eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2020-09-10 8 12 481 482 10.12691/ajmcr-8-12-13 AJMCR202081213 article Saya Ikegami 1 Youichi Yanagawa yyanaga@juntendo.ac.jp 1 Koki Komai 1 Tuyoshi Ishikawa 1 Yasumasa Oode 1 Kazuhiko Omori 1 Department of Acute Critical Care Medicine, Shizuoka hospital, Juntendo University Advances in automobile crashworthiness have reduced both fatalities and severe injuries with different occupant restraint systems (seatbelts and airbags). However, even the appropriate use of these systems does not always completely prevent injury at the cranio-cervical junction in a high-energy accident. This report presents two such cases. Drivers should be educated not to place too much confidence in the safety provided by occupant restraint systems. In addition, physicians should pay attention to cranio-cervical trauma when a patient experiences cardiac arrest after a motor vehicle accident, even the patient is protected by occupant restraint systems. http://pubs.sciepub.com/ajmcr/8/12/13/ajmcr-8-12-13.pdf cranio-cervical junction car accident occupant restraint systems