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International rally events, such as the World Rally Championship (WRC) and the Bosphorus Rally and the World Rally Cross Championship (WRX), have been held in Turkey from 2014 onwards. In all three rally organizations, the International Rally Federation (FIA) pay painstaking attention to the points, such as race safety and safety of drivers as well as medical plan. The rally car accidents and spectator accidents that occurred in the international rally races held in Turkey (WRX, Bosphorus Rally, the WRX and WRC 2018 Turkey 2019 Turkey) between January 1, 2015 and October 1, 2019 were analyzed retrospectively in the present study. Previous literature data is unavailable to classify rally accidents, thus a new classification was presented. The accidents in the races were watched on the official YouTube page of WRC and on the official website where the WRC racing results were announced. The total duration of the races was calculated by scanning the final result time of all the races from the official sites. The duration of the racers left out of the race until that time was accepted as race time. The accident data recorded retrospectively were analyzed using SPSS for Windows 22.00 (IBM Cooperation, New York). The Fisher Exact test was run to analyze the categorical data, and p ˂ 0.05 was accepted as the boundary of significance. The total race time of the drivers turned out to be 7 hours 8 minutes 50 seconds in WRX, 47 hours 11 minutes 20 seconds in Bosphorus Rally, 189 hours 55 minutes 51 seconds in WRC 2018, and 113 hours 10 minutes 17 seconds in WRC 2019. The total duration of the race was calculated as 357,43 hours in all races. 52 accidents in total occurred in four international rallies. There were 10 accidents in WRX, 11 in the Bosphorus Rally, 15 in WRC 2018, 16 in WRC 2019. In all the races, the incidence of accidents per race time was calculated as 14.54/100 hours. The accident incidences for WRX, Bosphorus Rally, WRC 2018, and WRC 2019 were 140.04/100 hours, 23.31/100 hours, 8.42/100 hours, and 13.26/100 hours, respectively. The accindent incidences of WRX was found 6 times higher than Bosphorus Rally, 16.62 times higher than WRC 2018 and 10.55 times higher than WRC 2019. The incidence of Class 1 accidents per race time in the four international rallies was calculated as 12/100 hours, while that of Class 2, Class 3, and Class 6 turned out to be 1.11/100 hours, 1.39/100 hours, and 0.2/100 hours, respectively. The total incidence of the accidents at risk of injury (Class 2 and above) was 3.07/100 hours. No class 4 or class 5 accidents were reported in any race, nor was any urgent intervention needed for the racers. Only one spectator rolled off a 3-4 meter cliff while trying to avoid the vehicle passing very close to the point he was watching. This spectator has removed from the cliff and transferred to the hospital. No fatal injuries were reported. International rally events carry the risk of severe accidents, definitely necessitating adequate medical support provided by professionals with special training. Emergency medicine physicians are those who can make quick and accurate decisions as well as responding quickly to the patient. No fatal or serious injury accidents in international organizations held in Turkey for 4 years have been reported so far because of the security measures are taken very well. This situation shows the importance of taking correct security measures. It should be noted that accidents led to the death and injury of dozens (spectators, pedestrians, racers) throughout the rally history.

Evaluation of Accidents and Injuries in International Rally Organizations Held in Turkey