Motor Vehicle Accident Trauma and Restraint Usage Patterns in Children Less Than 4 Years of Age

PEDIATRICS ◽  
1985 ◽  
Vol 76 (3) ◽  
pp. 382-386
Author(s):  
Phyllis F. Agran ◽  
Debora E. Dunkle ◽  
Diane G. Winn
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Seat Belt ◽  
Vehicle Interior ◽  
Use Patterns ◽  
Vehicle Accident ◽  
Restraint Use ◽  
Usage Patterns ◽  
Improper Use ◽  
Safety Seat

In a sample of children less than 4 years of age, treated in an emergency room after a motor vehicle accident, 22% were restrained in a child safety seat (improper and proper), 12% were restrained by a vehicle seat belt, and 70% were unrestrained. Trauma and injury patterns related to the various restraint use patterns are described. Most children in safety seats and seat-belted children, if injured, sustained minor contusions, abrasions, or lacerations. Injury among properly restrained children in safety seats was primarily the result of unavoidable mechanisms (eg, flying glass, intrusion). Improper use contributed to injury among safety-seat-restrained children, primarily by allowing the child to hit against the vehicle interior. Seat-belted children also were injured, primarily by hitting against the vehicle interior. Although some of the restrained children were seriously injured, in general, restrained children tended to sustain less serious and fewer injuries than the unrestrained children.

Statistical adjustment for misclassification of seat belt and alcohol use in the analysis of motor vehicle accident data

2007 ◽  
Vol 39 (1) ◽  
pp. 117-124 ◽  
Author(s):  
Haifeng Guo ◽  
Kent M. Eskridge ◽  
Daniel Christensen ◽  
Ming Qu ◽  
Thomas Safranek
Keyword(s):  
Alcohol Use ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Seat Belt ◽  
Statistical Adjustment ◽  
Vehicle Accident ◽  
Accident Data

scholarly journals Management of C4-C5 Fracture with Approach 360⁰ without the Spinal Instrumentation.

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Erion Spaho ◽  
Artid Lame
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Surgical Approach ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Seat Belt ◽  
Spinal Instrumentation ◽  
Young Male ◽  
Vehicle Accident ◽  
Cord Injury

Introduction: Usually, cervical pedicle screw fixation has been considered too risky for neurovascular structures. The purpose of this case report is to present a young male patient who suffered a C4-C5 fracture after a motor vehicle accident treated with a 360⁰surgical approach without spinal instrumen-tation. Case report: A young male patient suffered a motor vehicle accident driving the vehicle without seat belt. Instantly after the accident he reports about severe neck pain, inability to move his left extremi-ties, difficulty moving his right extremities, burning pain. All patients had various degrees of cord injury, and they were classified according to the American Spinal Cord Injury Association (ASIA) Impairment Scale and Denis classification. Results: We present this young patient, where the selected surgical approach without using spinal instrumentation resulted has favorable outcome. Conclusion: Surgical options regarding to cervical spine fractures include stabilization and decompres-sion with and without spinal instrumentation. Carefully selected cases may be treated safely without instrumentation avoiding potential complications of spinal instrumentation such pseudoarthrosis, in-strumentation failure, infection, etc.

scholarly journals Effect of an educational leaflet on the frequency of seat belt use and the rate of motor vehicle accidents during pregnancy in Japan in 2018: a prospective, non-randomised control trial with a questionnaire survey

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031839 ◽  
Author(s):  
Mamoru Morikawa ◽  
Takashi Yamada ◽  
Hiromasa Kogo ◽  
Masaki Sugawara ◽  
Akira Nishikawa ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Seat Belt ◽  
Intervention Group ◽  
Motor Vehicle Accidents ◽  
Randomised Control Trial ◽  
Control Group ◽  
Vehicle Accidents ◽  
Vehicle Accident ◽  
Seat Belt Use

ObjectiveTo determine whether an educational leaflet had any effect on seat belt use, seat preference and motor vehicle accidents rate during pregnancy in Japan.DesignProspective, non-randomised control trial with a questionnaire survey.SettingEight obstetric hospitals in Sapporo, Japan.Participants2216 pregnant women, of whom 1105 received the leaflet (intervention group) and 1111 did not (control group).InterventionsDistribution of an educational leaflet on seat belt use to women in the intervention group.Primary outcome measuresThe effect of an educational leaflet on seat belt use, each pregnant woman’s seat preference and the women’s rates of motor vehicle accidents rate during their pregnancies. To evaluate the effects, the intervention group’s responses to the questionnaires were compared with those of the control group.ResultsThe proportion of subjects who always used seat belts during pregnancy was significantly higher in the intervention group (91.3%) than in the control group (86.7%; p=0.0005). Among all subjects, the percentage of women who preferred the driver’s seat was lower during pregnancy (27.0%) than before pregnancy (38.7%), and the percentage of women who preferred the rear seat was higher during pregnancy (28.8%) than before pregnancy (21.0%). These two rates did not differ between two groups. Seventy-one women (3.2%) reported experiencing a motor vehicle accident during pregnancy. The motor vehicle accident rate for the intervention group (3.3%) was similar to that for the control group (3.2%).ConclusionsAn educational seat belt leaflet was effective in raising the rate of consistent seat belt use during pregnancy, but it did not decrease the rate of motor vehicle accidents. The wearing of seat belts should be promoted more extensively among pregnant women to decrease rates of pregnancy-related morbidity and mortality from motor vehicle accidents.

scholarly journals Seat belt syndrome: a case report

2021 ◽  
Vol 9 (1) ◽  
pp. 233
Author(s):  
Vinod Kumar Nigam ◽  
Sidharth Nigam
Keyword(s):  
Developing Countries ◽  
Case Report ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Seat Belt ◽  
Abdominal Injuries ◽  
Intestinal Perforations ◽  
Vehicle Accident ◽  
Traffic Rules

Seat belt syndrome happens when a car meets an accident and person sitting in the car with seat belt on gets abdominal injuries typically, seat belt mark with intestinal injuries and factures of ribs and lumber spine. The abdominal injuries are usually intestinal perforations. Doctor seeing the motor vehicle accident must keep in mind seat belt syndrome while examining. As the traffic rules are getting enforced strictly in developing countries we are seeing seat belt syndrome cases in these countries more and more. We presented here a case of seat belt syndrome in 35 years old women.

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