Barbieri Stefania, Vettore Gianna, Pietrantonio Vincenzo, Snenghi Rossella, Tredese Alberto, Bergamini Mauro, Previato Sara, Stefanati Armando, Gaudio Rosa Maria, Feltracco Paolo
Department of Urgent and Emergency Care, University of Padova, Padova, Italy.
Preventive Medicine and Risk Assessment, University of Ferrara, Ferrara, Italy.
J Med Internet Res. 2017 Apr 1;19(4):e86. doi: 10.2196/jmir.6596.
Cases of trauma resulting from the use of mobile phones while driving motor vehicles have become quite common in recent years. Road injuries incurred by people playing video games on mobile phones (or other media devices) while walking have also become a cause for concern. Pokémon Go has been the world's most popular game since it was launched in July 2016, with more than 15 million players trying to catch all Pokémon available in the game; however, the case detailed here is the first reported accident in the medical literature caused by a pedestrian distracted by the game while crossing a street.
We aim to provide additional information on the innovative nature of distractions that generate risks in road-users, and to explore the underreporting of pedestrian-motor vehicle collisions due to mobile device usage.
We included in this case report a 25-year-old male who suddenly crossed a road while playing Pokémon Go and was hit by a van, reporting several injuries and being assisted by the Emergency Medical Service of our hospital (Padova, Italy). The patient's history, the circumstances in which the collision happened, imaging data, and clinical course information were recorded per our hospital's privacy policy.
The patient hit by the van was playing Pokémon Go on his mobile phone while crossing a street, despite red traffic lights, which he did not notice due to of the distraction induced by the game.
Mobile videogames that imply movement (ie, walking, running, cycling) to play are an effective way to improve physical activity practice, especially in adolescents and young adults. Nevertheless, cases like the one presented here point out that these games could pose a significant risk to users who play while walking, cycling, or driving in unsafe areas such as city streets, because players become distracted and may ignore surrounding hazards. Comprehensive, multilevel interventions are needed to reduce accidents caused by distraction, and to stress findings on the positive and negative effects of video games, which are becoming a source of public health concern. Health care providers should be aware of their chief role in these possible prevention strategies, based on their direct interactions with road incident victims.
近年来，驾驶机动车时使用手机导致创伤的案例已相当常见。行人在走路时玩手机（或其他媒体设备）上的电子游戏而遭受道路伤害也已成为一个令人担忧的问题。《精灵宝可梦Go》自2016年7月推出以来一直是全球最受欢迎的游戏，超过1500万玩家试图捕捉游戏中所有的宝可梦；然而，此处详细介绍的案例是医学文献中首次报道的行人在过马路时因该游戏分心而引发的事故。
我们旨在提供有关给道路使用者带来风险的新型分心因素的更多信息，并探讨因使用移动设备导致的行人与机动车碰撞事故报告不足的情况。
本病例报告纳入一名25岁男性，他在玩《精灵宝可梦Go》时突然横穿马路，被一辆货车撞到，多处受伤，由我院（意大利帕多瓦）的紧急医疗服务部门救治。根据我院隐私政策记录了患者病史、碰撞发生时的情况、影像数据及临床病程信息。
被货车撞到的患者在过马路时尽管遇到红灯仍在玩手机玩《精灵宝可梦Go》，由于游戏造成的分心他并未注意到红灯。
需要移动的电子游戏（如走路、跑步、骑自行车时玩）是改善体育活动的有效方式，尤其是对青少年和年轻人而言。然而，像此处呈现的这类案例指出，这些游戏可能会给在城市街道等不安全区域走路、骑车或开车时玩的用户带来重大风险，因为玩家会分心且可能忽视周围的危险。需要全面、多层次的干预措施来减少因分心导致的事故，并强调电子游戏的正负效应相关研究结果，电子游戏正成为公共卫生关注的一个来源。医疗保健提供者应意识到基于他们与道路事故受害者的直接互动，在这些可能的预防策略中他们的主要作用。
