Introduction: E-scooter rider injuries have been growing, but little is known about how trip and incident characteristics contribute to their severity. Method: We enrolled 105 adults injured while riding e-scooters who presented to an emergency department in Washington, DC, during 2019. Enrolled participants completed an interview during the emergency department visit, and their charts were abstracted to document their injuries and treatment. Logistic regression examined the association of incident location and circumstances with the likelihood of sustaining an injury on the Abbreviated Injury Scale (AIS) ≥ 2, while controlling for rider characteristics. Results: The most common locations of e-scooter injuries in our study sample occurred on the sidewalk (58%) or road (23%). Accounting for other trip and rider attributes, e-scooter riders injured on the road were about twice as likely as those injured elsewhere to sustain AIS ≥ 2 injuries (RR, 1.96; 95% CI, 1.23–2.36) and those who rode at least weekly more often sustained AIS ≥ 2 injuries compared with less frequent riders (RR, 1.86; 95% CI, 1.11–2.32). Conclusions: Greater injury severity for riders injured on the road may reflect higher travel speeds. Practical applications: Injury severity associated with riding in the road is one factor that jurisdictions can consider when setting policy on where e-scooters should be encouraged to ride, but the risk of any crash or fall associated with facilities should also be examined. Although injuries are of lower severity on sidewalks, sharing sidewalks with slower moving pedestrians could potentially lead to more conflicts. 相似文献
Major industrial accidents, which are a type of technological disaster, are very important due to the security risks and financial damages that threaten the environment and human health in today's industrialization. In this study, it was aimed to propose an approach that will guide the decision makers to choose the emergency assembly point that should be in the distance or shelter where the employees will be not affected by the negative consequences of emergencies within the scope of the obligation of industrial establishments preparing an internal emergency plan for major industrial accidents. For this purpose, in the first stage, modelling studies were carried out with ALOHA (Areal Locations of Hazardous Atmospheres) Software over possible accident scenarios in an industrial establishment containing different types and amounts of hazardous chemicals. As a result of modelling studies, possible toxic emissions, fire and explosion effect distances and threat zones for the industrial establishment were obtained. In the second stage, the weights of the main and sub-selection criteria to be used in determining the assembly point were calculated. This stage was carried out based on the comparison data obtained as a result of the questionnaire applied to professionals with the help of AHP (Analytic Hierarchy Process) method, which is one of the multi-criteria decision making methods. In the last stage, three candidate points were selected considering the physical effect areas determined in the first stage in the boundaries of the establishment, where the employees were evaluated to be affected the minimum from the negative consequences of industrial accidents. These candidate points were evaluated again with the AHP method on the basis of the sub-criteria whose relative weights were determined in the second stage and a selection was made. As a result, an approach that provides the solution of our problem was obtained. 相似文献
Objective: India has been slow in implementing a central emergency medical services (EMS) system across the country. “108 services” is one of the most popular services that is functional under the public–private partnership model. Limited available literature shows that despite access to services, many traffic crash victims are transported using private vehicles. The objective of this study is to understand the effectiveness of 108 services from a traffic safety perspective.
Method: A questionnaire survey is conducted to understand the awareness of EMS and their function. Using traffic-related fatalities as the dependent variable, a fixed effect panel data model is developed to analyze the effectiveness of the 108 services in improving the traffic safety.
Results: The results from the survey show that, in general, people are not aware of the 108 services. A majority of the population prefers taking victims to the hospital using their personal vehicles or any other vehicles available compared to calling an ambulance. Results from panel data analysis show that despite having an efficient system, these services failed to make significant improvement in the safety of road users in the states in which their services were subscribed.
Discussion: The lack of awareness of an important safety service is alarming. This could be a major reason for lower utilization of 108 services for transporting victims of traffic crashes. This article shows the importance of having efficient awareness campaigns to improve the efficiency of any similar programs that are aimed to enhance the safety of a region. 相似文献