scholarly journals P081: The summer of the e-scooter: a multicenter evaluation of the emergency department impact of rentable motorized scooters in Calgary

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S93-S93
Author(s):  
A. Islam ◽  
K. Koger ◽  
S. VandenBerg ◽  
D. Wang ◽  
E. Lang
Keyword(s):  
Motor Vehicle ◽  
Head Injuries ◽  
Urgent Care ◽  
Injury Incidence ◽  
Injury Patterns ◽  
Lower Extremity Injuries ◽  
Time Period ◽  
Extremity Injuries ◽  
Injury Burden ◽  
Motor Vehicle Injuries

Introduction: Calgary's introduction of rentable electronic scooters (e-scooters) in July of 2019 was met with wild popularity, representing the third most popular launch after Tel-Aviv and Paris. The present study aims to characterize the injury burden seen in all Calgary Emergency Departments (EDs) and Urgent Care Centres (UCCs) attributable to e-scooters since their 2019 introduction. Methods: We retrospectively reviewed all electronic medical records of patients presenting to Calgary EDs or UCCs with the term “scooter” in the triage note, where exclusion criteria are considered for non e-scooter injuries (e.g: non-motorized scooters). Trends in scooter injuries will be compared between April - October 2018 (control arm preceding e-scooter introduction) and April - October 2019. Injury incidence, types, patient demographics, and relative risk compared to bicycle-related injuries will be determined. Descriptive statistics will be calculated. Moreover, 33 ED visits were brought in by EMS and provide information about injury types and locations of injuries involving EMS transport. Results: Preliminary data reveals 540 scooter-related visits (3.10% admitted/transferred) between July 8th and September 30th 2019 (mean age of 28, 56.30% male). Conversely, the number of bicycle-related visits and motor vehicle related injuries were 1482 and 586 (9.90% and 9.70% admitted/transferred) respectively over the same time period suggesting a greater burden but likely a lower per-ride incidence of injury requiring ED or UCC care. Moreover, between July 8th to October 1st 2019, 33 e-scooter presentations involved EMS (21.21% admitted to hospital), where 12.12% involved upper extremity injury, 21.21% were lower extremity injuries, and 6.06% were head injuries (mean age of 34, 48.48% male). Conversely, estimated EMS transfers to EDs or UCCs for bicycle injuries and motor vehicle injuries were 197 and 463 respectively over the same time period. ICU admissions or fatality were not recorded. Conclusion: Representing the most comprehensive study of e-scooter injury patterns in Canada to date, we here demonstrate a significant injury burden attributable to e-scooters following their introduction in Calgary in 2019. Bicycle-related and motor vehicle injuries were both more prevalent in this time period, and required more EMS visits. Further characterization of injury types, injuries and comparison with injury patterns prior to e-scooter introduction is yet to be determined.

Injury Burden of Introducing E-Scooters: A Review of E-Scooter Injury Studies Using Retrospective Review of Emergency Department Records, 2015–2019

2021 ◽  
pp. 036119812110322
Author(s):  
Nicole Iroz-Elardo ◽  
Kristina Currans
Keyword(s):  
Emergency Department ◽  
Head Injuries ◽  
Health And Safety ◽  
Injury Rate ◽  
Surveillance Data ◽  
Quality Of Data ◽  
Exposure Data ◽  
Specific Subset ◽  
Extremity Injuries ◽  
Injury Burden

With the mass introduction of shared, dockless electric scooter (e-scooter) programs, many cities are struggling to understand injury implications. This article systematically documents what is known about e-scooter injuries using emergency department (ED) studies; it also provides recommendations to better understand the health and safety risks of this emerging mode. A systematic review was performed for all e-scooter articles through November 2019, retaining injury-related articles. In the case where surveillance data and exposure data were available, injury rates were explored. A total of 18 articles were identified, including: five that used surveillance data methods; seven examining all e-scooter injuries from one to three hospitals; and six examining a medically specific subset of those injured. Variations in the reporting structure of data make pooling difficult, but some trends are emerging. Three surveillance studies report an injury rate of 20–25 ED visits per 100,000 trips. Those injured rarely wear helmets, resulting in a high proportion of head injuries. Extremity injuries, including fractures, are also widespread. The profile of the injured appears to be a 30-year-old male. However, once normalized by exposure data, female, young, and older riders may be at higher risk of injury. Comparisons with other modes remain unclear; this is as much a challenge of the exposure data for the other modes as information on e-scooters. Assumptions about comparisons with bicyclists should be more thoroughly examined. Data harmonization and collaboration between vendors, municipalities, and public health departments would improve the quality of data and resulting knowledge about e-scooter safety risk.

Trampoline Injuries in a Statewide Trauma System

2021 ◽  
pp. 000313482110488
Author(s):  
Megan C. Sullivan ◽  
Madison E. Morgan ◽  
Eric Bradburn ◽  
Lindsey L. Perea
Keyword(s):  
Injury Severity ◽  
Trauma System ◽  
Injury Patterns ◽  
Lower Extremity Injuries ◽  
Patient Demographics ◽  
Body Regions ◽  
Severity Scores ◽  
Icd 10 ◽  
Trauma Outcome ◽  
Extremity Injuries

Introduction It is well known that trampolines can be a particular source of danger, especially in children. We sought to examine the profile of those patients with trampoline injuries. We hypothesized there would be certain injury patterns predicative of trampoline injuries. Methods All patients submitted to Pennsylvania Trauma Outcome Study database from 2016 to 2018 were analyzed. Trampoline injury was determined by ICD-10 activity code. Injury patterns in the form of abbreviated injury scale body regions were examined. Patient demographics and clinical variables were compared between those with trampoline injury vs those without. Results There were 107 patients with a trampoline injury. All of these patients were discharged alive and had a blunt mechanism of injury. The most common injury type was injury to the extremities (n=90,[84.1%]) with 54(50.5%) upper extremity injuries and 36(33.6%) lower extremity injuries. Ten (9.35%) patients had injury to the spine and five (4.67%) had head injury. Those with trampoline injuries were significantly younger (13y vs. 48.6y) and more likely to be white or of Hispanic ethnicity. Almost half of the patients injured (49.5%) were under 10 years. Patients with trampoline injuries had significantly lower Injury Severity Scores and significantly higher shock index. Discussion The majority of patients with trampoline injuries had injury to an extremity. These results help better understand the demographic, physiologic, and anatomic patterns surrounding trampoline injuries. Current government standards recommend that no child under age six should use a full-sized trampoline; however, based of this study, we advise that this age be increased to ten.

Incidence of Lower Extremity Injury in the National Football League: 2015 to 2018

2020 ◽  
Vol 48 (9) ◽  
pp. 2287-2294 ◽  
Author(s):  
Christina D. Mack ◽  
Richard W. Kent ◽  
Michael J. Coughlin ◽  
Kristin Y. Shiue ◽  
Leigh J. Weiss ◽  
...  
Keyword(s):  
Lower Extremity ◽  
National Football League ◽  
Lower Extremity Injury ◽  
Injury Incidence ◽  
Ankle Sprains ◽  
Extremity Injury ◽  
Time Loss ◽  
Lower Extremity Injuries ◽  
Time Burden ◽  
Extremity Injuries

Background: Lower extremity injuries are the most common injuries in professional sports and carry a high burden to players and teams in the National Football League (NFL). Injury prevention strategies can be refined by a foundational understanding of the occurrence and effect of these injuries on NFL players. Purpose: To determine the incidence of specific lower extremity injuries sustained by NFL players across 4 NFL seasons. Study Design: Descriptive epidemiology study. Methods: This retrospective, observational study included all time-loss lower extremity injuries that occurred during football-related activities during the 2015 through 2018 seasons. Injury data were collected prospectively through a leaguewide electronic health record (EHR) system and linked with NFL game statistics and player participation to calculate injury incidence per season and per 10,000 player-plays for lower extremity injuries overall and for specific injuries. Days lost due to injury were estimated through 2018 for injuries occurring in the 2015 to 2017 seasons. Results: An average of 2006 time-loss lower extremity injuries were reported each season over this 4-year study, representing a 1-season risk of 41% for an NFL player. Incidence was stable from 2015 to 2018, with an estimated total missed time burden each NFL season of approximately 56,700 player-days lost. Most (58.7%) of these injuries occurred during games, with an overall higher rate of injuries observed in preseason compared with regular season (11.5 vs 9.4 injuries per 10,000 player-plays in games). The knee was the most commonly injured lower extremity region (29.3% of lower body injuries), followed by the ankle (22.4%), thigh (17.2%), and foot (9.1%). Hamstring strains were the most common lower extremity injury, followed by lateral ankle sprains, adductor strains, high ankle sprains, and medial collateral ligament tears. Conclusion: Lower extremity injuries affect a high number of NFL players, and the incidence did not decrease over the 4 seasons studied. Prevention and rehabilitation protocols for these injuries should continue to be prioritized.

scholarly journals Injury Patterns in Collegiate Club Quidditch

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Christopher M. Fox ◽  
Jonathan G. Wu ◽  
Lucia Chen ◽  
Dena L. Florczyk
Keyword(s):  
Incidence Rate ◽  
Athletic Training ◽  
Sports Medicine ◽  
Body Part ◽  
Common Mechanism ◽  
Injury Incidence ◽  
Injury Patterns ◽  
Lower Extremity Injuries ◽  
Injury Type ◽  
Medicine Physician

Abstract Background The purpose of this study is to assess injury patterns in collegiate club quidditch athletes at a single university over three seasons. Injury data were gathered from athletic trainers that provided sideline medical coverage during competitions, the on-site athletic training center where athletes had daily access for evaluation and treatment for acute and chronic injuries, and a sports medicine physician at the on-campus student health center. Athlete exposures were estimated using available previous rosters, practice, and game schedules for the 2014–2017 quidditch seasons. Injuries were evaluated regarding the sex of the athlete, mechanism, body part injuries, and injury type. This is a retrospective descriptive epidemiology study. Results The overall injury incidence rate (IR) for collegiate club quidditch injuries was 4.55 per 1000 athlete exposures (AEs). Male athletes had an IR = 5.22 (95% CI 3.77, 7.23). Females had an IR = 3.77 (95% CI 2.49, 5.72). The most common mechanism of injury in males was collision with another athlete (36%; IR = 1.88; 95% CI 1.09, 3.24). The most common injuries were lower extremity injuries (foot, ankle, lower leg, knee, thigh, hip/groin) at 57%. The most common injury type in males was sprains at 39% (IR = 2.03; 95% CI 1.20, 3.42). The overall incidence rate for all quidditch athletes for concussions was 1.18 per 1000 AEs. Conclusions Quidditch is an increasingly popular mixed-gender collegiate club sport. This study helps identify areas for improvement in education, injury prevention, and care of athletes at the local and national levels. Concussion rates in quidditch are comparable to other contact sports and should encourage discussion to make rule changes to improve the safety of the sport.

scholarly journals Moderate and Severe Injuries at Five International Olympic-Style Wrestling Tournaments during 2016-2019

2022 ◽  
pp. 74-81
Author(s):  
Szabolcs Molnár Molnár ◽  
Zsolt Hunya ◽  
Krisztián Gáspár ◽  
Imre Szerb ◽  
Noé Szabó ◽  
...  
Keyword(s):  
Incidence Rate ◽  
Injury Incidence ◽  
Severe Injuries ◽  
Injury Rates ◽  
Lower Extremity Injuries ◽  
Greco Roman ◽  
Low Incidence ◽  
Medical Teams ◽  
Extremity Injuries ◽  
Anatomic Locations

As a contact sport, wrestling may result in injuries. Based on the severity, they are classified as mild, moderate, severe and critical. All injuries occurring at international competitions are documented in a cloud-based surveillance system. The purpose of this study was to analyze the incidence and characteristics of moderate and severe (including critical) wrestling injuries that occurred during five international Olympic-style wrestling competitions in 2016-2019. Three Wrestling World Championships and two European Wrestling tournaments were organized by the Hungarian Wrestling Federation in 2016-2019. A total of 2483 wrestlers in three Olympic wrestling styles have competed in 3007 matches. Data from all injuries were recorded and analyzed to define rates, locations, types and severity, and to compare with previous reports. A total of 53 wrestlers sustained 55 injuries, which is equivalent to an overall injury incidence rate of 9.1‰ (9.1/1000 athletic exposures). Greco-Roman and Women Wrestling had the same injury incidence rate, while Freestyle had a lower one (9.5‰ versus 8.5‰). The injury proportion by regions and anatomic locations were on head and face 29.1%, spine and trunk 16.4 % and the upper-and-lower extremity injuries equally 27.3%. The most common types of injuries included ligament lesions, joint injuries, skin lacerations, and contusions. Five wrestlers (0.8‰) sustained strangulation or concussion. Wrestling injury rates during United World Wrestling competitions are not high, but when happen they can be serious. Despite relatively low incidence rate of injuries, there is a need for continuous education for medical teams, referees and coaches to avoid wrestling injuries.

scholarly journals A Comparison of Collegiate Women’s Court and Beach Volleyball Injury Data: A Three Year Retrospective analysis

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0040
Author(s):  
Tristan Juhan ◽  
Hyunwoo Paco Kang ◽  
Andrew Homere ◽  
Omid Jalali ◽  
James E. Tibone ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Injury Rate ◽  
Collegiate Athletes ◽  
Injury Patterns ◽  
Back Injuries ◽  
Injury Rates ◽  
Lower Extremity Injuries ◽  
Body Regions ◽  
Volleyball Players ◽  
Extremity Injuries

Objectives: NCAA Division I beach volleyball is a recently introduced sport that has been played for 3 seasons to date. Since the introduction of this new level of athletic participation for women’s’ beach volleyball, no study has been performed to compare the injury patterns between court and sand volleyball playing surfaces. The goal of this study is to compare the injury patterns and incidence in women’s collegiate court and beach volleyball in order to aid trainers, coaches and medical staff in effectively preparing and treating these collegiate athletes. Methods: A 3 year, retrospective review of all training room injury reports were analyzed for both beach and court volleyball from the 2015 through 2017 seasons. Non-athletic injuries or illness were excluded from analysis. Standardized injury rates for beach and court surfaces were calculated by normalizing the total number of injuries by the number of athletes and sets played. To compare the injury patterns among court versus beach volleyball players, injuries were categorized into one of six body regions (abdomen, lower extremity, upper extremity, thorax, head, and back). The proportion of injuries to each of these regions by playing surface was then calculated to compare injury patterns by playing surface. Chi-squared test and odds ratios were used to compare injury rates. Results: Between 2015 and 2017, 90 court volleyball injuries were recorded, while 49 beach volleyball injuries were recorded in the same time period. Court volleyball players had nearly quadruple the injury rate when compared to beach volleyball players, 0.039 and 0.010 injuries per athlete-set respectively (OR 4.05, 95%CI 2.85-5.76, p<0.0001). Court volleyball players suffered a higher proportion of lower extremity injuries when compared to beach volleyball players (51.5% vs. 12.8% respectively, p=0.004), and beach volleyball players suffered a significantly higher proportion of back injuries when compared to court volleyball players, (23.4% vs. 7.8% respectively, p=0.010). Conclusion: The data suggests a significantly higher incidence of injury for court volleyball players when normalized for gameplay exposure. There were, also significant differences in injury patterns with court volleyball players having a higher proportion of lower extremity injuries and beach volleyball having a higher proportion of back injuries. Recognizing these differences can aid in the establishment of preventative strength and conditioning programs as well as post training treatment protocols for these athletes which may increase both the individuals as well as the teams overall competitive success.

scholarly journals Rock Climbing Emergencies in the Austrian Alps: Injury Patterns, Risk Analysis and Preventive Measures

2020 ◽  
Vol 17 (20) ◽  
pp. 7596
Author(s):  
Christopher Rugg ◽  
Laura Tiefenthaler ◽  
Simon Rauch ◽  
Hannes Gatterer ◽  
Peter Paal ◽  
...  
Keyword(s):  
Head Injuries ◽  
Total Mortality ◽  
Case Fatality ◽  
National Registry ◽  
Rock Climbing ◽  
Lower Extremity Injuries ◽  
Traumatic Injuries ◽  
Sport Climbing ◽  
Proper Training ◽  
Extremity Injuries

To elucidate patterns of and risk factors for acute traumatic injuries in climbers in need of professional rescue, a retrospective evaluation was performed of the Austrian National Registry of Mountain Accidents regarding rock climbing incidents over a 13-year timeframe from 2005 to 2018. From 2992 recorded incidents, 1469 were uninjured but in need of recovery, mainly when alpine climbing. Acute traumatic injuries (n = 1217) were often classified as severe (UIAA ≥ 3; n = 709), and commonly involved fractures (n = 566). Main injury causes were falls (n = 894) frequently preceded by rockfall (n = 229), a stumble (n = 146), a grip or foothold break-out (n = 143), or a belaying error (n = 138). In fatal cases (n = 140), multiple trauma (n = 105) or head injuries (n = 56) were most common, whereas lower extremity injuries (n = 357) were most common in severely injured patients. The risk for severe or fatal injuries increased with age and fall height when ascending or bouldering, during the morning hours, and when climbing without a helmet or rope. The case fatality rate was 4.7%, and the estimated total mortality rate was 0.003–0.007 per 1000 h of rock climbing. Acute traumatic injuries requiring professional rescue when rock climbing are often severe or fatal. Consequent use of a helmet when sport climbing, consistent use of a rope (particularly when ascending), proper spotting when bouldering, and proper training, as well as high vigilance when belaying are likely to help prevent such injuries.

Injuries sustained in National Collegiate Athletic Association men's and women's basketball, 2009/2010–2014/2015

2016 ◽  
Vol 52 (4) ◽  
pp. 261-268 ◽  
Author(s):  
Scott L Zuckerman ◽  
Adam M Wegner ◽  
Karen G Roos ◽  
Aristarque Djoko ◽  
Thomas P Dompier ◽  
...  
Keyword(s):  
Lower Extremity ◽  
National Collegiate Athletic Association ◽  
Surveillance Program ◽  
Injury Incidence ◽  
Ankle Sprains ◽  
Injury Rates ◽  
Lower Extremity Injuries ◽  
Women's Basketball ◽  
Rule Changes ◽  
Extremity Injuries

Background/aimRecent rule changes regarding the safety of basketball athletes necessitate up-to-date reports of injury incidence. This study describes the epidemiology of injuries in men's and women's National Collegiate Athletic Association (NCAA) basketball during the 2009/2010–2014/2015 seasons.MethodsBasketball injury data originate from the 2009/2010–2014/2015 academic years from the NCAA Injury Surveillance Program (NCAA-ISP) from 78 men's and 74 women's NCAA basketball programmes which provided 176 and 181 team-seasons, respectively. A reportable injury occurred during organised practice or competition and required attention from an athletic trainer (AT) or physician. Injury rates, injury proportions and rate ratios (RRs) were calculated. All 95% CIs not containing 1.0 were considered statistically significant.ResultsA total of 2308 and 1631 injuries were reported in men's and women's basketball, respectively, for injury rates of 7.97 and 6.54/1000 athlete-exposures (AEs). The rate was higher in men than women (RR=1.22; 95% CI 1.15 to 1.30). Non-time-loss (NTL) injuries (resulting in participation restriction time under 24 hours) accounted for 64.8% and 53.6% of men's competition and practice injuries, respectively, and 53.9% and 51.3% of women's competition and practice injuries, respectively. Injuries to the lower extremity were the most common in competitions (men: 54.9%; women: 59.0%) and practices (men: 62.4%; women: 67.3%). The most common injury in men's and women's basketball was ankle sprain (17.9% and 16.6%, respectively).ConclusionsNTL injuries account for over half of all injuries in basketball. Most injuries were lower extremity injuries, specifically ankle sprains. While rule changes have been implemented to make basketball safer, continued research is needed to assess the effectiveness of these changes.

scholarly journals A Perspective From the Middle East on the Topic of Concussion

2020 ◽  
Vol 12 (6) ◽  
pp. 30
Author(s):  
Z. Chemali ◽  
F. Ezzeddine ◽  
R. Tcheroyan ◽  
D. Acar
Keyword(s):  
United Arab Emirates ◽  
Traffic Accidents ◽  
Motor Vehicle ◽  
Sports Injuries ◽  
Middle Eastern ◽  
Head Injuries ◽  
Public Health Issue ◽  
Vehicle Accidents ◽  
Lack Of Sleep ◽  
Extremity Injuries

Background: Concussion is the most prevalent form of traumatic brain injury. Western countries debate it as a public health issue. Middle Eastern (ME) countries lag behind with a concussion incidence surveillance of 25% that of European countries. Objective: The purpose of our study was to review concussion resulting from traumatic brain or sports injuries in civilian nationals of the ME. Methods: We carried out PubMed literature search of all related articles in the past thirty years using search terms reflecting concussion and sports injuries in ME countries of Bahrain, Egypt, Iran, Iraq, Israel, Jordan, Kuwait, Lebanon, Oman, Palestine, Qatar, Saudi Arabia, Syria, Turkey, United Arab Emirates, and Yemen. Results: 72 articles met our search criteria with relatively little data found on concussion within the parameters of this review. However, the reports that were found were diverse. Israel, Turkey and Iran led in publications. Motor vehicle accidents were the leading cause of concussion from TBI (50-57%) followed by domestic injuries (30-40%) and sports injuries at 4-7%. Extremity injuries were most commonly reported unlike head injuries often invisible and underreported. Male gender, young children, pedestrian and car traffic accidents, lack of protective gear, cell phone use, impulsive behaviors as well as training overload, lack of sleep, contact sports and violence were all risk factors for concussion. Conclusions: In this review, we highlighted the nascent topic of concussion in the ME and the need for additional research dictating awareness programs and implementing new safety policies to lower morbidity and mortality across all ages.

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