SP1.13 Electric scooter injuries: a UK Major Trauma Centre perspective

Introduction E-scooters are a popular method of convenient and cost-effective transport globally. With growing use, demand and popularity, the number of incidents and injuries related to e-scooters have also increased. This study was undertaken in a UK Major Trauma Centre to characterise the demographic and injury characteristics associated with e-scooter incidents, with interest in injury time, helmet and drugs/alcohol use. Method This retrospective observational study was undertaken at the East Midlands Major Trauma Centre. Data from 2020-2024 were obtained from local databases, and analysis relating to patient characteristics and injury was conducted. Results 102 patients were identified. Eighty-four percent (n=86) were male; twenty-two percent (n=22) were aged ≤15 years old. Sixty percent (n=61) required admission, and median length of stay was 16 days (IQR 3-22). Twenty-nine percent (n=30) were classed as severe trauma (Injury Severity Score ≥16). Most incidents (69% n=70) occurred between 16:00-07:00. Of the available data, drugs/alcohol were confirmed in 72% (n=39, of 54) of cases and helmet was confirmed as ‘not worn’ in 90% (n=47, of 52) of cases. Conclusion This study highlights the common illegal use of e-scooters by children, the substantial length of stay for those admitted and increase in injury occurrence during overnight hours. Where recorded, drugs/alcohol and no helmet are common factors. Tighter restrictions and regulations should be enforced, particularly in relation to user age, overnight use, helmet use and drugs/alcohol consumption. We have made recommendations for local authorities to alleviate the growing burden of e-scooter-related major trauma injuries.