Traffic injury prevention
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Traffic injury prevention · Jan 2021
Patterns of traumatic injuries and outcomes to motorcyclists in a developing country: A cross-sectional study.
Motorcyclists are frequently involved in road traffic accidents and may suffer polytraumatic injuries, contributing a substantial burden on healthcare systems particularly in lower-middle-income countries. This study aimed to describe patterns of injury, in-hospital course, and outcomes of road accident trauma in motorcyclists, including polytrauma, at a Trauma Facility in Pakistan. ⋯ Although orthopedic injuries occur most frequently in motorcycle trauma, polytrauma necessitating multi-disciplinary management and complicating hospital stay is also common. Understanding patterns of injuries and management in motorcycle trauma will enable trauma teams in a developing country like Pakistan to devise evidence-based management protocols, especially for cases of polytrauma.
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Traffic injury prevention · Oct 2020
Factors associated with EMS transport decisions for pediatric patients after motor vehicle collisions.
Prehospital non-transport events occur when emergency medicine service (EMS) providers respond to a scene, but the patient is ultimately not transported to a hospital for evaluation. The objective of this study was to determine the rate of non-transport of pediatric patients who were involved in a motor vehicle collision (MVC) and the factors associated with non-transport decisions. ⋯ Pediatric patients were not transported after EMS responded to an MVC in approximately one-third of cases, and there was considerable variation in the rate of non-transports based on geographic region, provider level, and time of day. The majority of non-transports occurred because patients were discharged against medical advice or the patient/caregiver refused transport, which may indicate conflicting priorities between EMS providers and patients.
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Traffic injury prevention · Jan 2020
The epidemiology and prehospital care of motorcycle crashes in a sub-Saharan African urban center.
Road traffic crashes (RTCs) are common among motorcyclists in Kigali, Rwanda. The Service d'Aide Medicale Urgente (SAMU), a prehospital ambulance service, responds to many of these crashes. We aimed to describe motorcycle-related RTCs managed by SAMU. ⋯ Motorcycle-related RTCs represent a large burden of disease for patients treated by SAMU in Kigali, Rwanda. Young men are most at risk of injury, which imposes a financial strain on society. Though injuries occurred frequently, critical trauma cases from motorcycle crashes were uncommon. This may be a result of several initiatives in Rwanda to improve road safety.
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Traffic injury prevention · Jan 2020
The electric scooter: A surging new mode of transportation that comes with risk to riders.
Objective: The proliferation of electric scooter sharing companies has inundated many municipalities with electric scooters. The primary objective of this study is to characterize the epidemiology of injuries from this new mode of transportation in order to inform injury prevention efforts. Methods: A multicenter, retrospective study was conducted at two level 1 trauma centers in an urban setting. ⋯ There was a lack of safety equipment utilization and concomitant alcohol utilization was common. These may offer areas of focus for injury prevention efforts. Additionally, standardization of injury coding for electric scooter related injury is critical to future studies and will help better understand the impact of this new mode of transportation.
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Traffic injury prevention · Jan 2020
Analysis of drivers' deceleration behavior based on naturalistic driving data.
Objective: As one of the bases for designing a humanlike brake control system for the intelligent vehicle, drivers' deceleration behavior needs to be understood. There are two modes for drivers' deceleration behavior: (i) brake pedal input, by applying brake system to reduce the speed; (ii) no pedal input, by releasing the accelerator pedal without pressing the brake pedal, thus decelerating by naturalistic driving resistance. The deceleration behavior that drivers choose to press the brake pedal has been investigated in previous studies. ⋯ Conclusion: The drivers' deceleration behavior can be divided into "no pedal input" and "brake pedal input." The following six factors significantly affect drivers' choice of deceleration mode: Traffic flow, Intersection mode, Lead vehicle motion state, Ego-vehicle motion state, Ego-vehicle speed and THW. The logistic regression model can quantify the influence of these six factors on drivers' deceleration behavior. This study provides a theoretical basis for the braking system design of ADAS (Advanced Driving Assistant System) and intelligent control system.