A FORD RANGER PULLED OUT IN FRONT OF US AND WE COLLIDED AT APPROX. 45 TO 50 MILES PER HOUR. IMPACT TO OUR VAN WAS HEAD ON. IMPACT TO THE RANGER WAS ON ITS MID SECTION PASSENGER SIDE. MY WIFE 'S SEAT WAS ALMOST FULLY FORWARD AND SHE WAS WEARING HER SEAT BELT BUT BECAUSE THE AIRBAGS DID NOT DEPLOY, SHE HIT HER HEAD ON THE WINDSHEILD. BREAKING THE GLASS AND GIVING HER A CONCUSSION. *AK