Journal of Trauma and Injury

Original Articles

The New Recreational Transportation on the Street: Personal Mobility, Is It Safe?: Young Woo Kim, Won Bin Park, Jin Seong Cho, Sung Youl Hyun, Geun Lee; J Trauma Inj. 2018;31(3):125-134. Published online December 31, 2018; DOI: https://doi.org/10.20408/jti.2018.040

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Purpose

The interest in the personal mobility started to grow and as the interest increases, there are growing concerns about the safety of it. The purpose of the study is to look at the types and dynamics of patients injured by the personal mobilities.

Methods

This was a retrospective 2-year observational study, from January 2016 to December 2017, on the patients who visited the emergency center and the trauma center, with an injury related to driving the personal mobility. Cases of the personal mobility-related accident were collected based on electronic medical records and hospital emergency department-based injury in-depth surveillance data.

Results

A total of 65 patients visited the emergency center and the trauma center, during this study period. Six patients of 50 adults admitted the alcohol consumption (12%) and two adult patients wore the helmet as the protection gear (3.1%). The number of the patients in 2017 rises three times more than the number of patients in 2016 (51 vs. 14). Injuries to the head and neck region (67.7%) was the most common, followed by the upper extremity (46.2%). Eleven patients (16.9%) were admitted to the hospital, of whom three were admitted to the intensive care unit due to intracranial hemorrhage. Nine patients underwent surgery.

Conclusions

The use of the personal mobility will continue to grow and the accidents, caused by the vehicle, will increase along with it. The study showed the damage is worse than expected. Personal mobility currently has a limited safety laws and the riders are not yet fully aware of its danger. The improvement of the regulation of the personal mobility, safety education is needed.

Summary

Citations

Citations to this article as recorded by

Critical risk factors associated with fatal/severe crash outcomes in personal mobility device rider at-fault crashes: A two-step inter-cluster rule mining technique
Reuben Tamakloe, Kaihan Zhang, Ahmed Hossain, Inhi Kim, Shin Hyoung Park
Accident Analysis & Prevention.2024; 199: 107527. CrossRef
Typological index of alleyways: mapping the pattern of a forgotten urban form element
Khaled Alawadi, Asim Khanal, Rawan Sohdy Abdelfattah
Journal of Urban Design.2023; 28(2): 199. CrossRef
Electric personal mobility device driver behaviors, their antecedents and consequences: A narrative review
Clément Laverdet, Pascal Malola, Thierry Meyer, Patricia Delhomme
Journal of Safety Research.2023; 86: 274. CrossRef
Characteristics of injuries associated with electric personal mobility devices: a nationwide cross-sectional study in South Korea
Maro Kim, Dongbum Suh, Jin Hee Lee, Hyuksool Kwon, Yujin Choi, Joo Jeong, Sola Kim, Soyun Hwang, Joong Wan Park, You Hwan Jo
Journal of Trauma and Injury.2022; 35(1): 3. CrossRef
Types of injuries caused by isolated electric scooter accidents
Kyongwon Yoo, Hyung Il Kim
Journal of Trauma and Injury.2022; 35(4): 232. CrossRef
Revisiting transit-oriented development: Alleys as critical walking infrastructure
Khaled Alawadi, Asim Khanal, Azhar Doudin, Rahma Abdelghani
Transport Policy.2021; 100: 187. CrossRef
Epidemiological trends of personal mobility devices and power-assisted bicycles-related fires and injuries in Singapore
Jason Qi Wei Kwek, Qin Xiang Ng, Amelia Justina Lim, Li Feng Ang, Shalini Arulanandam
Burns.2021; 47(4): 983. CrossRef
Where to Ride? An Explorative Study to Investigate Potential Risk Factors of Personal Mobility Accidents
Jihun Oh, Jeongseob Kim
International Journal of Environmental Research an.2021; 18(3): 965. CrossRef
Contextual risk factors in the use of electric kick scooters: An episode sampling inquiry
Kyung-Jun Lee, Chan Hyeok Yun, Myung Hwan Yun
Safety Science.2021; 139: 105233. CrossRef
Survey on e-Powered Micro Personal Mobility Vehicles: Exploring Current Issues towards Future Developments
Stefania Boglietti, Benedetto Barabino, Giulio Maternini
Sustainability.2021; 13(7): 3692. CrossRef
Identifying the Risk Factors in the Context-of-Use of Electric Kick Scooters Based on a Latent Dirichlet Allocation
Kyung-Jun Lee, Chan Hyeok Yun, Ilsun Rhiu, Myung Hwan Yun
Applied Sciences.2020; 10(23): 8447. CrossRef
Challenges Caused by Increased Use of E-Powered Personal Mobility Vehicles in European Cities
Jurgis Zagorskas, Marija Burinskienė
Sustainability.2019; 12(1): 273. CrossRef

A Comparison of the Effectiveness of Before and After the Regional Trauma Center's Establishment: Bo Hyung Song, Sung Youl Hyun, Jin Joo Kim, Jin Seong Cho, Dae Sung Ma, Ha Kyung Kim, Geun Lee; J Trauma Inj. 2016;29(3):68-75. Published online September 30, 2016; DOI: https://doi.org/10.20408/jti.2016.29.3.68

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Abstract PDF

PURPOSE
The purpose of this study was to analyze the effectiveness of regional trauma center's management.
METHODS
Data collected between January 2013 and December 2015 from a regional trauma center registry was retrospectively reviewed. The patients who had injury severity score (ISS) greater than 15 and over the age of 18 were included. We compared annual general characteristics, the injury mechanism, the pathway of transportation, the injury severity score, the length of stay in emergency department (ED) and hospital, the in-hospital mortality.
RESULTS
The annual numbers of enrolled patients were 337, 334 and 278, respectively. No significant differences were found in the annual patient's median ages, injury mechanism, ISS and in-hospital mortality. The annual proportions of coming from other hospital and the median length of stay in hospital were increased after establishment of regional trauma center. The annual median lengths of stay in ED were decreased remarkably.
CONCLUSION
Through the establishment of regional trauma center, the length of stay in ED can be reduced but not in-hospital mortality. More multidisciplinary cooperation and well-organized study is needed to reduce mortality of major trauma patients and maximize effect of regional trauma center.

Summary

Citations

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The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study
Seungyeob Sakong, Eic Ju Lim, Jun-Min Cho, Nak-Jun Choi, Jae-Woo Cho, Jong-Keon Oh
Journal of Trauma and Injury.2021; 34(2): 105. CrossRef

Association between Helicopter Versus Ground Emergency Medical Services in Inter-Hospital Transport of Trauma Patients: Kyeong Guk Kang, Jin Seong Cho, Jin Ju Kim, Yong Su Lim, Won Bin Park, Hyuk Jun Yang, Geun Lee; J Trauma Inj. 2015;28(3):108-114. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.108

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Abstract PDF

PURPOSE
To improve outcome of severe trauma patient, the shortening of transport time is needed. Although helicopter emergency medical services (HEMS) is still a subject of debate, it must also be considered for trauma system. The aim of this study is to assess whether transport method (HEMS versus ground EMS) is associated with outcome among inter-hospital transport.
METHODS
All trauma patients transported to regional emergency center by either HEMS or ground EMS from September 2011 to September 2014. We have classified patients according to two groups by transport method. Age younger than 15 years and self-discharged patients were excluded.
RESULTS
A total of 427 patients were available for analysis during this period. 60 patients were transported by HEMS and 367 patients were transported by ground EMS. HEMS group had higher mortality than ground EMS group (23.3% vs 3.5%; p<0.001), and included more patients with excess mortality ratio adjusted injury severity score (EMR-ISS)above 25 (91.7% vs 48.8%; p<0.001). In the multivariable regression analysis, HEMS was not associated with improved outcome compared with ground EMS, but only EMR-ISS was associated with a mortality of patients (odds ratio, 1.06; 95% confidence interval, 1.04-1.09).
CONCLUSION
In this study, helicopter emergency medical services transport was not associated with a decreased of mortality among the trauma patients who inter-hospital transported to the regional emergency center.

Summary

Citations

Citations to this article as recorded by

Reduced Mortality in Severely Injured Patients Using Hospital-based Helicopter Emergency Medical Services in Interhospital Transport
Oh Hyun Kim, Young-Il Roh, Hyung-Il Kim, Yong Sung Cha, Kyoung-Chul Cha, Hyun Kim, Sung Oh Hwang, Kang Hyun Lee
Journal of Korean Medical Science.2017; 32(7): 1187. CrossRef

A Cause Analysis of Missed Fractures in an Emergency Medical Center: Deuk Hyun Park, Sung Sil Lee, Dong Un Kim, Hyun Young Cho, Young Geun Lee, Jun Su Kim, Jin Jun, Young Kim, Young Rock Ha, Tae Yong Shin; J Korean Soc Traumatol. 2009;22(1):37-43.

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Abstract PDF: PURPOSE
A missed fracture is a very common occurrence in the Emergency Department (ED) and can have serious results because of delays in treatment, resulting in long-term disability. It is also one of the most common causes leading to medical legal issues. We analyzed the causes of missed fractures by using a bone scan which is known to be an effective tool for diagnosing bony lesions.
METHODS
We reviewed the medical records of trauma patients who underwent a bone scan after being discharged the ED from September 2006 to March 2008. Cases of missed fractures were identified by using electronic medical records to review each diagnosis. Definition of missed fracture was read after bone scan by radiologist. We decided that there was no fracture if we read 'trauma-related lesion' or 'cannot rule out fracture' on a bone scan read by a radiologist. Enrolled patients were analyzed by age, sex, time until bone scan and Injury Severity Score (ISS). Patients were divided into two groups, alert mentality and not-alert mentality, so there were split between a diagnosis group and a missed fracture group. ISS was also used in determining the severity of the patient's injury upon discharge from the ED.
RESULTS
A total of 532 patients were enrolled in this study. Of those, 487 patients were in the diagnosis group, and 45 patients (8.4%) were discovered to have had a fracture. Of the 45 missed fracture patients, 34 patients (6.4%) had one-site fractures, 8 patients (1.5%) had two-site fractures, and 3 patients (0.6%) had threesite fractures. The most commonly missed fracture was multiple rib fractures (18 patients, 30.5%), followed by lumbosacral (LS) spine fractures (10 patients, 16.9%), thoracic spine fractures (8 patients, 13.6%), and clavicle fractures (6 patients, 10.2%). Mean age was 50.12+/-18.54 years in the diagnosis group and 57.38+/-16.88 years in the missed fracture group. For the diagnosis group, the mean ISS was 9.03+/-8.26, but in the missed fracture group it was 17.53+/-9.69. Missed fractures were much more frequent in the not-alert mentality (p<0.01) and in the high ISS (ISS> or =16) group (p<0.01).
CONCLUSION
Missed fractures occur most frequent in patients of old age, not-alert mentality, and high ISS. Multiple rib and spine fractures were found to be the most frequent missed fractures, regardless of trauma severity. This study also shows a high possibility of clavicle and scapula fractures in patients with severe trauma.; Summary

Car-tire-related Crushing Injury of the Lower Leg in Children: Jaeyeon Choi, Jaeho Jang, Jaehyuck Woo, Wonbin Park, Jinjoo Kim, Sungyeol Hyun, Geun Lee, Jeehoon Gwak; J Trauma Inj. 2013;26(3):175-182.

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Abstract PDF: PURPOSE
Crushing injuries by car tires result from a combination of friction, shearing, and compression forces and the severity of injury is influenced by the acceleration. Because car-tire injuries of the lower leg in children are common these days but they have received little attention; thus, our purpose was to look closely into this problem.
METHODS
A retrospective analysis was conducted of data from children under 15 years old age who visited an emergency department because of a car-tire-related crushing injury to the lower leg in pedestrian traffic accident from January 2008 to September 2012. The patient's age, sex, site of injury, degree of injury, associated injuries, type of surgery, and complications were reviewed.
RESULTS
There were 39 children, the mean age was 8.0 years, and 71.8% were boys. The dorsal part of the leg was involved most frequently. According to the severity classification, 15 children were grade I, 6 were grade II, and 18 were grade III. Among 24 patients, 13 were treated with skin graft and 3 were treated using a sural flap. Twelve patients developed complications, such as hypertrophic scarring, contractures, and deformities with significant bone loss.
CONCLUSION
Various degrees of skin or soft tissue defects were caused in children by car tires. In this study, patients were often also had tendon or bone damage. Proper and timely initial treatments are needed to reduce the incidence of infection, the number of operative procedures, and the hospital stay.; Summary

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