Type of person:
(1) railroad employee
(2) legitimate passenger
(3) illegal rider
Risk factors for falling from a train:
(1) riding on the outside of a train (an issue in developing countries where overcrowding can occur)
(2) violent or unexpected side to side movements
(3) front to back movements (sudden braking or unexpected acceleration)
(4) intoxication or drug-effect
(5) fighting or rough-housing or fooling around
(6) seizure, fainting or other loss of consciousness
(7) being hit by something (low lying tree limb, tunnel wall, etc)
(8) heavy rain or snow, oil on a surface
(9) intentional (suicide, escape, etc)
(10) falling asleep
(11) failure of a safety railing
(12) feeling ill
(13) being thrown from the train by someone
Risk factors affecting injury:
(1) speed of the train
(2) surface adjacent to train (soft vs hard)
(3) direction of fall
(4) manner of landing
(5) rigid fixed item(s) that may impale
(6) distance of fall (if person falls while the train is on a bridge)
Types of injuries:
(1) immediate death
(2) concussion
(3) fracture
(4) blunt trauma
(5) impalement
(6) limb amputation
(7) abrasions and bruising
(8) none
