Pediatric injury prevention for the practitioner

Widome, Mark D.

doi:10.1016/0045-9380(91)90077-x

Cited by 16 publications

(8 citation statements)

References 133 publications

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“…The following recommendations for counselling summarize what is known about effective drowning prevention strategies (1,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

Childhood drowning in Manitoba: A 10-year review of provincial Paediatric Death Review Committee data

Bristow

Carson

Warda

et al. 2002

Paediatrics &Amp; Child Health

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“…The following recommendations for counselling summarize what is known about effective drowning prevention strategies (1,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

Childhood drowning in Manitoba: A 10-year review of provincial Paediatric Death Review Committee data

Bristow

Carson

Warda

et al. 2002

Paediatrics &Amp; Child Health

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“…1 ATVs are unstable vehicles with a high center of gravity and can sustain speeds of 30 to 50 mph, making them especially unsafe for children. 2 Although the sale of new 3-wheeled ATVs was banned in 1988, there are currently no national regulations regarding the use of 4-wheeled ATVs, nor are there any restrictions on the drivers' age. 3 In 2002, children Ͻ16 years old made up 33% of the total ATV reported deaths to the US Consumer Product Safety Commission (CPSC), with children Ͻ12 years old accounting for 10% of total deaths.…”

mentioning

confidence: 99%

All-Terrain Vehicle Legislation for Children: A Comparison of a State With and a State Without a Helmet Law

Keenan

Bratton

2004

Pediatrics

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ABSTRACT. Background. All-terrain vehicles (ATVs) continue to be a source of morbidity and mortality in the pediatric population despite recommendations from the American Academy of Pediatrics that children <16 years old not ride in or drive ATVs. ATV injuries have increased significantly in both children and adults most years since 1997.Objective. To assess the effectiveness of ATV regulations for children on serious injuries by comparing ATVrelated admissions to level I and II trauma hospitals in a state with and a state without ATV regulations.Design. Ecologic study.Patients. Children <16 years old who died and/or were treated in the trauma system of Pennsylvania or North Carolina after ATV crashes.Outcome 4 The estimated injury rate for children Ͻ16 years old in 1 state was 3.4 per 100 registered ATVs. 5 ATV crash injuries that most commonly require medical care are orthopedic, head, and facial injuries. 6 Severe closed head injuries and paraplegia after ATV crashes have been reported. 7 Statistical models using the National Electronic Injury Surveillance System estimate that helmet use for all riders might reduce the risk of death by 42% and the risk of nonfatal head injury by 64%. 8 One study examining population-based ATV fatalities found that states with no ATV safety legislation had a fatality rate of 0.17 per 100 000 persons, compared with 0.08 deaths per 100 000 persons in states with helmet and other safety requirements. 9 For these reasons, some states (including Pennsylvania) have enacted helmet laws and restricted driving or riding ATVs for children Ͻ16 years old. 9 Pennsylvania does not allow children Ͻ10 years old to ride ATVs on public lands or recreation areas and requires both a training certificate and a helmet that meets motorcycle specifications for children Ͻ16 years old. 10 Other states (including North Carolina) have no such restrictions.This study examines patterns of injury and fatalities in children Ͻ16 years old identified through the Pennsylvania Trauma Database and fatality reports for Pennsylvania from the CPSC, death certificate data, and emergency medical service (EMS) data. It compares the same data gathered in North Carolina through the North Carolina Trauma Registry and the Office of the Chief Medical Examiner (OCME). Pennsylvania and North Carolina were chosen as study sites because of the availability of their trauma registries and because Pennsylvania has long-standing ATV legislation, whereas North Carolina has no (2) describe the types of injury that cause morbidity leading to trauma-center admission or mortality among young ATV riders and drivers.ATV legislation. We attempt to 1) determine whether the pattern of injuries (place of injury, age at time of injury, and helmet use) treated by trauma centers is consistent with ATV regulations when comparing a state with and without ATV regulations and METHODS Experimental DesignThis study is an ecologic study using data from 2 state trauma registries (North Carolina and Pennsylvania) as well as all ATVrelated deaths in bot...

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“…This was also in agreement with other reports. 21,22 Children younger than 10 years old cycled primarily on sidewalks or playgrounds resulting in less traffic injuries. Among the elementary school children, overseas report indicated that ''off-road'' cycling injuries outnumbered traffic-related accidents by 9 to 1.…”

Section: Discussionmentioning

confidence: 99%

Bicycle-Related Injuries: a Local Scene

Ng¹,

Siu²,

Chung³

2001

Hong Kong Journal of Emergency Medicine

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To determine the profile of bicycle injury and possible risk factors for severe injuries, we studied patients with bicycle-related accidents attending the Accident and Emergency Department of North District Hospital between 1 May 1999 to 31 October 1999. Of the 424 patients, 52 (12.3%) were admitted and one (0.24%) died. Comparing to those not admitted, significantly more of the admitted cases suffered from major injuries, rode on rainy days and involved in collision with motor vehicles. A total of 160 patients (37.8%) had documented head injuries. However the extremely low utilisation rates of helmet at the time of injury implied that action should be taken in this direction to reduce bicycle-related morbidity and mortality.

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Pediatric injury prevention for the practitioner

Cited by 16 publications

References 133 publications

Childhood drowning in Manitoba: A 10-year review of provincial Paediatric Death Review Committee data

Childhood drowning in Manitoba: A 10-year review of provincial Paediatric Death Review Committee data

All-Terrain Vehicle Legislation for Children: A Comparison of a State With and a State Without a Helmet Law

Bicycle-Related Injuries: a Local Scene

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