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 Vol. 12 No. 6, December 2004
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AAP Grand Rounds 12:68-69 (2004)
© 2004 American Academy of Pediatrics

INJURY AND POISON PREVENTION

"I Don’t Want to Sit in the Middle"—Well, Maybe You Should Insist

Source: Howard A, Rothman L, McKeag AM, et al. Children in side-impact motor vehicle crashes: seating positions and injury mechanisms. J Trauma. 2004;56:1276–1285.[Medline]

The first 20% of the full text of this article appears below.

Because of the higher childhood fatality rates associated with side-impact motor vehicle collisions (30%) when compared with rear-impact (22%) and frontal-impact collisions (17%), the authors from the Hospital for Sick Children and Ryerson University, Toronto, and the Road Safety Directorate, Ottawa, Canada, investigated the severity of injury and the fatality rate for side-impact crashes based on the seating position of the child. The study was performed in 2 parts. The first part was a prospective collision investigation study that included all motor vehicle collisions resulting in the hospital admission of a child 0–12 years of age to 1 of 2 children’s hospitals in Canada. All of the children occupying the vehicle were included if 1 or more required hospital admission. Collision scenes were investigated as soon as possible after the crash for data regarding restraints, occupant contact within the vehicle, and other dynamic/kinematic measures. Only collisions that involved a lateral (±45°) impact were included in this analysis. Two larger, population-based databases, the National Highway Traffic Safety Administration’s (NHTSA) Fatality Analysis Reporting System (FARS) and the National Automotive Sampling System: Crashworthiness Data System (NASS CDS), provided retrospective information to assemble a cohort of children 0–12 years old who were . . . [Full Text of this Article]

Blaise A. Nemeth, MD, MS, FAAP1 and Murray L. Katcher, MD, PhD, FAAP2
1 Pediatrics; Orthopedics and Rehabilitation, University of Wisconsin Medical School, Madison, WI
2 Pediatrics, University of Wisconsin Medical School and Wisconsin Division of Public Health, Madison, WI

 





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