@article{ref1,
title="Injuries associated with snowmobiles, Alaska, 1993-1994",
journal="Public health reports (1974)",
year="1999",
author="Landen, Michael G. and Middaugh, J. and Dannenberg, A. L.",
volume="114",
number="1",
pages="48-52",
abstract="OBJECTIVE: To characterize the nature and burden of snowmobile injuries in Alaska by examining injury deaths and hospitalizations associated with snowmobiles and comparing these with injury deaths and hospitalizations associated with on-road motor vehicles. METHODS: The authors used vital statistics, medical examiner, Department of Public Safety, and Department of Transportation records to identify snowmobile injury deaths, and used vital statistics mortality files to identify on-road motor vehicle injury deaths. The Alaska Trauma Registry provided data on hospitalizations. The number of vehicles in use in 1993-1994 was estimated from snowmobile sales and on-road motor vehicle registrations. RESULTS: For 1993-1994, injury death and hospitalization rates were greater for snowmobiles than for on-road motor vehicles. In northern Alaska, snowmobile injuries outnumbered on-road motor vehicle injuries. A total of 26 snowmobile injury deaths were reported; 7 decedents drowned after breaking through ice and 8 were ejected from vehicles. More than half (58%) of the snowmobile injury deaths involved a natural object such as a boulder, ravine, or river. Of the 17 decedents for whom blood alcohol concentrations were available, 11 (65%) had blood alcohol concentrations > or = 100 mg/dL. CONCLUSIONS: Natural obstacles and alcohol intoxication contribute to the high risk of injury death associated with snowmobile use. Injury control strategies, including trail development and improvement, should be evaluated.",
language="",
issn="0033-3549",
doi="",
url="http://dx.doi.org/"
}