Document Detail

Neurologic injuries associated with all-terrain vehicles and recommendations for protective measures for the pediatric population.
MedLine Citation:
PMID:  9516629     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To present data and case studies illustrating the danger, especially in the pediatric population, of all-terrain vehicle (ATV) use, and to provide recommendations for pediatricians on how to educate parents concerning ATVs. DESIGN: Retrospective review of 33 patients with neurologic injuries sustained in ATV accidents presenting to one institution over a 40-month period. SETTING: Emergency department and neurosurgery service at Arkansas Children's Hospital and two other hospitals that make up the University of Arkansas for Medical Sciences. PATIENTS: All patients (n = 33) who presented between January 1993 and April 1996 at the emergency departments with neurologic injuries sustained in accidents involving either a three- or four-wheel ATV requiring hospitalization. INTERVENTIONS: Depending on the nature of the injury, various treatments, as described herein. MAIN OUTCOME MEASURES: Demographic measures, the mechanisms of injury, the types of injuries; the current data available regarding the number of injuries nationwide; and the precautionary measures parents should be advised to take. RESULTS: Ages ranged from four to 68 years (mean, 18; median, 14), 21 of the patients were < 16 years old. The predominant age range was 12 to 15 years; most common mechanisms of injury were being thrown to the ground, striking a tree, and flipping backward. Most injuries were cranial (21) or spinal (11). Nationwide, the proportionate number of injuries are decreasing, but the consequences remain severe. Using a helmet and restricting the use of these vehicles will reduce the number and magnitude of injuries. CONCLUSIONS: Although perceived as recreational toys, ATVs can be extremely unsafe, especially for children and adolescents; pediatricians should educate parents and patients on the dangers of riding these vehicles.
A Russell; F A Boop; W B Cherny; B L Ligon
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  14     ISSN:  0749-5161     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-05-21     Completed Date:  1998-05-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  31-5     Citation Subset:  IM    
Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, USA.
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MeSH Terms
Accidents* / mortality,  statistics & numerical data
Age Factors
Child, Preschool
Craniocerebral Trauma / epidemiology,  etiology*,  prevention & control*
Head Protective Devices / utilization
Middle Aged
Off-Road Motor Vehicles* / legislation & jurisprudence
Parents / education*
Retrospective Studies
Spinal Injuries / epidemiology,  etiology*,  prevention & control*
United States / epidemiology
Wounds and Injuries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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