Escalator injuries

Gray relational analysis based assessment of escalator accident risk in subway stations

In order to better achieve active defense in the escalator risk management, this study based on the vulnerability theory, task driven theory, management error theory, proposed a Gray Relational Analysis (GRA) based fuzzy assessment of escalator accident risk approach. The risk assessment index system of subway station escalator accident was constructed based on the commonness and essence of management defects; the weight of risk index was calculated scientifically and reasonably by using Analytic Hierarchy Process (AHP); escalator accident risk was evaluated by the combination of GRA and Fuzzy approach. The results show that escalator equipment, environment, safety knowledge of riders are all in good condition in the station. However, ‘Maintenance’ of escalator in the Beijing subway station is in an extremely high risk level. The contributions of this studies are: (1) general risk elements analysis model for escalator accidents which enable to compose any risk factor possible to induce escalator accident in subway station; (2) GRA based risk assessment approach can avoid the problem when expend the range to left and right. It can also judge whether the continuous improvement effect of the object is significant by the difference degree of each risk level before and after.

An Analysis of Escalator-Related Injuries in an Emergency Department

Background

Escalator-related injuries have been considered uncommon and most likely to occur in children. In this study, we described the epidemiology of these injuries with focus on the aged population in order to determine whether escalators are safe for the aged, and to obtain information to help in preventing escalator-related injuries.

Methods

A prospective survey was taken to identify the number and nature of these injuries from May 2004 to December 2008. We enrolled patients who had sustained escalator-related injuries. A standard list of questions and answers were recorded by the emergency physician. A total of 104 questionnaires were completed during the study period.

Results

The average patient age was 59.2±24.0 years (range 1-94). There were 64 (61.5%) females. Only 11 (10.6%) were younger than 15 years old, and 59 (56.7%) were aged 65 or above; 35 (59.3%) of the aged people were injured while standing on the escalator. However, out of the 45 patients younger than age 65, 22 (48.9%) were injured from walking on a moving escalator. Head injury was the commonest site of injury overall and all were due to fall or slipping down.

Conclusions

Escalator-related injuries are not as rare as previously believed and the aged population 65 years old or above is the highest risk group. In particular, walking on a moving escalator was the main cause of injury in people under age 65. Therefore, primary prevention strategies are needed to prevent users from walking on escalators, especially young people, and educate aged people the safe utilization of escalators to prevent slip and fall injuries.

Escalator-related injuries in 30 dogs (2007-2014)

OBJECTIVE

To describe a population of dogs affected by escalator-related injuries, and to characterize the types of injuries sustained and describe treatment administered.

DESIGN

Retrospective study from March 2007 to November 2014.

SETTING

Large urban referral and emergency facility.

ANIMALS

Thirty client-owned dogs presenting with injuries acquired while riding an escalator.

INTERVENTIONS

None.

MEASUREMENTS AND MAIN RESULTS

All injuries in this study occurred secondary to entrapment of 1 or more paws in the moving parts of an escalator; 39 paws were injured in total. The median body weight of the patients in this study was 4.25 kg, with 73.3% of the patients weighing less than 10 kg. Fifteen patients (50.0%) were treated surgically, the remainder were managed conservatively. Eight patients (26.7%) underwent digit or partial-digit amputation. Of the conservatively managed patients, 10 were treated with bandaging of the wounds. Antimicrobials, opiate analgesics, and nonsteroidal anti-inflammatory drugs were administered in both surgically and conservatively managed patients.

CONCLUSIONS

While uncommon, escalator accidents can result in significant injury to dogs. Measures can be taken to prevent these injuries from occurring, whether through client education, dog training, structural modifications in the escalators themselves, or avoidance of escalators. In the present study, the survival rate of dogs injured on escalators was 100%.