Reform urgently needed to reduce horrific e-scooter injuries

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More than one-third of private e-scooter riders presenting to emergency admitted to travelling at speeds over 25km per hour and 58% were triaged at the second highest urgency response, according to new nation-leading research.

Woman stepping on to e-scooter.

RACQ’s Head of Public Policy Dr Michael Kane said the research between RACQ and the Royal Brisbane and Women’s Hospital Foundation, conducted by the Jamieson Trauma Institute (JTI), showed reform was needed to address the seriousness of life-changing facial and head injuries on private and hired e-scooters.

“It’s clear many riders on privately owned e-scooters are speeding, and sustaining more severe injuries, but riders on hired devices are still getting seriously injured,” Dr Kane said.

Patient interviews, now being conducted at five Queensland major emergency departments*, found 64% were injured on a private device compared with 36% on hired e-scooters, which is consistent with a surge in the popularity of owning an e-scooter.

“What’s worrying is 65% of all riders said they were wearing a helmet which suggests standard helmets are not always protecting against facial injuries,” Dr Kane said.

“We’re seeing terrible results when people on standing scooters crash forwards and injure their face on roads or other hard surfaces like cars.”

RACQ is calling for major changes to e-scooter rules, following the latest research.

The Club is advocating for people who are using private stand-up scooters to be required to wear full-faced helmets and for hired scooters to transition to more stable ‘sit-down’ scooters that have a lower centre of gravity.

Professor Doctor Michael Schuetz, JTI Director and RBWH Orthopaedic Surgeon, said another concerning finding was the seriousness of injuries relating to speeding, with upper limb fractures and head injuries the most common.

“We’re seeing a high proportion of private e-scooter users requiring urgent responses in the emergency department and being admitted to hospital with significant injuries, many who require orthopaedic follow ups, including surgeries,” Dr Schuetz said.

“I’m urging riders to follow the rules, don’t speed, don’t drink ride, wear a helmet, and ride in appropriate areas to minimise the chances of life-changing injuries.”

JTI Chair of Trauma Surveillance and Data Analytics Professor Kirsten Vallmuur said the majority of patients presenting with e-scooter injuries were male, with an average age of 34 years old.

“We’ve also found private scooter-related injuries are predominantly occurring during the week on the work commute while almost one-third of hire scooter injuries presented on a weekend when people are using the scooters for recreation,” Professor Vallmuur explained.

“These patient interviews have enabled us to gain insights into different patterns and trends to allow us to better target safety initiatives.”

Dr Kane urged the new government to consider the results of the JTI research in the next round of e-scooter reforms and for consumers to re-think what scooter model is safest for them.

“We recommend anyone buying a new scooter to purchase a sit-down model to limit the chance of dramatic faceplants. If people have a stand-up device, they need a full-faced helmet.

“In the lead up to Christmas we’re also reminding parents it’s illegal to let children under the age of 16 ride an e-scooter unsupervised. If you can’t consistently supervise, do not buy your kid an e-scooter.”

RBWH Foundation CEO Simone Garske said the research and reform was key to ensuring better health outcomes for Queenslanders.

“Herston Health Precinct is home to some of Australia’s brightest medical and research minds and we are always grateful for additional funding for crucial projects, such as this, so they are able to be pursued,” said Ms Garske.

“We applaud RACQ for partnering with us and encourage other aligned organisations to join with us in advancing patient care innovation and life-saving medical research.”

In 2024, eight people have been killed on Personal Mobility Devices in Queensland.

As of 30 September 2024, there have been 1050 presentations to participating Queensland Injury Surveillance Unit** (QISU) emergency departments in Queensland as a result of an e-scooter ride gone wrong. 

For the same nine-month period last year, there were 940 presentations.

In 2022, RACQ and the RBWH Foundation donated $200,000 to JTI to fund research into e-scooter injuries, with the results being used to shape policy and improve safety.

*Patient interview participating hospitals: Royal Brisbane and Women’s Hospital, Princess Alexandra Hospital, Townsville Hospital and Gold Coast University Hospital and Robina Hospital.

**The Queensland Injury Surveillance Unit (QISU) identified e-scooter related presentations in 31 participating emergency departments across Queensland, not all hospitals in Queensland provide data to QISU.

Appendix 1. Key findings:

111 patients interviewed, 109 injured on an e-scooter

  • 79% of people using privately owned scooters reported wearing (and fastening) a helmet compared to 50% of hire scooter users (29% of hire scooter users reported not wearing a helmet compared to 19% of private scooter users).
  • Private scooter users reported travelling over 25km/hr 35% of the time, compared to just 12% of hire scooter users.
  • 35% of hire scooter users reported consuming alcohol in the previous 8 hours compared to 7% of private scooter users.
  • 58% of private scooter users are triaged at a high urgency of 2 or less compared to 26% of hire scooter users, and 60% of private scooter users arrive by ambulance compared to 39% of hire scooter users.
  • Private scooter users are more frequent users of PMDs with three-quarters indicating they use the devices 4 or more times a week, while 39% of hire scooter users only used PMDs once a week and 30% never used one before the injury event.

Appendix 2. Locations and frequency of facial fractures from e-scooter crashes

 skull

Source: Head, face and neck injury patterns for electric scooter accidents identified on computed tomography scanning: Does legislative change enforcing safer riding practices have an impact on morbidity for significant head, face and neck trauma? Published in October by Nicholas WatsonBrett DroderGary MitchellCraig Hacking. The results were from data obtained from RBWH between 1 May 2022 and 30 April 2023. This was a separate and different study to the patient interview research.

 

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