Department of Emergency Medicine, Sengkang General Hospital, Singapore.
Department of Emergency Medicine, Singapore General Hospital, Singapore.
Singapore Med J. 2020 Feb;61(2):92-95. doi: 10.11622/smedj.2019083. Epub 2019 Jul 30.
The electric scooter has been gaining popularity locally as a commute mode. We aimed to understand the current landscape of electric scooter-related injuries in Singapore.
A retrospective review was performed of the medical records of patients seen from 2015 to 2016 at an emergency department (ED) in Singapore. Patient demographics, circumstances of the accident, injuries sustained and clinical progress were analysed.
There were 36 cases, all of whom were electric scooter users. The median age was 34 (range 17‒70) years and 66.7% were male. There was a 2.3-fold increase in the number of cases from 2015 to 2016. In 11 (30.6%) of cases, another road user was implicated. Two cases involved the use of protective equipment. 14 (38.9%) cases were conveyed by Emergency Medical Services. In the ED, 4 (11.1%), 17 (47.2%) and 15 (41.7%) cases were triaged as P1 (emergent), P2 (urgent) and P3 (ambulatory), respectively. Investigations were performed in the ED for 31 (86.1%) cases. External injuries were most common (72.2%), followed by extremity injuries (33.3%), with median Abbreviated Injury Scale scores of 1 and 2, respectively. Overall, the median Injury Severity Score was 1. Nine patients were admitted to the hospital with three requiring surgery. The median length of stay was 2 (range 1‒6) days.
The incidence of electric scooter-related injuries appears to be on the rise and may potentially incur significant morbidity and healthcare costs. Further efforts at safety education and enforcement should be made to prevent accidents and minimise the impact of these injuries.
电动滑板车在本地作为通勤方式越来越受欢迎。我们旨在了解新加坡与电动滑板车相关的伤害的当前状况。
对新加坡一家急诊科 2015 年至 2016 年期间就诊的患者病历进行回顾性分析。分析患者人口统计学特征、事故情况、受伤情况和临床进展。
共有 36 例患者,均为电动滑板车使用者。中位年龄为 34 岁(范围 17 至 70 岁),66.7%为男性。与 2015 年相比,2016 年的病例数增加了 2.3 倍。在 11 例(30.6%)病例中,涉及另一名道路使用者。有 2 例使用了防护设备。14 例(38.9%)由紧急医疗服务运送。在急诊科,4 例(11.1%)、17 例(47.2%)和 15 例(41.7%)患者分别被分诊为 P1(紧急)、P2(紧急)和 P3(非紧急)。对 31 例(86.1%)患者进行了急诊科检查。最常见的是外部损伤(72.2%),其次是四肢损伤(33.3%),分别有 1 和 2 的损伤严重度评分中位数。总体而言,损伤严重度评分中位数为 1。9 名患者住院,其中 3 名需要手术。中位住院时间为 2 天(范围 1 至 6 天)。
电动滑板车相关伤害的发生率似乎呈上升趋势,可能会带来显著的发病率和医疗保健费用。应进一步努力进行安全教育和执法,以防止事故发生并尽量减少这些伤害的影响。