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Get Off the Bus: Sound Strategy for Injury Prevention During a Tornado?

Published online by Cambridge University Press:  28 June 2012

R. Dawn Comstock  and
Sue Mallonee
R. Dawn Comstock*
Affiliation:
Center for Injury Research and Policy, Columbus Children's Research Institute, College of Medicine and Public Health, Department of Pediatrics, The Ohio State University, Columbus, Ohio, USA
Sue Mallonee
Affiliation:
Injury Prevention Service, Oklahoma State Department of Health, Oklahoma City, Oklahoma, USA
*
Center for Injury Research and Policy, Columbus Children's Research InstituteThe Ohio State UniversityCollege of Medicine and Public Health, Department of Pediatrics700 Children's DriveColumbus, Ohio 43205USA E-mail: comstocd@pediatrics.ohiostate.edu
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Abstract

Introduction:

On 08 May 2003, a tornado categorized as an F-3 on the Fujita Tornado Scale (the “F Scale”) struck an Oklahoma City, Oklahoma commuter bus carrying 24 passengers. The driver evacuated several passengers before the tornado struck. The tornado rolled the bus, and pelted it with debris.

Methods:

A case-series investigation of tornado-related injuries was conducted among passengers who were evacuated to a ditch and those who remained on the bus when the tornado struck.

Results:

Nineteen of 24 passengers sought care for injuries at hospital emergency departments (injury rate= 79.2%).While a greater number of passengers who were outside the bus when the tornado struck (11) sought care for injuries than did those who remained on the bus (8); passengers outside of the bus suffered fewer injuries than did those who remained on the bus (median number of injuries 3 versus 4), and their injuries were lesssevere (median injury severity score (ISS) 1 versus 4).

Conclusion:

For persons caught in motor vehicles during tornado events, this study supports currently accepted recommendations to immediately evacuate and lie in a low-lying area away from motor vehicles if other shelter is unavailable. However, generalizing the experience of bus passengers to automobile drivers might be inappropriate because buses lack the safety features that might protect automobile drivers from tornado-related injuries.

Keywords

buscase-series reportemergency departmentepidemiologyinjuryinjury severity score (ISS)motor vehiclepreventiontornado
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 20 , Issue 3 , June 2005 , pp. 189 - 192
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

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References

1. National Oceanic and Atmospheric Administration National Weather Service, U.S. Department of Commerce: Tornadoes, Nature's Most Violent Storms. A preparedness guide including safety information for schools. National Oceanic and Atmospheric Administration National Weather Service, U.S. Department of Commerce. NOAA/PA 92052 ARC 002: 1992. Available at http://www.nws.noaa.gov/om/brochures/tornado.htm. Accessed 02 March 2004.Google Scholar
2.Brown, SArcher, PKruger, EMallonee, S: Tornado-related deaths and injuries in Oklahoma due to the 03 May 1999 tornadoes. Weather Forecasting 2002;17:343–353.2.0.CO;2>CrossRefGoogle Scholar
3.Schmidlin, TKing, PRisk factors for death in the 27 March 1994 Georgia and Alabama tornadoes. Disasters 1995;19(2):170–177.CrossRefGoogle ScholarPubMed
4.Balluz, LSchieve, LHolmes, T et al. : Predictors for people's response to a tornado warning: Arkansas, 01 March 1997. Disasters 2000;24(1):71–77.CrossRefGoogle Scholar
5.Liu, SQuenemoen, LMalilay, J et al. : Assessment of a severe-weather warning system and disaster preparedness, Calhoun County, Alabama, 1994. Am J Public Health 1996;86(1):87–89.CrossRefGoogle ScholarPubMed
6.Carter, AMillson, MAllen, DEpidemiologic study of deaths and injuries due to tornadoes. Am J Epidemiol 1989;130(6):1209–1218..CrossRefGoogle ScholarPubMed
7.Brenner, SNoji, ETornado injuries related to housing in the Plainfield tornado. Int J Epidemiol 1995;24(1):144–149.CrossRefGoogle ScholarPubMed
8.Eidson, MLybarger, JParsons, J et al. : Risk factors for tornado injuries. Int J Epidemiol 1990;19(4):1051–1056.CrossRefGoogle ScholarPubMed
9.Duclos, PIng, RInjuries and risk factors for injuries from the 29 May 1982 tornado, Marion, Illinois. Int J Epidemiol 1989;18(1):213–219.CrossRefGoogle ScholarPubMed
10.Glass, RCraven, RBregman, D et al. : Injuries from theWichita Falls tornado: Implications for prevention. Science 1980;207:734–738.CrossRefGoogle ScholarPubMed
11.Lillibridge, S Tornadoes. In: Noji, EThe Public Health Consequences of Disasters. Oxford University Press. New York, New York. 1997.Google Scholar
12. Federal Emergency Management Agency, United States Department of Homeland Security: What to Do During a Tornado. Available at http://www.fema.gov/hazards/tornadoes. Accessed 09 March 2004.Google Scholar
13.Branick, M Tornadoes in the Oklahoma City, Oklahoma Area Since 1890. National Weather Service Forecast Office, Norman, Oklahoma. August, 2003. Available at http://www.srh.noaa.gov/oun/tornadodata/okc_tornado.php. Accessed 09 March 2004.Google Scholar
14.Fujita, T Proposed characterization of tornadoes and hurricanes by area and intensity. SMRP Res. Paper 97, Univ. of Chicago, 1971, pp 42.Google Scholar
15. National Weather Service Forecast Office: Storm data and unusual weather phenomena: May 2003. Norman, Oklahoma. Available at http://www.srh.noaa.gov/oun/stormdata/oun200305.pdf. Accessed 10 January 2005.Google Scholar
16. Association for the Advancement of Automotive Medicine: The Abbreviated Injury Scale (AIS):1990 Revision (1998 Update). Des Plaines, Illinois.Google Scholar
17. Department of Transportation: Seatbelts on School Buses. National Highway Traffic Safety Administration, Washington DC. Available at http://www.nhtsa.dot.gov/people/injury/buses/pub/seatbelt.hmp.html. Accessed 10 January 2005.Google Scholar
18.Mallonee, SShariat, SStennies, G et al. : Physical injuries and fatalities resulting from the Oklahoma City bombing. JAMA 1996;276(5):382–387.CrossRefGoogle ScholarPubMed