Trends and underlying patterns should be identified in the timely distribution of road traffic offenses to increase traffic safety. In this study, a time series analysis was used to study the incidence rate of road traffic violations on Iranian rural roads. Road traffic volume and offenses data from March 2011 to October 2019 were aggregated. Interrupted time series were used to evaluate the impact of increasing fuel cost in June of 2013 and July of 2014 and the currency devaluation of Rial vs. US dollars in July of 2017 on trends and patterns, traffic volume, and number of offenses. A change-point detection (CPD) analysis was also used to identify singular changes in the frequency of traffic offenses. Results show a general decline in the number of overtaking and speeding offenses of −24.31% and −13.23%, respectively, due to the first increase in fuel cost. The second increase only reduced overtaking by 20.97%. In addition, Iran’s currency devaluation reduced the number of overtaking offenses by 26.39%. Modeling a change-point detection and a Mann-Kendall Test of traffic offenses in Iran, it was found that the burden of violations was reduced.

The risk of dying or being injured as a result of traffic collisions is higher for medical emergency responders than for other professional drivers. This systematic review synthesizes the literature regarding the collisions of ambulances, focusing on the prevalence and characteristics surrounding such events. Keywords including paramedics and traffic collisions were searched in papers available in PubMed from January 1990 to July 2021. Two independent reviewers screened the abstracts of 2494 papers and ended up with 93 full-text articles to assess for eligibility, of which 26 papers were finally kept for this review. There was a total of 18 studies conducted in the United States, followed by 3 in Turkey, 2 in Taiwan, 1 in both the United States and Canada, 1 in France, and 1 in Poland. There is a high record of injury and fatal collisions for ambulances compared to other commercial or similarly sized vehicles. Drivers less than 35 years old with low experience and a history of citations are more likely to be involved in such collisions. Ambulance collisions are more likely to happen in urban areas and intersections are the riskiest locations. Most collisions occur when the ambulance is responding to an emergency call (i.e., going to the patient or the hospital) and using lights and sirens. Tailored preventive policies and programs for improving paramedics’ safety should be sought to reduce the burden of these occupational collisions.