The aim with the study was to investigate the consequences of train crashes on passengers, focusing on factors of importance in the crash and post-crash phases. The specific aims were: (I) to identify the historical development and magnitude of passenger train disasters globally on various continents and countries, (II, III) to identify injury panorama and injury objects in two train crashes, (IV) to explore survivor´s experiences from a train crash, and (V) to explore their experiences of journalists and media coverage.