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I'd say they were about the same level of danger as knuckle couplers - yes, there was and is far more potential for injury, but rail workers learned how to handle them safely and had a very strong "by the book" approach to their jobs that reduced the level of risk. Even with knuckle couplers someone still needs to go between cars to hook up a brake hose and/or HEP lines, so the danger would be about the same.
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