1
|
Bhatnagar A, Al-Hihi M, Ali R, Sharma N, Lai P, Monga A, Hadidchi S, Kayder O, Amalraj B, Kordbacheh H, Johnson S, Abujudeh H, Paxton JH, Lewis N. Imaging Utilization Patterns and Injury Characteristics Associated with Electric Standing Scooters in a Major Urban Area. J Emerg Med 2021; 62:182-190. [PMID: 34963516 DOI: 10.1016/j.jemermed.2021.10.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 10/07/2021] [Accepted: 10/17/2021] [Indexed: 12/26/2022]
Abstract
BACKGROUND The recent proliferation of electric standing scooters in major urban areas of the United States has been accompanied by injuries of varying severity and nature, representing a growing public health concern. OBJECTIVE Our aim was to characterize imaging utilization patterns for injuries associated with electric scooter (e-scooter) use, including their initial emergency department (ED) management. METHODS We conducted a retrospective review of the electronic medical record for all patients presenting to affiliated EDs for e-scooter-related injuries between July 2018 and April 2020. Demographics, date and time of presentation, imaging study type, resultant injury, and procedural details were recorded. RESULTS Ninety-seven patients were included; mean age was 27.6 years. Of these, 55 patients (57%) had injuries identified on imaging and 40% of all imaging studies were positive. Most identified injuries (61%) were musculoskeletal, with a small number of neurological (2%) and genitourinary (1%) injuries. The highest prevalence of presentations occurred in August; most patients (72%) presented between 3 pm and 1 am and granular peaks were between 12 am and 1 am and 5 pm and 6 pm. CONCLUSIONS Patients presenting with e-scooter injuries have a high likelihood of injury to the radial head, nasal bone, and malleoli. Emergency physicians should be especially vigilant for injuries in these areas at presentation. Visceral injuries are uncommon but may be severe enough to warrant surgery.
Collapse
Affiliation(s)
- Akash Bhatnagar
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Maysoon Al-Hihi
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Rehan Ali
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Neil Sharma
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Patrick Lai
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Akarshan Monga
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Shahram Hadidchi
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Orest Kayder
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Benedict Amalraj
- Department of Internal Medicine, St. Joseph Mercy Oakland Hospital, Pontiac, Michigan
| | - Hamed Kordbacheh
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Samuel Johnson
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - Hani Abujudeh
- Department of Radiology, Wayne State University, School of Medicine, Detroit, Michigan
| | - James H Paxton
- Department of Emergency Medicine, Wayne State University, School of Medicine, Detroit, Michigan
| | - Nicholas Lewis
- Department of Radiology John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan
| |
Collapse
|
2
|
Moule A, Cohenca N. Emergency assessment and treatment planning for traumatic dental injuries. Aust Dent J 2016; 61 Suppl 1:21-38. [DOI: 10.1111/adj.12396] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- A Moule
- Department of Endodontics; Kuwait University; Kuwait
- School of Dentistry; The University of Queensland; Queensland Australia
| | - N Cohenca
- Department of Pediatric Dentistry and Seattle Children's Hospital; University of Washington; USA
- Private Practice; Lakeside Endodontics; Everett Washington USA
| |
Collapse
|
3
|
Abstract
Dental trauma is, unfortunately, not uncommon and may be even more prevalent in high-risk populations. It should be emphasized and acknowledged that many cases of dental trauma are preventable. Appropriate management includes primary prevention, i.e. avoidance of pathology development, and secondary prevention, i.e. early diagnosing and treatment of the pathology before significant morbidity occurs. The aim of this article is to provide a review of the current dental trauma literature with regard to education and knowledge and with relevance to primary and secondary prevention. As the duty of providing the public with measures for the maintenance of proper oral health is of the dental profession, the responsibility of providing primary and secondary prevention of dental trauma is of dentists, dental hygienists, and dental nurses. They may, and should, educate other medical, paramedical, and non-medical professionals, taking into account that those non-dental professionals could not maintain a high level of knowledge and service regarding dental trauma without a continuous backing by the dental professionals. It should be remembered that as the prevalence of dental decay has reduced in the Western world during recent decades, dental trauma plays a significant part in causing dental morbidity and mortality (tooth loss). It seems that now is the time to act for the benefit of our community and move from 'treating' toward 'managing' risk factors and prevention.
Collapse
Affiliation(s)
- Liran Levin
- Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa Faculty of Medicine, Technion - Israel.
| | | |
Collapse
|