Head-ground impact conditions and helmet performance in E-scooter falls

Wei, Wei; Petit, Yvan; Arnoux, Pierre‐Jean; Bailly, Nicolas

doi:10.1016/j.aap.2022.106935

Cited by 23 publications

(10 citation statements)

References 35 publications

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“…Firstly, there should be educational campaigns telling people about the severity of head injuries and deaths that have occurred in accidents where safety helmets were not used. Wei W. et al ( 2022) pointed out that helmet use is effective in reducing head injury rates but not preventing severe head injuries [19]. However, in our study, we concluded that head injuries were mostly mild and could be treated conservatively without neurosurgical treatment in most cases.…”

Section: Discussioncontrasting

confidence: 69%

“…However, there are studies that have assessed the effectiveness of helmets through simulations with human body models. The results of these studies suggested that protective helmets can mitigate the force of impact during injuries, thus reducing the risk of head injuries [19][20][21]. It is worth noting that as of 1 January 2024, amendments to the Road Traffic Regulations of the Republic of Latvia mandate that all e-scooter drivers under the age of 17 must wear a protective helmet.…”

Section: Discussionmentioning

confidence: 99%

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Characteristics and Injury Patterns in Traumatic Brain Injury Related to E-Scooter Use in Riga, Latvia: Multicenter Case Series

Saulitis,

Kocane,

Dolgopolova

et al. 2024

Medicina

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Background and Objectives: In recent years, electronic scooters (e-scooters) have gained popularity, whether for private use or as a publicly available transportation method. With the introduction of these vehicles, reports of e-scooter-related accidents have surged, sparking public debate and concern. The aim of this study was to analyze the epidemiological data, characteristics, and severity of traumatic brain injury (TBI) related to e-scooter accidents. Materials and Methods: This retrospective case series evaluated patients who were admitted to the three largest neurosurgery clinics in Riga, Latvia, from the time period of April to October in two separate years—2022 and 2023—after e-scooter-related accidents. The data were collected on patient demographics, the time of the accident, alcohol consumption, helmet use, the type of TBI, other related injuries, and the treatment and assessment at discharge. Results: A total of 28 patients were admitted with TBI related to e-scooter use, with a median age of 30 years (Q1–Q3, 20.25–37.25), four individuals under the age of 18, and the majority (64%) being male. In 23 cases, the injury mechanism was falling, in 5 cases, collision. None were wearing a helmet at the time of the injury. Alcohol intoxication was evident in over half of the patients (51.5%), with severe intoxication (>1.2 g/L) in 75% of cases among them. Neurological symptoms upon admission were noted in 50% of cases. All patients had intracranial trauma: 50% had brain contusions, 43% traumatic subdural hematoma, and almost 30% epidural hematoma. Craniofacial fractures were evident in 71% of cases, and there were fractures in other parts of body in three patients. Six patients required emergency neurosurgical intervention. Neurological complications were noted in two patients; one patient died. Conclusions: e-scooter-related accidents result in a significant number of brain and other associated injuries, with notable frequency linked to alcohol influence and a lack of helmet use. Prevention campaigns to raise the awareness of potential risks and the implementation of more strict regulations should be conducted.

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Characteristics and Injury Patterns in Traumatic Brain Injury Related to E-Scooter Use in Riga, Latvia: Multicenter Case Series

Saulitis,

Kocane,

Dolgopolova

et al. 2024

Medicina

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“…The head is the area of the body most vulnerable to injury as a result of an electric scooter accident-injuries to this area of the body occur in 27% to 90% of victims of accidents [7,14,15,34]. Studies show that, at the time of an accident, only 1.3-4.5% of e-scooter drivers usually have a helmet, which is the fundamental element of head protection [13,25,31,35,36]. A study from Israel has shown that wearing a helmet reduces the likelihood of head injury, as well as of hard tissue and dentoalveolar injuries [31].…”

Section: Discussionmentioning

confidence: 99%

Characteristics of E-Scooter-Related Maxillofacial Injuries over 2019–2022—Retrospective Study from Poznan, Poland

Kowalczewska,

Rzepczyk,

Okła

et al. 2023

JCM

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Recently, there has been a considerable rise in the popularity and use of electric scooters. Because of this, the number of accidents involving them has also risen. Head and neck injuries are the most common. The aim of the study was to determine the most frequent craniofacial injuries resulting from accidents involving electric scooters, and to identify the risk factors directly related to their placement and severity. The study carried out a retrospective analysis of the medical records of patients of the Clinic of Maxillofacial Surgery over 2019–2022, in terms of craniofacial injuries suffered as a result of e-scooter-related accidents. In the study population (31 cases), of which 61.3% were men, the median age was 27 years. At the time of the accident, 32.3% patients were under the influence of alcohol. Accidents were most common in the 21–30 age group; more often than not, they occurred during warm months and on weekends. The study identified a total of 40 fractures in the patients. The most common craniofacial injuries were mandibular fractures (37.5%), zygomatic-orbital fractures (20%) and frontal bone fractures (10%). A multidimensional correspondence analysis was also performed, which showed that at an age of under 30, alcohol consumption and female gender were associated with a higher likelihood of mandibular fracture. Proper education on the risks associated with the use of e-scooters is essential, with particular emphasis on the impact of alcohol on the driver. It is important to develop diagnostic and therapeutic algorithms for doctors, both in ED and in specialised departments.

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“…Also, as there is no clear consensus on the injury threshold for linear head acceleration, the predicted injury risks need to be considered with caution. In future work, the use of human finite element models would enable to access this information for a given crash [ [38] , [39] , [40] ]. Another limitation of this study is that the numerical model did not include muscle activity.…”

Section: Discussionmentioning

confidence: 99%

Head impact kinematics and injury risks during E-scooter collisions against a curb

Fournier,

Bailly,

Schäuble

et al. 2023

Heliyon

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Head-ground impact conditions and helmet performance in E-scooter falls

Cited by 23 publications

References 35 publications

Characteristics and Injury Patterns in Traumatic Brain Injury Related to E-Scooter Use in Riga, Latvia: Multicenter Case Series

Characteristics and Injury Patterns in Traumatic Brain Injury Related to E-Scooter Use in Riga, Latvia: Multicenter Case Series

Characteristics of E-Scooter-Related Maxillofacial Injuries over 2019–2022—Retrospective Study from Poznan, Poland

Head impact kinematics and injury risks during E-scooter collisions against a curb

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