Sir.—Preventive medicine has assumed an increasingly larger role in the primary care physician's obligation to patients. The issues that have received much discussion and a large amount of publicity include poison prevention1 and car safety.2 However, an area that has been totally neglected in patient education despite the frequency of use is escalator safety. We report herein one injury and one death related to escalator trauma, discuss the reporting and incidence of escalator injuries in Maryland, and make recommendations that may increase the awareness and decrease the morbidity of this common injury.
Patient Reports.—Patient 1.—A 5-year-old boy, while riding the "down" escalator with his parent in a suburban shopping mall, was pushed to his left side by a passenger behind him. Subsequently, his left tennis shoe became entrapped between the step and the stationary sidewall. Upon reaching the bottom the emergency stop button was activated,