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Monday, January 20, 2020

The e-merging e-pidemic of e-scooters -- America's Electric Scooter Injuries Epidemic

SUMMARY:









Urban electric 
( battery powered ) 
scooter injuries
have increased
+222% in the 
past four years,
according to 
a recently 
published 
study.

Hospital 
admissions
from scooter 
accidents were 
up +365% in the
past four years.

The main problem 
is lots of drunk 
and drug crazed 
people zipping 
about without 
helmets, causing 
serious accidents
and without helmets
those accidents
cause too many 
serious injuries.

The e-scooters 
also cause an 
INCREASE o
CO2 emissions.



DETAILS:
There were nearly 
40,000 electric scooter 
injuries in the U.S.,
between 2014 and 2018, 
according to a study 
published in the journal 
JAMA Surgery recently.

In 2014, 
there were 
4,582 injuries, 

In 2018, 
there were
14,651 injuries.

That’s up +222%
over the four-year 
period !

The number 
of hospital 
admissions
from accidents 
has also 
skyrocketed 
to almost 3,300, 
a surge of 365% 
over the same 
period. 

So, in 2018 
there were
14,651 injuries,
and 
3,300 people
had to be 
hospitalized.



The survey, 
conducted by
by researchers
UC San Francisco,
analyzed data 
taken from the 
National Electronic 
Injury Surveillance 
System, 
a project 
led by the 
US Consumer 
Product Safety
Commission 
to monitor 
the safety of 
consumer goods.


"The e-merging 
e-pidemic 
of e-scooters"  
was written by 
Leslie M Kobayashi, 
Elliot Williams, 
Carlos V Brown, 
Brent J Emigh, 
Vishal Bansal, 
Jayraan Badiee, 
Kyle D Checchi, 
Edward M Castillo, 
Jay Doucet

From the Abstract:

"Introduction:
Since their release in 2017, standing electric motorized scooters (eScooters) have risen in popularity as an alternative mode of transportation. We sought to examine the incidence of injury, injury patterns, prevalence of helmet and drug and alcohol use in eScooter trauma.

Methods:
This was a multi-institutional retrospective case series of patients admitted for injuries related to operation of an eScooter following the widespread release of these devices in September 2017 (September 1, 2017 to October 31, 2018). Demographics, drug and alcohol use, helmet use, admission vitals, injuries, procedures, hospital and intensive care unit length of stay (LOS), death, and disposition were analyzed.

Results:
103 patients were admitted during the study period, and monthly admissions increased significantly over time. Patients were young men (mean age 37.1 years; 65% male), 98% were not wearing a helmet. Median LOS was 1day (IQR 1–3). 79% of patients were tested for alcohol and 48% had a blood alcohol level >80 mg/dL. 60% of patients had a urine toxicology screen, of which 52% were positive. Extremity fractures were the most frequent injury (42%), followed by facial fractures (26%) and intracranial hemorrhage (18%). Median Injury Severity Score was 5.5 (IQR 5–9). One-third of patients (n=34) required an operative intervention, the majority of which were open fixations of extremity and facial fractures. No patients died during the study. The majority of patients were discharged home (86%).

Conclusion:
eScooter-related trauma has significantly increased over time. Alcohol and illicit substance use among these patients was common, and helmet use was extremely rare. Significant injuries including intracranial hemorrhage and fractures requiring operative intervention were present in over half (51%) of patients. Interventions aimed at increasing helmet use and discouraging eScooter operation while intoxicated are necessary to reduce the burden of eScooter-related trauma."


For a few years
the e-scooter 
companies 
have touted 
their scooters 
as convenient,
and also good news 
for the environment.

According 
to studies, 
many people 
use e-scooters 
as an alternative
to cleaner forms 
of transportation, 
such as biking, 
walking and 
taking the bus.

About 40% 
of scooter rides 
have replaced 
biking or walking 
trips in both
San Francisco,
California,
and 
Portland, 
Oregon, 
according to 
recent municipal 
surveys.

A survey from Paris
found that 85% of 
scooter rides replaced 
either walking, biking 
or public transit trips.


The e-scooter
companies,
such as Lime, 
Bird and Wheels. 
must manufacture 
better, more robust 
e-scooters, 
if they want
their riders to 
increasingly use 
their devices 
instead of 
driving cars.


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