Prevention of Automobile-Associated Deaths

PEDIATRICS ◽  
1976 ◽  
Vol 58 (1) ◽  
pp. 138-139
Author(s):  
Blaine E. Tolby
Keyword(s):  
Cause Of Death ◽  
Congenital Malformations ◽  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents

Accidents are the leading cause of death in children from 1 to 14 years of age.1 The number of deaths resulting from accidents of all types exceed the combined fatalities resulting from pneumonia, meningitis, congenital malformations, and cancer.1 Among the various types of accidents in which children become involved, motor vehicle accidents rank as the leading cause of fatalities. They account for nearly 43% of the accident-caused fatalities.1 More than 75% of the children injured or killed in motor-vehicle-related accidents were occupants of a motor vehicle, while less than 25% were cyclists or pedestrians.2

Genitourinary Injuries Secondary to Break Dancing in Children and Adolescents

PEDIATRICS ◽  
1986 ◽  
Vol 77 (6) ◽  
pp. 922-924
Author(s):  
JOHN P. GEARHART ◽  
FRANKLIN C. LOWE
Keyword(s):  
Children And Adolescents ◽  
Blunt Trauma ◽  
Cause Of Death ◽  
Motor Vehicle ◽  
Pediatric Trauma ◽  
Motor Vehicle Accidents ◽  
Genitourinary Tract ◽  
Trauma Centers ◽  
Rare Occurrence ◽  
Vehicle Accidents

Trauma to the lower genitourinary tract in children and adolescents has been a rare occurrence. However, with the advent of pediatric trauma centers, more of these injuries are now being seen and evaluated. Although trauma to the genitourinary tract alone is an uncommon cause of death, trauma centers are seeing more children in which decisions regarding the management of the genitourinary tract must be made. Most injuries that have been reported have been secondary to blunt trauma such as straddle injuries, falls, or motor vehicle accidents. Recently, two cases of lower genitourinary tract trauma have been seen associated with the current fad of break dancing.

Trauma

2018 ◽  
Author(s):  
David A. Young
Keyword(s):  
Cause Of Death ◽  
Life Support ◽  
Motor Vehicle ◽  
The United States ◽  
Motor Vehicle Accidents ◽  
Advanced Trauma Life Support ◽  
Traumatic Injuries ◽  
Vehicle Accidents ◽  
One Year ◽  
Uncontrolled Bleeding

Traumatic injuries are the most common cause of death within the United States for children above one year of age Most traumatic injuries in children are a result of motor vehicle accidents, child abuse (or nonaccidental trauma), drowning, thermal injury, or falls. Motor vehicle accidents are the leading cause of death for children above the age of one year. Strategies of Advanced Trauma Life Support (ATLS) utilize a standardized approach to promptly identify and manage life-threatening traumatic injuries. These strategies include recognition of cardiopulmonary disorders, volume resuscitation, and prevention of additional injuries including to the cervical spine. A management plan for severe and uncontrolled bleeding is critically important to have established when caring for children with traumatic injuries. Many strategies have been developed to manage severe and uncontrolled bleeding including the use of massive transfusion protocols, damage control surgery, and hemostatic agents.

scholarly journals Increased population density of neurosurgeons associated with decreased risk of death from motor vehicle accidents in the United States

2012 ◽  
Vol 117 (3) ◽  
pp. 599-603 ◽  
Author(s):  
Atman Desai ◽  
Kimon Bekelis ◽  
Wenyan Zhao ◽  
Perry A. Ball
Keyword(s):  
Population Density ◽  
General Practitioners ◽  
Cause Of Death ◽  
Motor Vehicle ◽  
The United States ◽  
Median Number ◽  
Motor Vehicle Accidents ◽  
Outcome Variable ◽  
Vehicle Accidents ◽  
Risk Of Death

Object Motor vehicle accidents (MVAs) are a leading cause of death and disability in young people. Given that a major cause of death from MVAs is traumatic brain injury, and neurosurgeons hold special expertise in this area relative to other members of a trauma team, the authors hypothesized that neurosurgeon population density would be related to reduced mortality from MVAs across US counties. Methods The Area Resource File (2009–2010), a national health resource information database, was retrospectively analyzed. The primary outcome variable was the 3-year (2004–2006) average in MVA deaths per million population for each county. The primary independent variable was the density of neurosurgeons per million population in the year 2006. Multiple regression analysis was performed, adjusting for population density of general practitioners, urbanicity of the county, and socioeconomic status of the county. Results The median number of annual MVA deaths per million population, in the 3141 counties analyzed, was 226 (interquartile range [IQR] 151–323). The median number of neurosurgeons per million population was 0 (IQR 0–0), while the median number of general practitioners per million population was 274 (IQR 175–410). Using an unadjusted analysis, each increase of 1 neurosurgeon per million population was associated with 1.90 fewer MVA deaths per million population (p < 0.001). On multivariate adjusted analysis, each increase of 1 neurosurgeon per million population was associated with 1.01 fewer MVA deaths per million population (p < 0.001), with a respective decrease in MVA deaths of 0.03 per million population for an increase in 1 general practitioner (p = 0.007). Rural location, persistent poverty, and low educational level were all associated with significant increases in the rate of MVA deaths. Conclusions A higher population density of neurosurgeons is associated with a significant reduction in deaths from MVAs, a major cause of death nationally. This suggests that the availability of local neurosurgeons is an important factor in the overall likelihood of survival from an MVA, and therefore indicates the importance of promoting neurosurgical education and practice throughout the country.

Comparison of Deaths, Clinical Status and Duration of Helicopter or Ambulance Transport Following Motor Vehicle Accidents

1986 ◽  
Vol 2 (1-4) ◽  
pp. 199-202 ◽  
Author(s):  
Colin F. Mackenzie ◽  
Baekhyo Shin ◽  
R. Adams Cowley
Keyword(s):  
Heart Disease ◽  
Cause Of Death ◽  
Emergency Care ◽  
Motor Vehicle ◽  
Clinical Status ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents ◽  
Ambulance Transport ◽  
The Usa ◽  
Economic Standpoint

Trauma kills more people in the USA under 14 years of age than die of heart disease, cancer, pneumonia and intestinal disease combined. It is the leading cause of death in those under 38 years of age and it is the fourth commonest cause of death for the entire population. Advances in trauma emergency care are important from both the medical and economic standpoint since fatalities cost over twice the amount of non fatalities.

scholarly journals Trends in the leading causes of childhood mortality from 2004 to 2016 in Qatar

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammed Al-Thani ◽  
Al-Anoud Al-Thani ◽  
Amine Toumi ◽  
ShamsEldin Khalifa ◽  
Muhammad Asif Ijaz ◽  
...  
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Congenital Malformations ◽  
Motor Vehicle ◽  
Circulatory System ◽  
Motor Vehicle Accidents ◽  
Childhood Mortality ◽  
Public Health Issue ◽  
Trend Test ◽  
Vehicle Accidents

Introduction: Childhood mortality is an important health indicator that reflects the overall health status of a population. Despite the decrease in global childhood mortality rates over the past decades, it still remains an important public health issue in Qatar.Methods: The data from 2004-2016 were extracted from the Qatar Ministry of Public Health Birth and Death Database. International Classification of Diseases (ICD-10) was used for coding the causes of death. The childhood mortality rate was defined as the probability of a child dying between the first and the fifth birthday, expressed as the number of deaths per 1,000 children surviving to 12 months of age. The sex ratio was calculated by dividing the mortality rate of males by that of females. Mann-Kendall trend test was performed to examine time trends. Relative risks were calculated to examine differences by nationality (Qatari and non-Qatari) and sex.Results: A significant decrease in mortality rate of children aged one to five was observed from 1.76 to 1.05 per 1000 children between 2004 and 2016 (Kendall tau=-0.6, p=0.004). Three prominent causes of mortality were motor vehicle accidents, congenital malformations of the circulatory system, and accidental drowning/submersion. A statistically non-significant decrease in childhood mortality from motor vehicle accidents was oberved for all nationalities (total (Kendall tau=-0.03), Qatari (Kendall tau=-0.14), and non-Qatari (Kendall tau=-0.12)). A significant decrease was seen for total accidental drowning and submersion (Kendall tau=-0.54, p=0.012), while no statistically significant decrease was seen for total congenital malformations of the circulatory system (Kendall tau=-0.36, NS). The Qatari population did have a significant decrease in childhood mortality due to congenital malformations of the circulatory system (Kendall tau=-0.67, p=0.003) and accidental drowning and submersion (Kendall tau=-0.55, p=0.016).Conclusion: The study is a first attempt to evaluate childhood mortality statistics from Qatar and could be useful in supporting Qatar’s ongoing national health strategy programs.

Psychological Outcome of Motor Vehicle Accidents

2008 ◽  
Author(s):  
Yoshiharu Kim ◽  
Yutaka Matsuoka ◽  
Ulrich Schnyder ◽  
Sara Freedman ◽  
Robert Ursano
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Psychological Outcome ◽  
Vehicle Accidents
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