Hospital seeing more personal mobility device accidents and serious injuries despite active mobility act

Lee, Wey Ting; Goo, Tiong Thye; Lim, Woan Wui; Toh, Hong Chuen; Yasai, Yu

doi:10.4103/jets.jets_115_19

Cited by 10 publications

(7 citation statements)

References 3 publications

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“…In January 2017, the Singaporean government passed the Active Mobility Act (AMA) to regulate the use of PDMs. However, an increase in injuries related to these new travel modes has been observed [64].…”

Section: Regulationsmentioning

confidence: 99%

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Work-related road traffic crashes: emergence of new modes of personal journey. Analysis based on data from a register of road traffic crashes

Fort,

Connesson,

Brière

et al. 2024

Preprint

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Introduction: According to the 2018-2019 People Mobility Survey, work-related journeys (commuting and on-duty journeys) account for approximately 25% of all journeys. The use of non-motorized (nm) and motorized (m) personal mobility devices (PMDs) has steadily increased since their introduction into the French market in the last decade. Objective: This study aimed to describe the characteristics of work-related road accidents and their evolution since the introduction of new PMDs in France. Materials and methods: This was a retrospective, cross-sectional study using data from the Rh&ocircne Road Trauma Registry. Data were collected from 2015 to 2020. We included the data for the victims aged 18-70 years who were injured in work-related accidents. Results: We identified 11,296 individuals aged 18-70 years who experienced work-related road accidents. An injury report was provided for a total of 11,277 patients. A total of 546 passengers and 78 drivers of other motorized vehicles (buses/trams, construction equipment, and tractors) were excluded from the analysis. Seven patients died at the time of the accident, and seven died after hospitalization. Of the 10,653 (94.4%) victims, there were pedestrians (5.1%), or drivers of bicycles (16.9%), scooters (3.8%), other PMDs (roller blades, skateboards, monowheels, gyropods, and hoverboards; 0.4%), motorized two-wheeler (21.4%), car (45.3%), and truck (1.5%). More than half of the scooter drivers and 80% of other PMD-drivers were men. More than 60% of other PMD-drivers and 53% of scooter drivers were under 34 years of age. Most scooter accidents occurred during commuting (95.6%). Sixty-five percent of the scooter- and 50% of other PMD-accidents did not have antagonists. Overall, one-quarter of the victims experienced accidents without antagonists. Most scooter users had injuries to their upper limbs (59.2%), lower limbs (46.8%), face (21.2%) or head (17.9%). Discussion: Most accidents were of low or moderate severity (97.5%; Maximum Abbreviated Injury Scale, MAIS score < 3). The frequency and severity of injuries among scooter- and other PMD users were similar. Scooter antagonists were rarely observed in pedestrian accidents (12/575). Most scooter- and other PMD-accidents did not have antagonists. Conclusion: Many head injuries could be prevented with more widespread use of helmets, among scooter- and other PMD users and bicycle users.

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Section: Regulationsmentioning

confidence: 99%

“…Road unsafety related to electric bikes/motorcycles is becoming increasingly problematic owing to their growing popularity compared with other two-wheeled vehicles [63].…”

Section: Regulations For Pmd Usersmentioning

confidence: 99%

Work-related road traffic crashes: emergence of new modes of personal journey. Analysis based on data from a register of road traffic crashes

Fort,

Connesson,

Brière

et al. 2024

Preprint

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show abstract

“…The Active Mobility Act was passed in Singapore in 2017 to regulate the safe use of personal mobility devices, 22 including allowing the use of selective mobility devices such as bicycles, skateboards and electric scooters on public paths subject to a set of rules and codes of conduct. Injuries from AMD use have been increasing in adults, 23 and can be expected to increase in the paediatric population in the future. A proportion of these can be expected to be severe in nature, with considerable public health impact.…”

Section: Online Ahead Of Print 9 September 2022mentioning

confidence: 99%

Non-motorised active mobility device use by children in Singapore: Injury patterns and risk factors for severe injury

chia

Chong

Ganapathy

2022

Ann Acad Med Singap

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Introduction: Wheeled recreational devices (WRDs) include tricycles, bicycles, scooters, inline skates, skateboards, longboards and waveboards, and can cause significant morbidity and mortality. This study aimed to describe the epidemiology and nature of injuries sustained by children from WRD use, and risk factors for severe injury. Method: We described injuries relating to WRD use in children <18 years who presented to the emergency department of an Asian tertiary hospital between 2016 and 2020. Demographic data, site and nature of the injury, and historical trends were analysed. Risk factors for severe injury (defined as fractures or dislocations), Injury Severity Score ≥9, and injuries resulting in hospitalisation, surgery or death were evaluated. Results: A total of 5,002 patients with 5,507 WRD-related injuries were attended to over the 5-year study period. Median age was 4.7 years. Injuries related to bicycles (54.6%) and scooters (30.3%) were most frequent, followed by skateboards and waveboards (7.4%), inline skates (4.7%), and tricycles (3.0%). Injuries occurred most frequently in public spaces. Soft tissue injuries (49.3%) and fractures (18.7%) were the most common diagnoses. Upper limb (36.4%) and head and neck (29.0%) regions were the most common sites of injury. Among the patients, 1,910 (38%) had severe injuries with potential morbidity. On multivariate analysis, heavier children of the school-going age who use either scooters, skateboards or inline skates are more prone to severe injuries. Involvement in a vehicular collision was a negative predictor. Conclusion: WRD use in children can result in severe injuries. Wrist and elbow guards, as well as helmets are recommended, along with adequate parental supervision. Keywords: Bicycle, inline skate, paediatric, scooter, skateboard, trauma, tricycle, wheeled recreational device

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“…Moreover, clinical results have indicated that potentially effective treatments for this infectious disease are anti-sera treatments, with vaccines being an ideal preventative measure [27]. Anti-sera from recovered patients have been used to treat those with severe respiratory conditions, but due to its limited supply and scarce evidence on effectiveness, the most promising and effective solution is still dependent on a preventative vaccine [28][29][30][31][32]. Furthermore, implementing mass vaccination is crucial, as high compliance rates are essential to developing herd immunity.…”

Section: Treatment and Vaccine Approaches For Covid-19mentioning

confidence: 99%

COVID-19 Vaccines: Current Conditions and Future Prospects

Zieneldien

Kim

Cao

et al. 2021

Biology

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It has been over a year since SARS-CoV-2 was first reported in December of 2019 in Wuhan, China. To curb the spread of the virus, many therapies and cures have been tested and developed, most notably mRNA and DNA vaccines. Federal health agencies (CDC, FDA) have approved emergency usage of these S gene-based vaccines with the intention of minimizing any further loss of lives and infections. It is crucial to assess which vaccines are the most efficacious by examining their effects on the immune system, and by providing considerations for new technological vaccine strategies in the future. This paper provides an overview of the current SARS-CoV-2 vaccines with their mechanisms of action, current technologies utilized in manufacturing of the vaccines, and limitations in this new field with emerging data. Although the most popular COVID-19 vaccines have been proven effective, time will be the main factor in dictating which vaccine will be able to best address mutations and future infection.

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Hospital seeing more personal mobility device accidents and serious injuries despite active mobility act

Cited by 10 publications

References 3 publications

Work-related road traffic crashes: emergence of new modes of personal journey. Analysis based on data from a register of road traffic crashes

Work-related road traffic crashes: emergence of new modes of personal journey. Analysis based on data from a register of road traffic crashes

Non-motorised active mobility device use by children in Singapore: Injury patterns and risk factors for severe injury

COVID-19 Vaccines: Current Conditions and Future Prospects

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