Accident; analysis and prevention
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The emergency medical service (EMS) in Saudi Arabia is managed by each hospital through the Saudi Red Crescent Society (SRCS). There are approximately 165 ambulance stations in the country, each with two ambulances. The SRCS collects data on EMS requests and ambulance arrival times at the accident scene. ⋯ One primary finding is that there is room for improvement in the rescue time in Riyadh, which would save more lives, through an increase in the efficiency of ambulance team performance. A test statistic is developed in this study to carry out a simple hypothesis testing for percentiles. This test statistic, which is generic and can be used for other applications, is used to compare EMS response time in Riyadh with that in other parts of the world.
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The objective of this paper is to report on the epidemiology of spinal cord injury (SCI) based on the Australian SCI register and to discuss the implications for prevention. All adult cases of SCI are reported to the registry. The case reports for 1998/1999 were aggregated and described. ⋯ Australia is one of the few countries that have a register based on that case definition, and the only one that has a register covering a full national adult population. The results presented on the basis of this data source provide some hitherto unavailable information on the incidence rates and patterns of SCI. National population based surveillance is fundamental to an understanding of the epidemiology, and hence the prevention, of this severe and costly health and welfare problem.
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Comparative Study
Differences in cause-specific patterns of unintentional injury mortality among 15-44-year-olds in income-based country groups.
The aim of the present study was to investigate the cause-specific patterns of unintentional injury mortality among 15-44-year-olds in various income-based country groups, and to analyze which specific causes contribute the most to the unintentional injury mortality in each country group. ⋯ For any of the specific causes of unintentional injury mortality there was an inverse relationship between mortality rates and GNP per capita except for motor vehicle traffic (MVT) among the 15-24-year-old age group. MVT accidents were the most common cause and contributed 26-77% of all unintentional injury mortality. The second most common cause was poisoning in all country groups except low-income countries where drowning dominated for males and mixed causes for females. Upper-middle income countries represented the highest MVT mortality in all age-sex subgroups except among 15-24-year-old females for which high-income countries displayed the highest rate. For other causes, lower-middle income represented the highest rates with a few exceptions. In the 15-24-year age group, the rate ratio of motor vehicle traffic mortality was higher in high-income countries compared to low-income countries, while in the 35-44-year age group, all other country groups showed a higher rate ratio than high-income countries. Drowning for males and burns for females in the low and middle-income countries were significantly higher than in high-income countries.
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A unique database provided information on pedestrian accidents, intersection geometry and estimates of pedestrian and vehicle flows for the years 1983-1986 for approximately 300 signalized intersections in Hamilton, Ont., Canada. Pedestrian safety at semi-protected schemes, where left-turning vehicles face no opposing traffic but have potential conflicts with pedestrians, were compared with pedestrian safety at normal non-channelized signalized approaches, where right-turning vehicles have potential conflicts with pedestrians. Four different ways of estimating hourly flows for left- and right-turning vehicles were explored. ⋯ At low vehicular flows right turns and semi-protected left turns seemed to be equally safe for pedestrians. When risks for pedestrians were calculated as the expected number of reported pedestrian accidents per pedestrian, risk decreased with increasing pedestrian flows and increased with increasing vehicle flow. As risk decreases with increasing pedestrian flows, promoting walking will have a positive effect on pedestrian risk at signalized intersections.