Serious subway injuries are devastating to their young victims and have high rates of mortality and amputation. We identified the urban population at greatest risk for subway injuries and investigated the influence of local economies on injury rates. We propose using changes in social conditions as a "trigger" for increased vigilance and protective measures at times of higher risk.
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| http://dx.doi.org/10.2105/AJPH.2004.057315 | DOI Listing |
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Short-term clinical outcomes of subway-related amputations.
Injury
January 2025
Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA; Orthopedic Surgery Service, Health+Hospitals/Bellevue, New York, NY, USA. Electronic address:
Introduction: In city hospitals, subway-related traumatic amputations are a frequent pattern of injury, however there is a paucity of literature on this specific injury pattern. The purpose of this study was to describe the epidemiology of subway-related traumatic amputations, as well as compare them to non-subway traumatic amputations.
Patients And Methods: Retrospective review was performed at a single Level-1 trauma center in a metropolitan area.
Electrical burns in train climbers treated in the Helsinki Burn Centre during the last 30 years.
Scand J Trauma Resusc Emerg Med
November 2024
Helsinki Burn Centre, Department of Plastic and Reconstructive Surgery, Helsinki University Hospital and University of Helsinki, P.O. Box 800, 00029, Helsinki, Finland.
Background: Patients who climb onto the roof of a stationary train carriage and sustain a high voltage electrical injury from the overhead cables represent a rare type of electrical injury. The aim of this study was to review all the electrical burns and their outcomes in train climbers treated in the Helsinki Burn Centre during the last three decades.
Methods: 18 patients who had climbed onto the roof of a stationary electric train between November 1993 and December 2022 were included.
Subway Fine Particles (PM )-Induced Pro-Inflammatory Response Triggers Airway Epithelial Barrier Damage Through the TLRs/NF-κB-Dependent Pathway In Vitro.
Environ Toxicol
December 2024
Department of Environmental Health, School of Public Health, China Medical University, Shenyang, China.
Subways are widely used in major cities around the world, and subway fine particulate matter (PM) is the main source of daily PM exposure for urban residents. Exposure to subway PM leads to acute inflammatory damage in humans, which has been confirmed in mouse in vivo studies. However, the concrete mechanism by which subway PM causes airway damage remains obscure.
View Article and Find Full Text PDFEffectiveness of signs for pedestrian-railroad crossings: Colors, shapes, and messaging strategies.
J Safety Res
June 2024
Department of Systems Engineering, Colorado State University, 6029 Campus Delivery, Fort Collins, CO 80523-1301, USA. Electronic address:
Introduction: Train-pedestrian conflicts result in a substantial number of serious and fatal injuries annually. Signs indicating safe and permissible behaviors near railroad rights of way are commonly relied upon to mitigate collisions. However, the effectiveness of these signs in preventing accidents often depends on clarity and interpretation of the sign.
View Article and Find Full Text PDFObjective: We offered a workshop at the 2023 annual meeting of the Society for Academic Emergency Medicine to teach the Sort-Assess-Lifesaving Interventions-Treatment/Transport (SALT) triage protocol for responding to mass casualty incidents (MCIs) using an immersive virtual reality (VR) simulator. Here, we report workshop outcomes.
Methods: After a 1-h didactic on the basics of triage protocols, workshop participants rotated through three skill stations at which learners learned how to use the VR headset and controllers, practiced applying SALT triage skills through a tabletop exercise, and then finally used our VR simulator for training responses to MCIs.
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