Breaking bones and the rules: An audit of paediatric e-scooter trauma in a regional Queensland hospital

Abstract

Abstract Objective: To retrospectively analyse paediatric electronic scooter (e-scooter) injuries presenting to the Sunshine Coast University Hospital by evaluating trauma severity and compliance with safety regulations to help inform policy discussions. Methods: A retrospective review of paediatric e-scooter trauma presentations between January 1, 2023, and December 31, 2024, was conducted using emergency department records. Data collected included demographics, incident mechanisms, helmet use, two persons riding one e-scooter “doubling”, speed, imaging requirements and paediatric trauma scores. Results: A total of 176 cases were identified, with a median age of 14 years and 71% were male. Falls accounted for 78% of crashes, while 13% involved motor vehicles. Helmet non-compliance was documented in 42% of the presentations, 12% involved doubling, and 36% exceeded the 25 km/hr speed limit. Fractures occurred in 37% of cases, 18% required computerised tomography scans and 11% sustained lifethreatening or potentially life-threatening injuries. Conclusions: E-scooters pose a significant safety risk to paediatric users and this study highlights gaps in safety compliance. Implications for Public Health: This study highlights the high risk e-scooters pose to Queenland’s youth. It is our belief that minimum age limit for e-scooters should be raised to 16 years old until improved safety measures prove effective. Dr Clanfield is currently engaging with the Queensland Government to advocate for policy review. This report’s data helps to inform other doctors and policymakers about the dangers of e-scooter use in young people. Key words: e-scooters, trauma, paediatrics