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Head injuries in infants and children: measures to reduce mortality and morbidity in road accidents

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dc.contributor.authorSimpson, D.
dc.contributor.authorBlumbergs, P.
dc.contributor.authorMcLean, J.
dc.contributor.authorScott, G.
dc.contributor.organisationCentre for Automotive Safety Research (CASR)
dc.date.issued1992
dc.description.abstractIn the 6-year period from 1983 to 1988, 12 infants (less than 24 months of age) and 103 children (2 to 14 years of age) were killed in road crashes in South Australia. This represents an annual incidence of 6.4 deaths per 100,000 children at risk. At least 4 other children were killed in off-road vehicle-related accidents. Of these deaths, approximately half were car passengers, one third pedestrians, and one sixth pedal cyclists. Most of these infants and children died at the accident site or soon after, but 26 of them survived long enough to be admitted to hospitals with neurosurgical units and an audit of these patients suggests that there were at least 3 preventable deaths. However, autopsies of 78 patients show that the great majority of these deaths resulted from devastating brain and/or trunk visceral injuries. Better emergency care and the use of neurosurgical retrieval teams may save some lives. But more lives might be saved by the use of appropriate restraints for infants and children in cars, by reducing the exposure of child pedestrians and cyclists to road traffic, and by mandatory use of helmets by child cyclists. Off-road vehicular accidents are not as a rule included in road crash statistics; the practice of giving small motorcycles to young children has created a new category of vehicular accidents sometimes causing severe head injury.
dc.description.statementofresponsibilityD.A. Simpson, P.C. Blumbergs, A.J. McLean and G. Scott
dc.identifier.citationWorld Journal of Surgery, 1992; 16(3):403-409
dc.identifier.doi10.1007/BF02104439
dc.identifier.issn0364-2313
dc.identifier.issn1432-2323
dc.identifier.urihttp://hdl.handle.net/2440/48663
dc.language.isoen
dc.publisherSpringer-Verlag
dc.source.urihttps://doi.org/10.1007/bf02104439
dc.subjectHumans
dc.subjectCraniocerebral Trauma
dc.subjectInfant Equipment
dc.subjectHead Protective Devices
dc.subjectAccidents, Traffic
dc.subjectAge Factors
dc.subjectChild, Preschool
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectAustralia
dc.titleHead injuries in infants and children: measures to reduce mortality and morbidity in road accidents
dc.typeJournal article
pubs.publication-statusPublished

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