Accident; analysis and prevention
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A considerable amount of all traffic accidents can be attributed to driving under the influence of alcohol. In particular the group of drivers aged 18-24 years is involved in many serious traffic accidents where alcohol turns out to be a major factor. In fact this age group shows about three times as many alcohol related traffic fatalities as all other categories of road users. ⋯ However, the intervention is unique and warrants a more robust evaluation. A large-sized randomized controlled trial should be conducted in the next phase to confirm the findings that the intervention program is a suitable educational tool to decrease driving under the influence of alcohol. The present paper serves to raise awareness of this intervention and its potential.
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Driver distraction represents a well-documented and growing contribution to the road safety problem. This study used a naturalistic, observational approach to examine if children in vehicles are a significant source of driving distraction. Families with children aged between 1 and 8 years drove an instrumented "study vehicle" on their regular trips for 3 weeks. ⋯ The most frequent child-related activities that drivers engaged in included: turning to look at the rear seated occupants or viewing the children using the rear-view mirror (76.4%), engaging in conversation with their children (16%), assisting their children (e.g., passing food and drink [7%]) and playing with their children (1%). Drivers spent significantly longer periods of time engaged in non-child occupant-related activities compared with child occupant-related activities and were significantly more likely to have their eyes off the forward roadway for greater than 2s while engaged in non-child occupant-related activities (14%) compared to child occupant-related activities (10%). The results suggest that drivers need to be educated about the potential crash and injury risks associated with both child occupant-related and non-child occupant-related activities while driving their vehicle.
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Bicycle helmets reduce fatal and non-fatal head and face injuries. This study evaluated the effect of mandatory bicycle helmet legislation targeted at those less than 18 years old on helmet use for all ages in Alberta. ⋯ Bicycle helmet legislation was associated with a greater increase in helmet use among the target age group (<18). Though HP increased over 2-fold among adolescents to an estimated 63% in 2006, this percentage was approximately 30% lower than among children <13.
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This study was designed to determine the incidence rate and risk factors of missed injuries in major trauma patients in the emergency department (ED). Hospital records of all 976 trauma patients visiting the ED and admitted to intensive care units (ICUs) of a medical center in Taiwan from 2006 to 2007 were reviewed. Missed injuries were defined as those not identified in the ED but recognized later in the ICUs. ⋯ The most commonly involved body region of missed injuries was the head/neck, followed by the chest and extremities. Results of a Cox regression analysis showed that a younger age, more-severe injury, polytrauma, and the absence of soft-tissue injuries were significantly associated with missed injuries, while younger ages, more-severe injuries, and the presence of chest and pelvic injuries were also significantly associated with clinically significant missed injuries. In conclusion, a considerable number of injuries, particularly to the head/neck, may be undetected in the ED, while young people and patients with certain injury patterns such as severity levels, polytrauma, and the presence of a chest or pelvic injury are more likely to have missed injuries and/or clinically significant missed injuries.
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In the current study, research was conducted in five cities in China to examine seatbelt use and to explore Chinese drivers' attitudes toward using seatbelts. Multiple data collection methods consisted of 35 initial semi-structured interviews to create questions for an in-person survey and 500 driver observations that included administering the in-person survey. ⋯ Also examined were the relationships between seatbelt use (both objective observation and subjective self-reported use) and self-reported car crashes and traffic violations. This study provides insight into the attitudes of Chinese drivers on seatbelt use and potential interventions.