title: Medical emergency motorcycles: are they safe?
abstract: OBJECTIVE
  Ambulances in emergency medical services (EMS) might be supplemented or supported by vehicles that lack the capacity to transport a patient, especially in crowded urban areas. This paper addresses the safety of a first-response vehicle, the medical emergency motorcycle (MEM), which is driven by an emergency medical technician provider. We analysed the number of crashes, as well as the incidence and nature of injuries sustained.
  
  
  METHODS
  A prospective study was conducted from July 2004 to January 2007. Administrative data were collected over this period regarding MEMs operating in a metropolitan EMS group who had responded to 3626 calls. The MEM responders use limited equipment to perform initial assessments and interventions (basic life support and defibrillation). Undergoing an emergency driving course and wearing protective equipment are mandatory. We analysed the number of crashes, the proper use of the protective equipment, and the type and severity of the injuries sustained.
  
  
  RESULTS
  Accidents included 12 (n=12) motorcycle falls, resulting in three injured MEM drivers. No fatality was registered. One serious injury and two slight accidents occurred. One victim presented a dental trauma and another presented minor abrasion skin lesions. The third sustained a femur fracture. The first and second victims had not been using the protective equipment properly.
  
  
  CONCLUSIONS
  MEMs can impart a quick and efficient response to EMS services in urban areas, if managed with acceptable levels of safety. Defensive driving courses as well as correct use of personal protective equipment can improve security.
authors.affiliation: Instituto Nacional de Emergência Médica (INEM) (National Medical Emergency Institute), North Delegation, Porto, Portugal.
authors.forename: Cláudia C
authors.initials: CC
authors.lastname: Kiefe
authors.forename: Miguel
authors.initials: M
authors.lastname: Soares-Oliveira
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control / Q000706:statistics & numerical data; D002947:Cities; D004632:Emergency Medical Services / Q000379:methods*; D004634:Emergency Medical Technicians; D006801:Humans; D009049:Motorcycles; D011174:Portugal; D011446:Prospective Studies