrasion, right elbow

Abrasion, right ankle
Laceration, posterior right scalp small
Fracture, left ankle oblique fracture to distal fibular diaphysis, displaced
fracture through medial malleolus
Fracture, right clavicle, midshaft, mildly displaced
Sprain, left ankle
Concussion
Page 9 of 62

Occupant 10
Age: 57
Sex: Male
Height (inches): 72
Weight (lbs): 299
Train car:1
Notes: Wounds all grossly contaminated.

Body Region
AIS code
AIS Severity
Abdominal/pelvic content
Chest
Chest
Chest
650632
544222
442202
441411
450203
2
2
2
3
3
External
510602
External
External
External
External
814004
410202
810202
110602
854372
2
1
1
1
3
854464
Head/neck
752671
752573
856200
877135
650220
1
2
2
2
2

Fracture, small anterior superior corner, L1

Splenic laceration, "small"
Pneumothorax, right, "small and anterior"
Fractures, right ribs 2-6 (rib 5 broken in two places); left ribs 9-11 (rib 10
broken in two places)
Laceration, right flank, complex, full thickness, 12 cm, "C shaped"
grossly contaminated
Internal soft tissue degloving, left thigh (Morel-Lavallee lesion)
Abrasion, right upper back
Abrasion, right buttock
Laceration, frontal scalp, right, "small"
Fracture, right distal tibia, intrarticular vertically oriented, comminuted,
open
Fracture, right bimalleolar, open; distal fibula widely displaced and
comminuted
Fracture, left thumb, proximal phalanx, intra-articular
Fracture, left second metacarpal, base, intra-articular
Fracture, left acetabulum, comminuted
Dislocation, right ankle, open
Fracture, transverse process, right, C6
Page 10 of 62

Occupant 11
Age: 66
Weight (lbs): 128
Train car:2
Notes:

Body Region
AIS code
AIS Severity

Abdominal pain
Chest
Chest
Chest
Chest
Chest
Chest
External
External
External
Occupant 12
650420
442202
441411
442202
450203
450804
210402
910200
110602
Age: 32
Sex: Male
2
2
3
2
3
2
1
1
1
Height (inches):
Fracture, transverse process, right, T1

Pneumothorax, right "trace"
Pneumothorax, left
Fractures, right ribs 1 & 5; left ribs 2-4
Fracture, manubrium, closed
Contusion, left forehead
Abrasions, "all over"
Laceration, left scalp
Weight (lbs):
Train car:
Notes:

Body Region
AIS code
AIS Severity
Chest
Chest
Chest
650620
650620
442202
441432
450203
2
2
2
4
3
External
External
810604
110604
751151
853151
853271
874034
2
2
2
3
3
2
Fracture, transverse process, L3

Pneumothorax, left side moderate
Laceration, lung left upper lobe up to 2 cm
Fractures, left ribs: 3-5 anteriorly, 7 & 8 posteriorly, and right 6&7
laterally
Laceration, left lower leg, "large"
Laceration, right frontoparietal scalp, "large"
Fracture, left humerus, nondisplaced (greater tuberosity)
Fracture, right femur, intertrochanteric, mildly displaced
Fracture, right femur midshaft, comminuted and displaced
Dislocation, left knee with meniscus tear
Page 11 of 62

Occupant 13
Age: 36
Sex: Male
Height (inches): 68
Weight (lbs): 121
Train car:
Notes:
Body Region
AIS code
Chest
450203
750671
Occupant 14
Age: 68
Sex: Male
AIS Severity
3
2
Height (inches): 71
Fractures, right ribs 4-7 minimal displaced

Fracture, right mid claivicle comminuted with 2 cm of overide
Weight (lbs): 183
Train car:
Notes:
Body Region

AIS code
AIS Severity
Abdominal/pelvic content 650620

Chest
450203
2
2
3
Chest
External
External
External
External
2
1
1
1
1
2
442202
810202
710202
510202
810202
750951

Fractures, right ribs 1st posterior , 3-5 mimimally displaced, 11-12
posterior minimally displaced
Pneumothorax, right
Abrasion, left knee
Abrasion, right scapula
Abrasion, left flank
Abrasion, right knee
Fracture, right scapula non-displaced infraspinous
Page 12 of 62

Occupant 15
Age: 43
Sex: Male
Height (inches): 70
Weight (lbs): 240
Train car:1
Notes:
Body Region
AIS code
Chest
External
External
External
External
External
450203
710602
710602
210202
410402
710602
3
1
1
1
1
1
Face
840407
840501
251404
2
2
1
Occupant 16
Age: 47
AIS Severity
Fractures, right ribs 9-11 postero-laterally

Laceration, left shoulder, 3cm extending into deltoid muscle (2cm deep)
Laceration, left arm, laterally, 2cm, full thickness
Abrasion, forehead 5x3cm
Contusion, right lateral chest wall
Laceration, left dorsal hand over first web space, 3 cm, extending into
muscle
Complete tear, left medial collateral ligament, knee
Partial tear, left anterior cruciate ligament, knee
Fracture, front upper inscisor "chip"
Weight (lbs): 130
Train car:
Notes:
AIS code
750951
Age: 34

Body Region
Occupant 17
Sex: Male
AIS Severity
2
Height (inches): 66
Fracture, right scapular body nondisplaced
Weight (lbs): 167
Train car:
Notes:

Body Region
AIS code
Chest
Chest
External
Head/neck
450203
650430
210600
874099
161001
AIS Severity
3
2
1
1
1
Fracture, right ribs posterior 8-10

Fracture, anteroinferior endplate T8
Laceration, chin
Knee joint injury, not further specified
Concussion
"Possible" tibial plateau fracture
Page 13 of 62

Occupant 18
Age: 37
Sex: Male
Height (inches):
Weight (lbs):
Train car:
First Hospital Time
Notes:
Body Region

AIS code
AIS Severity
Head/neck
640228
Head/neck
650222
Occupant 19
Age: 49
"Kinking" of left vertebral artery at C5

Complete cord injury with subluxation of C4-C5 with jumped facets
(50% anterior posterior canal diameter loss) and fracture, left inferior
articular process, C4
Fracture, left inferior articular process, C4
Weight (lbs): 172
Train car:
Notes: Thrown backwards and a chair hit her left shoulder

Body Region
AIS code
750500
Occupant 20
Age: 63
Sex: Male
AIS Severity
2
Height (inches): 69

Fracture, left clavicle, displaced
Weight (lbs): 279
Train car:
Notes:

Body Region
AIS code
AIS Severity
Chest
Chest
442202
450214
2
5
External
External
External
External
External
External
110602
710202
210202
710202
810202
810202
874099
1
1
1
1
1
1
1
Pneumothorax, left
Bilateral flail chest with fractures of left ribs 2-9 (flail segments in 4-8)
and right ribs 4-7 (flail segments in 5-7)
Laceration, right scalp superficial
Abrasion, upper lip
Abrasion, left elbow
Abrasion, left knee
Traumatic effusion, left knee, large (no other injury found)
Page 14 of 62

Occupant 21
Age: 24
Weight (lbs): 145
Train car:
Notes:
Body Region
AIS code
External
External
External
External
Face
Head/neck
210402
110202
210600
710402
250800
150202
Occupant 22
Age: 63
AIS Severity
1
1
1
1
2
3
Contusion, left eyelid

Abrasion, neck
Laceration, left forehead, repaired
Contusion, left shoulder
Fracture, right maxilla, posterolateral wall of maxillary sinus
Fracture, left basilar skull, without CSF leak; linear frontal bone
extending through orbital roof, lamina paprycea, and sphenoid
Weight (lbs):
Train car:
Notes: Fell during train crash.

Body Region
AIS code
AIS Severity
Chest
Chest
Chest
Chest
Chest
650634
650420
650420
442200
441411
450213
3
2
2
3
3
4
Chest
Chest
External
External
External
External
External
650420
650420
510202
810602
710202
810602
510402
2
2
1
1
1
1
1
Fracture, vertebral body, compression ~30%, L1

Fracture, transverse process, T5
Hemothorax, right, "small"
Bilateral posterior pulmonary contusions, right > left
Fractures, right ribs 1-9 with flail of ribs 2-7 (fractured 1-7 at
costovertebral junction; 4-9 laterally with 7&8 displaced more than
100%; 2-4 anteriorly)
Abrasion, right abdomen
Laceration, "skin tear", left foot
Abrasion, right upper arm
Laceration, "skin tear", right foot
Contusion, right abdomen
Page 15 of 62

Occupant 23
Age: 23
Weight (lbs): 123
Train car:1
Notes:

Body Region
AIS code
AIS Severity
External
External
External
External
110602
110602
210402
810602
751371
1
1
1
1
2
857371
Contusion, left posterior scalp, with laceration

Contusion, right frontoparietal scalp, with laceration
Contusion, right face
Laceration, left anterior hip, full thickness
Fracture, right distal humerus (supracondylar involving the medial
epicondyle) comminuted, T-shaped, intra-articular, closed
Fracture, right calcaneus, comminuted, intra-articular, closed
Page 16 of 62

Occupant 24
Age: 57
Sex: Male
Height (inches):
Weight (lbs): 246
Train car:1
Notes: Stuck under the train. Seated in business class car.

Body Region
AIS code
Chest
Chest
Chest
Chest
Chest
Chest
Chest
Chest
Chest
External
External
External
External
External
Head/neck
541612
544222
442200
650420
650420
650420
650430
650430
450210
442205
650430
110604
210402
710202
810202
810202
856251
161002
Occupant 25
Age: 44
Sex: Male
AIS Severity
2
2
3
2
2
2
2
2
2
3
2
2
1
1
1
1
2
2
Height (inches): 72
Hematoma, left kidney, subcapsular

Splenic laceration, small
Hemothorax, left, small, apical
Fracture, endplate, T6
Hemopneumothorax, right
Laceration, posterior scalp, complex, 30 cm
Contusion, orbit
Abrasion, right forearm
Abrasion, left thigh
Abrasion, right thigh
Fracture, right acetabulum, "chip"
Concussion with LOC unknown time
Weight (lbs): 169
Train car:
Notes: Was on left side of train, fell to right, thrown from seat
Body Region
AIS code

External
910200
Head/neck
110009
AIS Severity
2
1
1

Fracture, transverse process, minimally displaced, L3

Abrasions, back, extensive
Headache
Mild headache
Page 17 of 62

Occupant 26
Age: 37
Sex: Male
Height (inches): 65
Weight (lbs): 189
Train car:
Notes: Arrived at first hospital at 22:35. Then transferred and arrived at second hospital at 00:40. Thrown
from the seat.
Body Region
AIS code
Chest
External
External
External
441411
410402
810602
210602
771010
Occupant 27
Age: 46
AIS Severity
3
1
1
1
1
AIS code
AIS Severity
Chest
Chest
Chest
External
540623
541424
650620
650620
544226
540822
650620
540822
440610
450212
442203
110402
856174
2
3
2
2
4
2
2
2
4
3
4
1
5
Head/neck
650622
Pulmonary contusions, bilateral upper lobes right > left, extensive

Contusion, left upper chest
Laceration, left knee, superficial
Laceration, left eyebrow, sutured
Sprain, left shoulder
Weight (lbs):
Train car:1
Notes: Transferred from a first hospital (time unknown).

Body Region

Extraperitoneal bladder rupture

Perforations, small bowel, multiple
Fracture, transverse process, right, L2
Splenic laceration, hilum, uncontrolled (splenectomy)
Serosal tear, colon (separate location)
Serosal tear, colon
Ruptured diaphragm, left, >15 cm
Flail chest, left with comminuted fractures of left ribs 3-10
Pneumothorax, "large"
Contusion, frontal scalp
Pelvic ring injury including open fracture left anterior superior iliac
spine/wing; left sacrum with open SI joint, left parasymphysis pubis, and
left superior and inferior pubic rami
Fracture, superior process of left facet, C7
Page 18 of 62

Occupant 28
Age: 38
Sex: Male
Height (inches): 70
Weight (lbs): 198
Train car:
Notes:
Body Region
AIS code
External
External
910200
910400
752521
Occupant 29
Age: 47
Sex: Male
AIS Severity
1
1
2
Height (inches): 72
Abrasion, location not defined

Contusions, locations not defined
Fracture, 4th right metacarpal
Weight (lbs): 238
Train car:1
Notes: Arrived at first hospital 22:36; transferred and arrived at second hospital at 02:12. Open wounds
and skin grossly contaminated with "soot". Both legs trapped; required extrication by
EMS.
Body Region
AIS code
AIS Severity
External
External
External
External
External
External
External
External
External
External
810602
110402
210402
210402
210202
210602
210202
810202
710602
810202
854161
854271
854472
1
1
1
1
1
1
1
1
1
1
2
2
2
Face
854453
821099
251404
2
1
1

Laceration, left shin, 1cm (sutured)

Contusion, right scalp
Contusion, right orbit
Contusion, left temple
Abrasion, nose
Laceration, inside lower lip, superficial, 2 cm
Abrasion, forehead
Abrasion, left hip
Laceration, left forearm, 3cm (sutured)
Fracture, right tibial plateau, Schatzker I type
Fracture, right tibia, mid-shaft, displaced, comminuted, closed
Fracture, right distal fibula, Weber C type, angulated, displaced,
comminuted, open
Fracture, right lateral malleolus, open
Occlusion, distal branch of right peroneal artery
Fractures, teeth #8 and #10 (upper incisors)
Page 19 of 62

Occupant 30
Age: 38
Weight (lbs): 220
Train car:7
Notes:
Body Region
AIS code
External
Face
210602
771030
251406
Occupant 31
Age: 78
AIS Severity
1
2
1
Laceration, lower lip

Dislocation, right glenohumeral joint
Avulsion, tooth, upper right
Weight (lbs): 136
Train car:
First Hospital Time
Notes:

Body Region
AIS code
AIS Severity
External
External
External
110402
210202
810402
856251
856161
1
1
1
2
3
856251
Head/neck
110009
Contusion, frontal and right parietal scalp

Abrasion, right eyebrow
Contusion, left hip
Fracture, left anterior superior acetabulum
Fracture, pelvic ring, including right inferior pubic ramus (comminuted),
left pubic bone (linear fracture), bilateral sacral ala, with diastasis of the
anterior right sacroiliac joint
Fracture, right anterior acetabulum, oblique, non-displaced, extending
to the right superior pubic ramus
Closed head injury with headache
Page 20 of 62

Occupant 32
Age: 45
Sex: Male
Height (inches): 73
Weight (lbs): 176
Train car:2
Notes:
Body Region
AIS code
External
650420
650420
650420
650420
650420
810202
771010
740220
2
2
2
2
2
1
1
1
740401
771099
840603
1
1
2
Occupant 33
Age: 65
AIS Severity
Fracture, left transverse process, L3

Fracture, right transverse process, L1
Fracture, right transverse process, L2
Abrasion, right anterior shin
Shoulder sprain involving left posterior deltoid, left pectoralis
Tendon tears, partial, left subscapularis tendon, left supraspinatous, left
infraspinatus (rotator cuff)
Muscle tear, partial, left trapezius
Tear, left glenoid labrum from 12:00 to 6:00
Muscle tear, complete, left pectineus muscle
Weight (lbs):
Train car:2
Notes:

Body Region
AIS code
Chest
543800
650620
650618
650620
450202
AIS Severity
2
2
2
2
2
Retroperitoneal hemorrahge, right; hematocrit dropped from 12.8 to 7.4

Fractures, right transverse process, L3
Fracture, spinous process, L2
Fractures, left transverse process, L3
Fracture, left ribs 11 - 12 posterior
Page 21 of 62

Occupant 34
Age: 44
Weight (lbs): 130
Train car:
Notes: Flew in the air and people fell on patient

Body Region
AIS code
Chest
650432
External
Head/neck
810202
640278
1
1
Occupant 35
Age: 38
Sex: Male
AIS Severity
Height (inches): 65
Fracture, superior endplate compression "mild" , T12 with minimal

retropulsion
Abrasion, left lower leg
Cervical strain
Weight (lbs): 163
Train car:6
Notes: Two people fell on top of him.

Body Region
AIS code
AIS Severity


Pain, left ankle
Neck pain
Chest
Chest
Chest
541812
441411
450203
442200
2
3
3
3
Contusion, liver, near dome underlying 8th rib fracture

Contusion, pulmonary, bilateral lower, posterior, right greater than left
Fractures, 6th, 8th, and 9th ribs, right posterior
Hemothorax, right, small
Page 22 of 62

Occupant 36
Age: 64
Sex: Male
Height (inches):
Weight (lbs):
Train car:
Notes:
Body Region
AIS code
Chest
Chest
Chest
External
External
External
External
External
External
External
External
External
External
442205
450203
441410
710202
710402
710202
710402
810402
810202
810202
810202
510202
210600
Occupant 37
Age: 45
AIS Severity
3
3
3
1
1
1
1
1
1
1
1
1
1
Hemopneumothorax, right
Fractures, ribs 4th through 7th, right, lateral
Contusion, lung, bilateral, small
Abrasion, forearm, right
Hematoma, forearm, right
Abrasion, arm, left
Hematoma, elbow, right
Ecchymosis, leg, right, lateral
Abrasion, leg, left
Abrasion, calf, right
Abrasion, shin, right
Abrasion, flank, right
Laceration, ear, right
Weight (lbs): 249
Train car:3
Notes:
Body Region

AIS code
AIS Severity
Chest pain
752800
Fracture, right radius
Page 23 of 62

Occupant 38
Age: 29
Sex: Male
Height (inches):
Weight (lbs): 268
Train car:7
Notes: In the last car, thrown to the right side

Body Region
AIS code
Chest
Chest
External
External
650620
650418
650418
710202
810202
Occupant 39
Age: 19
AIS Severity
2
2
2
1
1

Fracture, right transverse process, L1, non-displaced

Fracture, spinous process, T8, non-displaced
Fracture, spinous process, T9, non-displaced
Abrasion, right shoulder
Abrasion, right dorsal foot
Weight (lbs): 112
Train car:
Notes: Covered in "soot" on face and upper body

Body Region
AIS code
Chest
Chest
Chest
Chest
External
External
External
External
441412
442202
442202
441431
710202
710202
912002
810202
772499
750671
752653
AIS Severity
4
2
2
3
1
1
1
1
1
2
1

Bilateral multifocal pulmonary contusions, "significant"

Pneumothorax, left, apical, "trace"
Pneumothorax, right, apical, "trace"
Lung laceration, right middle lobe, small
Abrasion, left hand
Abrasion, right hand
Burn, left hand
Abrasion, right hip
Left wrist injury (unclear if carpal fracture from radiology reading)
Fracture, right clavicle, comminuted, mid-shaft, closed
Fracture, proximal phalanx, left pinky, mid-shaft, minimally displaced,
closed
Page 24 of 62

Occupant 40
Age: 72
Sex: Male
Height (inches): 75
Weight (lbs): 187
Train car:4
Notes:
Body Region
AIS code
Chest
Chest
External
650620
650620
650420
450203
210602
Occupant 41
Age: 59
AIS Severity
2
2
2
3
1
Fracture, tranverse process, left, L2

Fracture, tranverse process, left, L1
Fracture, transverse process, left, T12
Fractures, left ribs 4-8, laterally
Laceration, above left eye, "small"
Weight (lbs): 132
Train car:5
Notes:
AIS code
750751
770730
Age: 50
Sex: Male
AIS Severity
2
2
Height (inches): 74
AIS code
AIS Severity
Fracture, distal right fracture

AC joint separation, right
Weight (lbs): 220
Train car:2
Notes: "Thrown in the car, hit head, no loss of consciousness

Body Region

Body Region
Occupant 42

Head pain
Arm pain and swelling
External
110202
854471
1
2
Abrasion, left parietal scalp

Fracture, right fibular head
Page 25 of 62

Occupant 43
Age: 60
Weight (lbs): 187
Train car:
Notes:
Body Region

AIS code
AIS Severity

Pain, right shoulder
External
110402
Contusion, scalp, frontal midline

Pain, shoulder, right
Head/neck
Occupant 44
161002
Age: 49
Concussion, loss of consciousness duration unknown

Weight (lbs): 108
Train car:1
Notes:
Body Region

AIS code
AIS Severity

Left knee pain
External
Head/neck
Head/neck
Head/neck
Head/neck
Head/neck
Occupant 45
110402
650220
650220
650220
640284
650220
Age: 49
1
2
2
2
1
2
Contusion, left parietal scalp

Fracture, right transverse process, C4
Fracture, right transverse process, C2 involving the transverse foramen
Sprain, anterior longitudinal ligament C2-C5
Weight (lbs): 220
Train car:3
Notes:
Body Region

AIS code
AIS Severity

Back pain
Abdominal pain
Chest
External
450202
410402
2
1
Fractures of two ribs, right anterior 4th and 5th ribs

Contusion, chest wall
Page 26 of 62

Occupant 46
Age: 33
Weight (lbs):
Train car:3
Notes:
Body Region
AIS code
Chest
Chest
External
650432
441411
210202
856251
856271
2
3
1
2
2
856164
Occupant 47
Age: 22
Sex: Male
AIS Severity
Height (inches):
Fracture, superior endplate <25%, "chip" T3

Bilateral pulmonary contusions, upper lobes, "small"
Abrasion, right forehead
Fracture, left acetabulum, anterior wall only, closed
Fracture, right acetabulum, "blow out"; highly comminuted of posterior
and anterior columns, closed
Fracture pelvic ring; left pubic rami (both), left ilium, right sacral ala
(comminuted), right pubic rami (both), displaced bladder from local
hemorrhage
Weight (lbs):
Train car:
Notes:
Body Region

AIS code
AIS Severity
Chest
450203
858153
Laceration, small, anterior aspect mid right kidney with subcapsular

hematoma
Fractures, right 7-12 posterior ribs; right anterolateral 3rd rib; left
posterior 3rd rib
Fracture, right 5th metatarsal, transverse, distal metaphysis
Page 27 of 62

Occupant 48
Age: 52
Weight (lbs): 152
Train car:5
Notes:
Body Region
AIS code
External
Head/neck
110402
770730
750751
100099
Occupant 49
Age: 46
Sex: Male
AIS Severity
1
2
2
9
Height (inches):
Contusion, back of the head

Separation of the acromioclavicular joint
Fracture, distal right clavicle
Closed head injury
Weight (lbs):
Train car:2
Notes:

Body Region
AIS code
AIS Severity
Chest
Chest
Chest
Chest
Chest
Chest
650420
442202
650420
441408
650420
450213
2
2
2
3
2
4
Chest
650420

Pneumothorax, right
Pulmonary contusion, right posterior lower lobe, "large"
Fractures, right ribs, with flail (ribs 6-12 posteriorly and ribs 4-11
postero-laterally)
Page 28 of 62

Occupant 50
Age: 39
Sex: Male
Height (inches):
Weight (lbs):
Train car:7
Notes:
Body Region
AIS code
External
External
External
650620
650620
650620
110604
510402
110604
Occupant 51
Age: 43
Sex: Male
AIS Severity
2
2
2
2
1
2
Height (inches): 68

Laceration, scalp, 20 cm, back of head, arterial bleeding
Contusion, left flank
Laceration, scalp, left parietal, 12 cm
Weight (lbs): 185
Train car:
First Hospital Time
Notes:
AIS code
External
810602
840406
Age: 72

Body Region
Occupant 52
AIS Severity
1
2
Laceration, left shin, 1 cm

Avulsion fracture of medial collateral ligament off medial femoral
condyle, right knee
Weight (lbs):
Train car:
Notes: Not thrown from her seat, able to walk out of the train.
Body Region
AIS code
External
External
External
External
410402
810402
810402
710402
AIS Severity
1
1
1
1
NTSB Injury Severity Minor

Contusion, chest
Contusion, left shin
Contusion, right knee
Contusion, right shoulder
Page 29 of 62

Occupant 53
Age: 42
Sex: Male
Height (inches):
Weight (lbs):
Train car:6
Notes: Train tipped toward his seat, other passengers fell into him
Body Region
AIS code
AIS Severity
Left hand pain

Right leg pain
Back pain
External
Occupant 54
Age: 20
910200
874010
772560
Sex: Male
1
1
1
Height (inches):
Abrasions
Sprain, right knee
Sprain, left index finger
Weight (lbs): 154
Train car:7
Notes: Sitting in the last car near the middle on the right side in an aisle seat.
Body Region
AIS code
External
710402
Occupant 55
Age: 31
AIS Severity

3
Contusion, right forearm

Weight (lbs): 130
Train car:2
Notes: Struck by baggage in chest, right leg pinned by chair.

Body Region
AIS code
Chest
External
450802
816015
Occupant 56
Age: 64
Sex: Male
AIS Severity
1
1
Height (inches):

Contusion, sternum
Puncture wound, 3mm, right medial thigh
Weight (lbs):
Train car:6
Notes:
Body Region

AIS code
AIS Severity

Pain, left long finger
Head/neck
640278
Cervical strain
Page 30 of 62

Occupant 57
Age: 37
Weight (lbs): 150
Train car:
Notes:
Body Region
AIS code
External
External
Head/neck
Head/neck
110402
810402
877110
100099
640278
Occupant 58
Age: 38
Sex: Male
AIS Severity
1
1
1
9
1
Height (inches): 65
Contusion, right temporal-parietal scalp

Contusion, thigh
Sprain, right ankle
Closed head injury
Cervical sprain
Weight (lbs): 187
Train car:
Notes: Face covered in "soot."

Body Region
AIS code
External
External
External
External
810202
410202
810202
210602
Occupant 59
Age: 29

AIS Severity
1
1
1
1
Abrasion, right inner thigh

Abrasion, anterior left chest
Lacerations, multiple, superficial, on face
Weight (lbs):
Train car:5
Notes:

Body Region
AIS code
External
External
External
External
Face
Face
210402
210402
410402
810402
251000
251006
AIS Severity
1
1
1
1
1
2
Contusion, right cheek

Contusion, left cheek
Contusion, chest
Contusion, left anterior thigh "large"
Fracture, nasal bone
Fracture, nasal septum
Page 31 of 62

Occupant 60
Age: 35
Weight (lbs): 132
Train car:
Notes:
Body Region
AIS code
External
External
External
710402
810202
110602
Occupant 61
Age: 24
AIS Severity
1
1
1
Contusion, right arm

Abrasion, left leg
Laceration, left scalp, 5cm, linear, sutured
Weight (lbs): 174
Train car:
Notes:
AIS code
772099
Age: 54
AIS Severity
1
AIS code
Left elbow injury (small anterior fat pad, no definite fracture, no

posterior fat pad)
Weight (lbs):
Train car:6
Notes: Thrown across the train.

Body Region

Body Region
Occupant 62

AIS Severity

Hand pain, bilateral
Scalp pain
External
External
Head/neck
810402
910400
100099
1
1
9
Contusion, hip
Contusions, multiple extremities
Closed head injury
Page 32 of 62

Occupant 63
Age: 49
Weight (lbs):
Train car:
Notes:
Body Region
AIS code
External
External
External
210202
410202
910200
772410
Occupant 64
Age: 55
AIS Severity
1
1
1
1
Abrasion, face
Abrasion, chest
Abrasions, multiple
Sprain, right wrist
Weight (lbs):
Train car:3
Notes: Fell onto her back and had to crawl out of the train.
Body Region
AIS code
AIS Severity


Low back pain
Right knee pain
External
Occupant 65
210602
Age: 29
Sex: Male
1
Height (inches): 63
Laceration, right ear, 0.2 inch, repaired

Weight (lbs): 141
Train car:
Notes:

Body Region
AIS code
External
External
Head/neck
210402
910200
100099
AIS Severity
Right shoulder pain

1
1
9
Contusion, forehead
Abrasion, unspecified site
Closed head injury
Page 33 of 62

Occupant 66
Age: 64
Sex: Male
Height (inches):
Weight (lbs):
Train car:4
Notes: Was struck on right side of head and fell backwards.

Body Region
AIS code
External
External
External
Head/neck
810602
910200
210402
100099
Occupant 67
Age: 12
AIS Severity
1
1
1
9
Laceration, right knee, superficial

Abrasion, unspecified
Contusion, forehead
Closed head injury
Weight (lbs):
Train car:3
Notes: Fell onto her right side.

Body Region
AIS code

AIS Severity

Musculoskeletal pain
External
Occupant 68
810402
Age: 29
Contusion, right lateral thigh

Weight (lbs):
Train car:3
Notes:
Body Region

AIS code
AIS Severity
Chest wall pain

Occupant 69
Age: 36
Weight (lbs): 172
Train car:7
Notes:
Body Region

AIS code
AIS Severity
Muscle strain
Generalized bodyaches
Page 34 of 62

Occupant 70
Age: 42
Weight (lbs): 180
Train car:
Notes:
Body Region

AIS code
AIS Severity

Right shoulder pain
Occupant 71
Age: 21
Weight (lbs): 156
Train car:7
Notes:
Body Region
AIS code
External
External
810402
810202
Occupant 72
Age: 36
AIS Severity
1
1
Contusion, right hip

Abrasion, right shin
Weight (lbs): 121
Train car:7
Notes:
AIS code
External
Head/neck
810402
100099
Age: 38

Body Region
Occupant 73
AIS Severity
1
9

Closed head injury
Weight (lbs): 125
Train car:7
Notes:

Body Region
AIS code
External
External
External
External
810202
810402
710202
810402
AIS Severity
1
1
1
1

Contusion, right leg
Abrasion, right posterior shoulder
Contusion, left leg
Page 35 of 62

Occupant 74
Age: 44
Weight (lbs): 224
Train car:
Notes:
Body Region

AIS code
AIS Severity

Debris in right ear (removed)
Occupant 75
Age: 39
877110
Sex: Male
1
Height (inches):
Sprain, right ankle

Weight (lbs): 150
Train car:7
Notes:
Body Region
AIS code
External
Head/neck
710402
100099
Occupant 76
Age: 33
Sex: Male
AIS Severity
1
9
Height (inches):
Contusion, right forearm

Closed head injury
Weight (lbs): 150
Train car:5
Notes:
Body Region

AIS code
AIS Severity

Wrist pain, left
External
External
External
Occupant 77
Age: 35
810202
810202
710202
877110
Sex: Male
1
1
1
1
Height (inches):

Abrasion, left knee
Abrasion, left forearm
Sprain, left ankle
Weight (lbs): 165
Train car:7
Notes:

Body Region
AIS code
External
External
810402
810202
AIS Severity
1
1
Contusion, right calf

Abrasion, right calf
Page 36 of 62

Occupant 78
Age: 52
Sex: Male
Height (inches): 71
Weight (lbs): 242
Train car:4
Notes:
Body Region

AIS code
AIS Severity

Back pain, right upper
Pain, left hip
Pain, right upper ribcage
External
Occupant 79
910400
Age: 48
Contusion
Weight (lbs): 143
Train car:3
Notes:

Body Region
AIS code
External
710202
AIS Severity

Swelling, right eye
Occupant 80
Age: 34
Sex: Male
1
Height (inches): 72
Abrasion, right shoulder with debris

Weight (lbs): 169
Train car:7
Notes:

Body Region
AIS code
External
External
External
External
External
External
External
710202
810202
510202
410202
510202
810202
710202
AIS Severity
1
1
1
1
1
1
1
Abrasion, linear, over right scapula

Abrasion, left knee
Abrasion, left lower back
Abrasion, left lower thorax on back
Abrasion, right lower back
Abrasion, right forearm (ulnar)
Page 37 of 62

Occupant 81
Age: 64
Sex: Male
Height (inches): 68
Weight (lbs): 172
Train car:3 or 4 First Hospital Time 00:15
Notes: Thrown in train car

Body Region
AIS code

AIS Severity
Back pain
External
External
External
External
Occupant 82
810402
810402
810202
810202
Age: 25
Sex: Male
1
1
1
1
Height (inches): 73
Contusion, left knee

Abrasion, right leg
Abrasion, left leg
Weight (lbs): 240
Train car:4
Notes:

Body Region
AIS code
External
External
External
External
External
Head/neck
210402
810402
810202
710402
710402
772560
161004
AIS Severity

Back pain
Occupant 83
Age: 44
Sex: Male
1
1
1
1
1
1
2
Height (inches): 71
Abrasion, left ear

Contusion, left hip
Abrasion, left knee
Contusion, left arm
Sprain, right pinky finger
Loss of consciousness, less than a minute
Weight (lbs): 178
Train car:4
Notes:

Body Region
AIS code
Head/neck
Head/neck
640278
161004
AIS Severity
1
2
Cervical strain
Loss of consciousness about 1 min
Page 38 of 62

Occupant 84
Age: 67
Sex: Male
Height (inches): 69
Weight (lbs): 207
Train car:1
Notes:
Body Region
AIS code
External
External
110402
410202
858253
Occupant 85
Age: 30
Sex: Male
AIS Severity
1
1
1
Height (inches):
Contusion, left frontal scalp

Abrasion, back
Fracture, right proximal phalanx (shaft), 5th toe
Weight (lbs): 205
Train car:
Notes: Struck arm on the seat in front "with force."

Body Region
AIS code
External
710402
Occupant 86
Age: 28
AIS Severity
1
Weight (lbs):
Train car:
AIS code
External
910200
AIS Severity
1
Abrasions, multiple
Weight (lbs):
Train car:6
Notes: Patient thrown over a few seats and slid on the floor.
Body Region
AIS code
Head/neck
161001
Occupant 88
Age: 25

Body Region
Age: 24

Notes:
Occupant 87
AIS Severity
1
AIS code
External
810402
AIS Severity
1
Concussion, no loss of consciousness

Weight (lbs): 125
Train car:
Notes: Train car was leaning to the side but she was able to walk out the rear door.
Body Region

Contusion, left knee

Page 39 of 62

Occupant 89
Age: 36
Sex: Male
Height (inches): 70
Weight (lbs): 161
Train car:
Notes:
Body Region
AIS code
External
910200
771010
Occupant 90
Age: 29
Sex: Male
AIS Severity
1
1
Height (inches):
Abrasions, multiple
Sprain, right shoulder
Weight (lbs): 158
Notes:
AIS code
Head/neck
771010
100099
Age: 25
Sex: Male
AIS Severity
1
9
Sprain, left shoulder

Closed head injury
Height (inches): 72
Weight (lbs): 167
Train car:7
Notes: Was in the last train car. On impact, the car tilted and patient fell out of seat, hit head and chest.
Body Region

Body Region
Occupant 91
AIS code
AIS Severity


Shoulder pain
Calf pain
Back pain
Rib pain
External
710202
Abrasion, right shoulder
Page 40 of 62

Occupant 92
Age: 21
Sex: Male
Height (inches):
Weight (lbs): 174
Train car:2
Notes:
Body Region
AIS code
External
External
External
External
Head/neck
810202
810602
810602
810202
100099
Occupant 93
Age: 67
AIS Severity
1
1
1
1
9
Abrasion, right leg

Laceration, right leg
Laceration, left leg
Abrasion, left leg
Closed head injury
Weight (lbs):
Train car:
Notes:
AIS code
External
External
External
External
Face
Head/neck
110402
810202
210602
210602
251000
100099
Age: 23

Body Region
Occupant 94
AIS Severity
1
1
1
1
1
9
Contusion, frontal scalp

Laceration, left eyebrow, 3cm, sutured
Laceration, philtrum, 1 cm sutured
Fracture, nose, closed
Closed head injury
Weight (lbs): 125
Train car:
Notes:

Body Region
AIS code
External
Head/neck
810202
640278
AIS Severity
1
1

Cervical strain
Page 41 of 62

Occupant 95
Age: 62
Weight (lbs): 136
Train car:7
Notes: Thrown off her seat and into the windows; suitcases fell from above; squeezed through a partially
opened door to get out then fell to the ground.
Body Region
AIS code
External
External
External
Head/neck
Head/neck
710202
210202
910400
640278
100099
Occupant 96
Age: 30
Sex: Male
AIS Severity
1
1
1
1
9
Height (inches):
AIS code
AIS Severity

Abrasion, right nose and mouth
Contusions
Cervical sprain
Closed head injury
Weight (lbs): 167
Train car:2
Notes: Was in the train car that flipped. Hand was trampled.
Body Region


Wrist pain, left
Back pain
External
Occupant 97
910400
Age: 19
Contusion
Weight (lbs): 125
Train car:3
Notes:

Body Region
AIS code
External
410202
AIS Severity
Abrasion, right flank
Page 42 of 62

Occupant 98
Age: 25
Weight (lbs): 110
Train car:
Notes:
Body Region
AIS code
External
External
External
External
Head/neck
910400
810202
210202
810202
100099
Occupant 99
Age: 48
Sex: Male
AIS Severity
1
1
1
1
9
Height (inches):
Contusions
Abrasion, left knee
Abrasion, forehead
Abrasion, right leg
Closed head injury
Weight (lbs): 200
Train car:
Notes:
AIS code
External
External
External
External
710202
210202
810202
710402
Sex: Male
AIS Severity
1
1
1
1
Height (inches):
Abrasion, left scapula

Abrasion, nose
Abrasion, r inner ankle
Contusion, left wrist
Weight (lbs):
Train car:
Notes:
Body Region

Body Region
Occupant ### Age: 21

AIS code
AIS Severity

Knee pain
External
710402
Contusion, right elbow
Page 43 of 62

Sex: Male
Height (inches):
Weight (lbs): 130
Train car:2
Notes: He was standing in the train when it derailed and the train flipped and he landed on the ceiling of
the train.
Body Region
AIS code
Chest
External
External
Head/neck
450289
210402
210602
100099
Sex: Male
AIS Severity
1
1
1
9
Height (inches): 70
Contusion, right ribs

Contusion, left periorbital area
Laceration, left orbital ridge, 1 cm
Closed head injury
Weight (lbs): 209
Train car:
Notes:

Body Region
AIS code
External
External
Face
410202
410402
240416
AIS Severity
1
1
1
Abrasion, right chest

Contusion, right chest
Abrasion, left conjunctiva (eye)
Weight (lbs):
Train car:3
Notes:

Body Region
AIS code
External
Face
910400
240602
AIS Severity
1
1
Contusions, multiple
Abrasion, right, corneal, debris on lower eyelid
Page 44 of 62

Sex: Male
Height (inches):
Weight (lbs):
Train car:3
Notes:
Body Region

AIS code
AIS Severity

Back pain
External
External
210202
710600
771010
Sex: Male
1
1
1
Height (inches):
Abrasion, right cheek

Laceration, right elbow
Sprain, right shoulder
Weight (lbs): 211
Train car:3
Notes:
Body Region
AIS code
External
510402
AIS Severity
1
Contusion, left lower back
Weight (lbs): 150
Train car:3
Notes:
AIS code
External
Head/neck
810802
100099
AIS Severity
1
9
Avulsion, left big toenail

Closed head injury
Weight (lbs):
Train car:5
Notes:
Body Region

Body Region

AIS code
AIS Severity
Struck head
External
810402
Page 45 of 62

Weight (lbs): 145
Train car:6
Notes: Seated passenger thrown from seat.

Body Region
AIS code

External
910400
Sex: Male
AIS Severity

1
1
Lumbar strain
Contusions, multiple
Height (inches): 66
Weight (lbs): 172
Train car:
Notes:
AIS code
External
410402
AIS Severity
Contusion, right chest wall

Weight (lbs):
Train car:
Notes: Thrown from seat, landed on lower back.

Body Region

Body Region
AIS code
AIS Severity


Abdominal pain
Low back pain
External
810402
Sex: Male
1
Height (inches): 71
Contusion, right iliac crest

Weight (lbs): 180
Train car:
Notes:

Body Region
AIS code
Head/neck
640278
AIS Severity
1
Cervical sprain
Page 46 of 62

Sex: Male
Height (inches): 71
Weight (lbs): 169
Train car:
First Hospital Time
Notes:
Body Region
AIS code
External
110202
AIS Severity
1
Abrasion, posterior scalp

Weight (lbs): 95
Train car:
Notes:
AIS code
External
710402
740402
Sex: Male
AIS Severity
1
1
Height (inches):
Contusion, left forearm

Strain, left forearm
Weight (lbs): 189
Train car:
Notes: Was on the right side of the train, the window nearest him broke and luggage fell on him.
Body Region
AIS code
External
Head/neck
210202
870410
100099

Body Region
Sex: Male
AIS Severity
1
1
9
Abrasion, forehead
Sprain, right foot
Closed head injury
Height (inches): 69
Weight (lbs): 429
Train car:

Notes:

Body Region
AIS code
External
910400
AIS Severity
1
Contusions, unspecified site
Page 47 of 62

Sex: Male
Height (inches): 69
Weight (lbs): 165
Train car:2
Notes:
Body Region

AIS code
AIS Severity

Left thigh pain
External
Head/neck
210202
100099
1
9
Abrasion, right face

Closed head injury
Weight (lbs):
Train car:3
Notes:
Body Region
AIS code
External
910400
Sex: Male
AIS Severity
1
Height (inches): 72
Multiple contusions site not defined
Weight (lbs): 174
Train car:
Notes:

Body Region
AIS code
External
710202
752654
AIS Severity
1
1
Abrasions, hand, right

Fracture, distal phalanx (tuft), right hand, open
Page 48 of 62

Weight (lbs): 154
Train car:7
Notes:
Body Region
AIS code
External
External
External
External
External
External
Head/neck
210600
210600
510402
710202
710402
710600
161001
Sex: Male
AIS Severity
1
1
1
1
1
1
1
Height (inches): 69
Laceration, left forehead, sutured

Laceration, left supraorbital, eyebrow
Contusion, right flank
Contusion, right wrist
Laceration, left shoulder
Concussion, no loss of consciousness
Weight (lbs): 185
Train car:
Notes:
Body Region

AIS code
AIS Severity
Left abdominal pain

External
External
External
External
External
210600
810402
710202
810202
810402
Sex: Male
1
1
1
1
1
Height (inches): 71
Laceration, forehead, repaired

Contusion, left hip
Abrasion, left hip
Contusion, left lateral thigh
Weight (lbs): 167
Notes: Passenger on right side of train, extricated through a window.

Body Region
AIS code
External
External
External
Head/neck
810202
510402
810402
161001
AIS Severity
1
1
1
1

Abrasions, right foot

Contusion, right mid back
Contusion, right calf
Concussion, no LOC
Page 49 of 62

Weight (lbs):
Train car:
Notes:
Body Region
AIS code
External
Head/neck
110202
100099
AIS Severity
1
9
Abrasion, small, frontal area

Closed head injury
Weight (lbs):
Notes:
AIS code
Chest
442202
Sex: Male
AIS Severity
2
Height (inches):
Pneumothorax, left
Weight (lbs):
Notes:

Body Region
AIS code
External
External
External
810202
410402
810202

Body Region
Sex: Male
AIS Severity
1
1
1
Height (inches):

Contusion, right chest
Abrasion, left knee
Weight (lbs): 141
Train car:5
Notes:

Body Region
AIS code
External
External
External
810402
810602
910200
740402
AIS Severity
1
1
1
1
Contusion, left ankle

Laceration, left shin, 3 cm
Abasions, multiple sites
Strain, left shoulder
Page 50 of 62

Weight (lbs): 134
Notes: Hit right side on the tray table.

Body Region
AIS code
External
410402
AIS Severity

Injury, chest wall, upper sternal area

Weight (lbs): 158
Train car:
Notes:
AIS code
Head/neck
110009
Sex: Male
AIS Severity
1
Height (inches): 71
Closed head injury with headache

Weight (lbs): 205
Train car:
Notes: Thrown across cab of train and struck back and foot on opposite wall.
Body Region
AIS code
External
External
Head/neck
810402
410402
100099

Body Region
AIS Severity
1
1
9

Contusion, left foot

Contusion, upper back
Closed head injury
Weight (lbs): 143
Train car:
First Hospital Time
Notes:

Body Region
AIS code
External
710602
AIS Severity
1
Laceration,left hand, 1cm, superficial, dorsum
Page 51 of 62

Weight (lbs): 119
Train car:
Notes:
Body Region
AIS code
External
Head/neck
210402
100099
AIS Severity
1
9
Contusion, face
Closed head injury without LOC
Weight (lbs):
Train car:
Notes:
Body Region

AIS code
AIS Severity
Pain, right lateral neck

Weight (lbs):
Train car:
Notes:
Body Region

AIS code
AIS Severity
Chest wall pain, left

External
External
874010
877110
Sex: Male
1
1
Height (inches): 73
Sprain, knee, left

Sprain, ankle, left
Weight (lbs): 249
Train car:
Notes:
Body Region

AIS code
AIS Severity

Pain, left shoulder
Page 52 of 62

Weight (lbs): 134
Train car:
Notes:
Body Region
AIS code
External
810402
AIS Severity
1
Contusion, left hip

Weight (lbs): 165
Train car:3
Notes:
Body Region

AIS code
AIS Severity
Generalized pain
External
External
External
810202
510202
710202
1
1
1
Abrasion, left knee

Abrasion, left abdomen
Weight (lbs): 178
Train car:3
Notes: Struck head in train.

Body Region
AIS code
External
External
External
External
Head/neck
810202
710202
210402
810202
100099
Sex: Male

AIS Severity
1
1
1
1
9
Height (inches): 70

Contusion, left forehead
Abrasion, left knee
Closed head injury
Weight (lbs): 169
Train car:4
Notes:
Body Region

AIS code
AIS Severity
1
Lumbar strain
Page 53 of 62

Weight (lbs): 154
Train car:
Notes:
Body Region
AIS code
External
410402
Sex: Male
AIS Severity
1
Height (inches): 69
Contusion, left anterior chest wall

Weight (lbs): 161
Train car:7
Notes:
AIS code
External
External
Head/neck
810202
810202
110009
AIS Severity
1
1
1
Abrasion, left knee

Closed head injury with headache and no loss of consciousness
Weight (lbs): 145
Train car:6
Notes: Thrown "maybe 5 rows ahead of me and to the other side of the train". "all the seats were messed
up so I really don't know how far"
Body Region
AIS code
External
External
External
810402
810402
810202

Body Region
AIS Severity
1
1
1
AIS code
External
Head/neck
910400
110009
AIS Severity
1
1
Contusion, right lateral thigh, "large"

Contusion, left buttock
Abrasion, dorsum right foot
Weight (lbs):
Train car:
Notes: Was sitting 8 seats from the front when the train rolled over several times. She crawled out a
window.
Body Region

Contusions
Head injury with headache, no loss of consciousness
Page 54 of 62

Sex: Male
Height (inches):
Weight (lbs): 198
Train car:7
Notes:
Body Region
AIS code
External
710202
Sex: Male
AIS Severity
Abrasion, right hand
Height (inches): 73
Weight (lbs): 189
Train car:
Notes: Covered with soot and debris.

Body Region
AIS code
External
External
Head/neck
210602
910200
100099
Sex: Male
AIS Severity
1
1
9
Height (inches): 68
Laceration, nose and right eye, 4cm, repaired

Abrasions
Closed head injury
Weight (lbs): 220
Train car:4

Body Region
AIS code
External
External
810402
810202
AIS Severity
1
1
Contusion, right lateral thigh

Abrasion, shin
Weight (lbs): 121
Train car:
Notes:
Body Region

Notes:

AIS code
AIS Severity

Right index finger pain
Page 55 of 62

Weight (lbs):
Train car:6
Notes: In the second to last car; was thrown to the right side of the car
Body Region
AIS code
AIS Severity
Generalized pain
External
910400
Sex: Male
1
Height (inches):
Multiple contusions
Weight (lbs):
Train car:
Notes: Struck an adjacent seat

Body Region
AIS code

AIS Severity
Left chest pain

External
910400
Sex: Male
Height (inches):
Multiple contusions
Weight (lbs): 134
Train car:5
Notes:

Body Region
AIS code
AIS Severity

Right shoulder pain
External
External
External
External
640678
910400
810202
710202
710602
1
1
1
1
1
Lumbar strain
Contusion
Laceration, over right clavicle, superficial
Weight (lbs):
Notes:
Body Region

AIS code
AIS Severity

Right shoulder pain
External
710202
Abrasion, right anterior shoulder

Page 56 of 62

Weight (lbs):
Train car:7
Notes:
Body Region
AIS code
772410
AIS Severity
1
Sprain, left wrist

Weight (lbs): 108
Train car:5
Notes:
Body Region

AIS code
AIS Severity
Muscle strains
External
External
Head/neck
910400
910200
100099
1
1
9
Contusions
Abrasions
Closed head injury
Weight (lbs):
Train car:5
Notes:
Body Region
AIS code
External
External
810202
810202
Sex: Male
AIS Severity
1
1
Abrasion, left foot

Abrasion, right foot
Height (inches): 74
Weight (lbs): 224
Train car:
Notes:

Body Region
AIS code
External
710402
AIS Severity
Contusion, ulnar side of left hand
Page 57 of 62

Sex: Male
Height (inches): 71
Weight (lbs): 156
Train car:0
Notes:
Body Region
AIS code
External
External
External
External
External
External
External
Head/neck
810202
810202
710202
810202
810202
810602
110602
874010
100099
Sex: Male
AIS Severity
1
1
1
1
1
1
1
1
9
Height (inches):
Abrasion, left knee

Abrasion, right pinky
Abrasion, left shin
Laceration, left knee 3 cm
Laceration, scalp, 7 cm left upper frontal forehead
Sprain, right knee
Head Injury
Weight (lbs):
Train car:5
Notes:
AIS code
External
External
510202
210202
AIS Severity
1
1
Abrasion, right flank

Abrasion, upper lip
Weight (lbs): 139
Train car:
Notes:
Body Region

Body Region

AIS code
AIS Severity

Knee pain,mild right
Page 58 of 62

Sex: Male
Height (inches): 68
Weight (lbs): 150
Train car:
Notes: Jumped off train.

Body Region
AIS code

AIS Severity
Right knee pain

Sex: Male
Height (inches): 71
Weight (lbs): 209
Train car:
Notes:
Body Region
AIS code
External
External
810402
810202
AIS Severity
1
1
Contusion, left leteral thigh

Abrasion, thigh
Weight (lbs): 165
Train car:
Notes:

Body Region
AIS code
External
External
External
External
Head/neck
210402
410202
410202
110402
161002
AIS Severity
1
1
1
1
2
Contusion, face
Abrasion, right chest wall
Abrasion, middle back
Contusion, head
Brief loss of consciousness
Weight (lbs): 169
Train car:
Notes:

Body Region
AIS code
External
510402
AIS Severity
Contusion, right lumbarsacral area 5 x 3 cm
Page 59 of 62

Sex: Male
Height (inches): 72
Weight (lbs): 385
Train car:
Notes:
Body Region
AIS code
External
910200
Sex: Male
AIS Severity
1
Height (inches): 74
Abrasions, multiple unnamed location

Weight (lbs): 198
Train car:2
Notes:
AIS code
Head/neck
640278
AIS Severity
Cervical strain
Weight (lbs):
Notes:

Body Region
AIS code
External
External
Head/neck
810402
810602
772410
640278

Body Region
Sex: Male
AIS Severity
1
1
1
1
Height (inches): 73
Contusion, right 4th toe

Laceration superficial posterior right calf
Sprain, right wrist
Cervical strain
Weight (lbs): 211
Notes:

Body Region
AIS code
External
410402
AIS Severity
1
Contusion, chest wall
Page 60 of 62

Weight (lbs):
Train car:
Notes: Left without being seen

Body Region
AIS code

AIS Severity
Weight (lbs):
Train car:
Notes:
Body Region
Sex: Male
AIS Severity
Height (inches):
Weight (lbs):
Train car:
Notes: mode is private vehicle "bus/ems"; no physical exam or complaints but "discharge instructions
given"
Body Region
AIS code
Sex: Male
AIS Severity
Height (inches): 67
Weight (lbs): 154
Train car:
Sex: Male
AIS Severity
Height (inches):
Weight (lbs): 200
Train car:2
Notes:
Body Region
NTSB Injury Severity None

AIS code

Notes:
Body Region

AIS code

AIS code
AIS Severity
Page 61 of 62

Sex: Male
Height (inches):
Weight (lbs):
Train car:4
Notes:
Body Region

AIS code
AIS Severity
Weight (lbs):
Train car:
Notes:
Body Region
AIS Severity
Weight (lbs): 130
Train car:
AIS code
AIS Severity
Notes: Was in the third car from the rear.

Body Region

AIS code

Page 62 of 62

Amtrak Crash Injury Description

Enviado por

Dados do documento

Direitos autorais

Formatos disponíveis

Compartilhar este documento

Compartilhar ou incorporar documento

Opções de compartilhamento

Você considera este documento útil?

Este conteúdo é inapropriado?

Direitos autorais:

Formatos disponíveis

Amtrak Crash Injury Description

Enviado por

Direitos autorais:

Formatos disponíveis

Injury Group Chairman's Factual Report:

Attachment A: Occupant Injuries, Amtrak Derailment, May 2015

First Hospital Time

Notes: Found outside Car 3.

NTSB Injury Severity Fatal

AIS Narrative Description

Other Injury Description

Injury Group Chairman's Factual Report:

First Hospital Time

Notes: Found outside Car 1.

NTSB Injury Severity Fatal

AIS Narrative Description

Other Injury Description

Fractures, left anterolateral ribs 6-8

Injury Group Chairman's Factual Report:

Sex: Female Height (inches):

First Hospital Time

Notes: Partially ejected from Car 3.

NTSB Injury Severity Fatal

AIS Narrative Description

Other Injury Description

Fractures, left ribs 2-9 anteriorly

Injury Group Chairman's Factual Report:

First Hospital Time

Notes: Found outside Car 1.

NTSB Injury Severity Fatal

AIS Narrative Description

Other Injury Description

Fracture, left femur, open

Injury Group Chairman's Factual Report:

First Hospital Time

Notes: Found inside Car 1.

NTSB Injury Severity Fatal

AIS Narrative Description

Other Injury Description

Hemothoraces, bilateral: right 300 cc and

Injury Group Chairman's Factual Report:

First Hospital Time

Notes: Found inside Car 1.

NTSB Injury Severity Fatal

AIS Narrative Description

Other Injury Description

Multiple contusions and abrasions of the

Injury Group Chairman's Factual Report:

First Hospital Time

Notes: Partially ejected from Car 3.

NTSB Injury Severity Fatal

AIS Narrative Description

Other Injury Description

Hinge fracture of the base of the skull (left)

Injury Group Chairman's Factual Report:

Sex: Female Height (inches):

First Hospital Time

Notes: Found under Car 3.

NTSB Injury Severity Fatal

AIS Narrative Description

Other Injury Description

Fractures, multiple bilateral ribs

Injury Group Chairman's Factual Report:

Sex: Female Height (inches): 66

Weight (lbs): 161

First Hospital Time 22:45

NTSB Injury Severity Serious

Injury Severity Score: 6