title: [Injuries due to falls in urban buses: 100 consecutive cases].
abstract: We reviewed the charts of 100 consecutive emergency department (ED) cases of injuries in public buses (not due to actual traffic accidents) seen during 7 months in 1995. There were 29 males and 71 females with a mean age of 55.6 +/- 21.4 years, median 60, and range 13-91. 92 were discharged home directly from the ED. 3 were admitted to general surgical wards, and 1 each to the orthopedic, medical and neurosurgical wards, while 2 soldiers were sent for observation to a military clinic. There were 28 spinal column, 27 head and 25 chest injuries; 1 patient died. There were no significant differences in admissions during the months of the year. 58% of injuries occurred during normal working hours, with a peak incidence at about 1000 hrs. The most common cause was falling while standing, due to sudden acceleration/deceleration or sharp turns. There are 1900 buses in Tel Aviv which carry 1.1 million passengers daily and most of which are capable of significant acceleration. A high proportion of passengers travel standing, and elderly passengers are more liable to fall when the bus accelerates, decelerates or turns. We calculate a potential national yearly bus injury toll from falls of more than 1000, which often result in significant morbidity and even mortality. A national survey is now being planned.
authors.affiliation: Dept. of Emergency Medicine, Tel Aviv-Sourasky Medical Center.
authors.forename: R
authors.initials: R
authors.lastname: Bachar
authors.forename: D
authors.initials: D
authors.lastname: Aladgem
authors.forename: J
authors.initials: J
authors.lastname: Sarov
authors.forename: P
authors.initials: P
authors.lastname: Sorkine
authors.forename: O
authors.initials: O
authors.lastname: Szold
authors.forename: P
authors.initials: P
authors.lastname: Halpern
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D008875:Middle Aged; D018986:Motor Vehicles; D014505:Urban Population