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From Peril to Protection: an evaluation of regulations impacting eScooter injuries
Kendra M Black1, Jarrett E Santorelli1, Todd W Costantini1
1Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California San Diego, San Diego, California, USA.
Trauma Surgery & Acute Care Open
|February 13, 2025
Summary
Local safety regulations significantly reduced electric scooter (eScooter) injuries presenting to trauma centers. These findings highlight the impact of advocacy on public health and safety for this popular transportation mode.
Area of Science:
- Public Health
- Trauma Surgery
- Epidemiology
Background:
- Electric scooters (eScooters) have surged in popularity since 2016.
- eScooter use is linked to severe injuries and fatalities.
- Local advocacy led to safety regulations like speed limits and sidewalk restrictions.
Purpose of the Study:
- To investigate the impact of local safety regulations on eScooter-related injuries.
- To test the hypothesis that safety restrictions decrease trauma center presentations.
Main Methods:
- Retrospective cohort study of eScooter crash patients (July 2018-June 2023).
- Analysis of patient demographics, injury severity, and mortality.
- Primary outcome: eScooter patient presentation rates relative to safety regulation implementation.
Main Results:
- 381 patients presented with eScooter crash injuries; 73.8% were male, average age 38.6.
- Median monthly eScooter patients decreased by 44.4% after speed limits (9 to 5).
- Further 60% reduction observed after February 2022 restrictions (median 2 patients).
Conclusions:
- Increased safety regulations, driven by local advocacy, significantly reduced eScooter injuries.
- Advocacy is crucial for addressing injury patterns and mechanisms.
- This study offers a model for urban centers to mitigate eScooter-related harm.
Keywords:
Accident Prevention
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