The unrecognized danger of a new transportation mechanism of injury--pedicabs

Objective

Pedicabs are a new and controversial transportation innovation for tourists in congested areas in several U.S. cities. Scant literature on this trauma mechanism exists. The purpose of this study is to identify the incidence, demographics, morbidity, mortality, and potential for injury prevention of pedicab incidents amongst major trauma admissions at an urban, academic Level I Trauma Center.

Patients & Methods

Researchers conducted a retrospective review of the Trauma Registry from 2000 to 2009. All patients identified as being injured in a pedicab incident were reviewed. Demographics, diagnoses, toxicology, treatments, and injury severity scale (ISS) were collected. Outcomes included mortality, ICU, and hospital length of stay (LOS), discharge disposition, and hospital charges. A photographic survey of 50 local pedicabs was examined for the presence and use of safety equipment.

Results

During the period of January 2000 to July 2009 there were 15 major trauma victims from identified pedicab incidents. Falling from the pedicab was the mechanism of injury in 14 of 15 cases. There were two fatalities in victims following severe traumatic brain injury. Traumatic brain injury, skull fracture, or loss of consciousness was seen in 11/15 victims. Ethanol ingestion was detected in blood tests of 10 of the 14 adult victims. Median charges of hospitalization due to a pedicab related injury was US$29,956 ± 77,482. A photographic survey of 50 local pedicabs reveals very limited use of safety belts by passengers despite existing city ordinances.

Conclusions

Major trauma victims of pedicab incidents in the United States suffer significant injuries and death. Most cases occurred in passengers falling from the pedicab at night after alcohol ingestion. There is an opportunity for implementation of strategies toward improved injury prevention with this new form of transport.     

Further Evaluation of Glass Fiber Filters for Sampling Hydrogen Fluoride

Tests were conducted to determine the limitations of glass fiber filters in sampling atmospheric hydrogen fluoride. Filters without latex binder were more efficient collectors than those with the binder. Up to 75 μg F/in.² of filter area was collected by a single filter before the loss reached 5 percent. Two filters, one behind the other, collected over 250 μg F/in.² of filter area before loss through them reached five percent. By controlling the sampling rate and time to avoid exceeding the saturation limit, it is possible to use glass fiber filters for sampling over a wide range of fluoride concentrations.     

A Hydrological Model for Predicting the Effects of Dams on the Shoreline Vegetation of Lakes and Reservoirs

/ The species richness of shoreline vegetation of unregulated lakes in Nova Scotia, Canada, is known to increase as a function of catchment area, a topographic variable governing water level fluctuations. Predictions based on catchment area however, fail to account for richness patterns at the margins of lakes enlarged by dams. Here, we compare the vegetation and hydrological regimes of regulated and unregulated systems. Hydrological regimes of regulated systems deviated from natural systems of similar catchment area by being either hypovariable or hypervariable for both within-year and among-year fluctuations in water level. Plant communities of dammed systems were less diverse, contained more exotic species, and were, with one exception, devoid of rare shoreline herbs. Data from "recovering," or previously dammed systems indicated that shoreline communities can be restored upon return of the appropriate hydrological regime. Using observed within-year and among-year water level fluctuation data, we propose a general model for the maintenance or restoration of diverse herbaceous wetlands on shorelines of temperate lakes or reservoirs. Managers can manipulate the within-year water level variation within prescribed limits (1-2 m), while ensuring that among-year variation (SD of summer levels) is less than 25% of within-year variation. This preliminary model is based on data from low-fertility, temperate lakes in river systems. To calibrate the model, plant community data from other regions are needed, as are long-term water-level data for unregulated lakes, data which are essential but largely lacking in many areas.KEY WORDS: Catchment area; Regulated lakes; Shoreline restoration; Rare plants; Exotic plants; Diversity