see [[Seatbelt fracture]] There has been a secular trend towards reduced incidence of severe TBI in the first world, driven by public health interventions such as [[seatbelt]] legislation, [[helmet]] use, and workplace health and safety regulations. This has paralleled improved outcomes following TBI delivered in a large part by the widespread establishment of specialised [[neurointensive care]] ((Khellaf A, Khan DZ, Helmy A. Recent advances in traumatic brain injury. J Neurol. 2019 Sep 28. doi: 10.1007/s00415-019-09541-4. [Epub ahead of print] PubMed PMID: 31563989. )).