In order to evaluate the risk of collision during emergency responses of mobile intensive care units (MICUs) in Flanders, Belgium, a questionnaire was sent to 37 MICU services. The response rate was 84%. During the study period (1992-96) the incident rates for collision, collision with significant physical harm, and collision leading to a wrecked MICU vehicle were 1 per 52 000 km, 1 per 214 000 km and 1 per 250 000 km, respectively. Most collisions occurred during use of `lights and siren' (66%), and involved other motor vehicles (72%). About 50% occurred during daylight with clear weather conditions and on dry roadways. Drivers had attended a course for safe and defensive driving in only four services (13%). The use of seat belts was imposed by the hospital authorities in 21 services (72%). Vehicles equipped with airbags and an ABS-braking system were used in eight (28%) and 13 (45%) services, respectively Our data confirm that the collision rate for MICUs is high and that measures to reduce the risk of collisions and resulting injuries and damage are at present not optimal. (A)
Samenvatting