Brownson Anna Bs, Fagan Paul Vb, Dickson Samuel, Civil Ian Ds
General Surgical Registrar, Auckland City Hospital, Auckland.
SET Trainee General Surgical Registrar, Auckland City Hospital, Auckland.
N Z Med J. 2019 Nov 8;132(1505):62-72.
Since the introduction of shared electric scooters to Auckland in October 2018, there have been multiple reports of injuries. We aim to examine the pattern of injuries sustained while riding electric scooters in patients presenting to hospital.
We conducted a retrospective analysis of patients who presented to Auckland City Hospital Emergency Department (ED) between 15 October 2018 and 22 February 2019. Patients were firstly identified by ED staff and noted in a logbook, and secondly by searching the Trauma Registry database. Outcomes of interest were injuries, imaging, alcohol and helmet use, length of stay and interventions.
There were 180 patients identified. The median length of stay was 4.0 hours, interquartile range (IQR) 18.4 hours. One-third of patients were admitted or transferred. Common injuries were contusions, abrasions and lacerations (65.6%), fractures (41.7%) and head injuries (17.2%). One in five patients (22.2%) required an operation. Only three patients wore a helmet. Of all patients, 23.3% had consumed alcohol, and of those with head injuries; 41.9% had consumed alcohol.
This study highlights the significant number of electric scooter-related injuries, including severe head injuries. While the majority of presentations are categorised as minor trauma, these cases have placed additional demand on health system resources. This mode of transport would benefit from greater regulation, including a zero blood alcohol limit, night-time curfews, reduced speed limits and consideration of mandatory helmet use.
自2018年10月共享电动滑板车引入奥克兰以来,已有多起受伤报告。我们旨在研究在医院就诊的电动滑板车骑行者所受损伤的模式。
我们对2018年10月15日至2019年2月22日期间在奥克兰市医院急诊科(ED)就诊的患者进行了回顾性分析。患者首先由急诊科工作人员识别并记录在日志中,其次通过搜索创伤登记数据库进行识别。感兴趣的结果包括损伤情况、影像学检查、酒精和头盔使用情况、住院时间和干预措施。
共识别出180名患者。中位住院时间为4.0小时,四分位间距(IQR)为18.4小时。三分之一的患者被收治或转诊。常见损伤为挫伤、擦伤和裂伤(65.6%)、骨折(41.7%)和头部损伤(17.2%)。五分之一的患者(22.2%)需要手术。只有三名患者佩戴了头盔。所有患者中,23.3%饮酒,头部受伤的患者中,41.9%饮酒。
本研究突出了大量与电动滑板车相关的损伤,包括严重头部损伤。虽然大多数就诊病例被归类为轻度创伤,但这些病例增加了卫生系统资源的负担。这种交通方式将受益于更严格的监管,包括零血液酒精含量限制、夜间宵禁、降低速度限制以及考虑强制使用头盔。