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The e-merging e-pidemic of e-scooters.

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Electric scooter (eScooter) trauma is rising, with most riders not wearing helmets and many testing positive for alcohol or drugs. Significant injuries like fractures and head trauma are common, necessitating safety interventions.

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Public Health

Background:

  • Electric scooters (eScooters) have rapidly gained popularity as an alternative transportation method since their 2017 release.
  • eScooter use has led to a notable increase in trauma cases requiring medical attention.

Purpose of the Study:

  • To investigate the incidence and patterns of injuries associated with eScooter use.
  • To determine the prevalence of helmet use and the incidence of drug and alcohol use in eScooter-related trauma.

Main Methods:

  • A multi-institutional retrospective case series was conducted from September 2017 to October 2018.
  • Data collected included patient demographics, helmet use, substance use, injury types, and treatment outcomes.
  • Analysis focused on injury severity, length of stay, and interventions required.

Main Results:

  • 103 patients were admitted with eScooter-related injuries, showing a significant monthly increase over time.
  • The majority of patients were young males (65%), with 98% not wearing helmets and high rates of alcohol (48%) and drug (52%) use.
  • Common injuries included extremity fractures (42%), facial fractures (26%), and intracranial hemorrhage (18%), with 34% requiring surgery.

Conclusions:

  • eScooter-related trauma has significantly increased, often involving intoxication and lack of helmet use.
  • A substantial proportion of patients sustain severe injuries, including fractures and intracranial hemorrhages, necessitating operative intervention.
  • Interventions promoting helmet use and discouraging riding while intoxicated are crucial to mitigate eScooter trauma.