%0 Journal Article
%T Neurologic injuries associated with all-terrain vehicles and recommendations for protective measures for the pediatric population
%J Pediatric emergency care
%D 1998
%A Russell, Angela
%A Boop, F. A.
%A Cherny, W. B.
%A Ligon, B. Lee
%V 14
%N 1
%P 31-35
%X 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.
%G 
%I Lippincott Williams and Wilkins
%@ 0749-5161
%U http://dx.doi.org/