Injury prevention . . . and other stories

Pedestrian injuriesNationwide data from emergency medical services in the US show that around a third of pedestrians involved in a collision with a motor vehicle sustained serious injuries, compared with only a fifth of pedestrians who had fallen.However, because falls are much commoner than motor vehicle collisions, especially in people 50 and older, the number of serious injuries caused by falls is four times greater. The point here is that, while preventing pedestrian injuries from motor vehicles (rightly) attracts a lot of attention, maintenance of sidewalks and pavements is unjustifiably neglected (J Urban Health doi:10.1007/s11524-023-00815-x).Bariatric surgical proceduresRoux-en-Y gastric bypass and sleeve gastrectomy are the commonest surgical interventions for severe obesity. A randomised trial from Sweden and Norway, which recruited nearly 2000 patients and randomly allocated them to one or other of these procedures, reports similar short term outcomes. Surgical complications were rare, average length of hospital stay was one day,…
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