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At least 19 recordsLinked to original sources

The effectiveness of helmets in reducing all-terrain vehicle injuries and deaths.

This article examines the effectiveness of helmets in reducing all-terrain vehicle (ATV) related deaths and head injuries, conditional on the occurrence of injury producing accidents. A logit regression model is used to analyze cross-section data on ATV-related fatal and nonfatal injuries, and to determine the factors that are associated with deaths and head injuries. The results suggest that, given an accident resulting in injury or death, helmet use reduces the risk of death by about 42%, and could reduce the likelihood that a given nonfatal injury involves the head by about 64%. Other factors that are associated with the risk of fatality for injury accidents include the use of alcohol or drugs, driving on paved roads, the driver's age and sex, and the vehicle's engine size. A benefit-cost analysis of helmet use is conducted and policy implications are discussed.

Adolescent↗

All-terrain vehicle injuries in central Wisconsin: a continuing problem.

All-terrain vehicles (ATVs) have become well recognized as associated with injuries. This recognition has resulted in attempts at education and regulation to reduce the number and severity of injuries and number of deaths. The Marshfield Clinic and St. Joseph's Hospital surveyed all-terrain vehicle accidents in the Emergency Department in 1985 and again in 1988 and followed these patients for at least 1 year after the injury. Between the two dates, extensive educational and legislative activity had taken place. The actual number of all-terrain vehicle accidents had increased. The characteristics of victims who were involved in all-terrain vehicle accidents did not change. The actual number of accidents associated with three-wheeled ATVs did not appreciably decrease but the number of accidents associated with four-wheeled ATVs did increase. To date, it is not clear that legislative and educational activities are effective in reducing the number of ATV accidents or in changing the pattern of the accidents.

Adolescent↗

Pediatric facial injuries associated with all-terrain vehicles.

All-terrain vehicles (ATVs) are becoming increasingly popular recreational devices. Multiple injuries have been associated with ATV accidents. This report reviews pediatric injuries treated at a regional pediatric trauma center, with special attention to facial trauma, as well as the ATV injury data for the United States.

Accidents, Traffic↗

All-terrain vehicle mortality in Wisconsin: a case study in injury control.

All-terrain vehicles (ATVs) have resulted in over 1,400 deaths and 400,000 injuries in the United States since their introduction in the 1970s. Analysis of deaths due to ATVs have been limited to a few states. Death certificates for ATVs were abstracted for the years 1983 through 1989 in Wisconsin. Fifty-two deaths were analyzed; 44 (85%) were male, and 26 (50%) were under age 18. Head injuries accounted for 33 (63%) of the deaths. Thirty-one of the deaths (60%) were "immediate", occurring in "seconds", "minutes", or "immediately". Following the model developed by Haddon, there are several promising injury-control strategies: limiting the use of ATVs to those sixteen or older, increasing visibility of vehicles through means such as flags, increasing helmet usage, and improving emergency medical systems services. Many of these strategies are best promoted through statewide legislative policy changes. This injury study model of ATV deaths suggest that a more balanced approach towards injury reduction should have an equal emphasis on improving injury prevention and acute care.

Accidents, Traffic↗

Safety in the use of four-wheeled all-terrain vehicles in Finland.

The aim of this study was to ascertain the use of four-wheeled all-terrain vehicles in Finland and estimate the safety in driving a four-wheeler. According to the importers there are about 3,000 four-wheelers in use in Finland. A questionnaire was sent to the owners of four-wheelers (n = 185), in which questions were asked about their use, protection used when driving, accidents that had occurred and suggestions for developing four-wheelers. One hundred three answers (response rate 56%) were received. The respondents reported minor injuries (15%) and dangerous situations: the four-wheeler had fallen over (35%) and the driver had fallen off the four-wheeler (20%). The accidents and dangerous situations were concentrated to occupational users who drove a lot in poor terrain. Four-wheeler driving was estimated to be more dangerous than snowmobile driving. According to the answers the most efficient measures to improve safety would be the use of a safety helmet and high boots when driving as well as the enforcement of an age limit for the driver. The technical properties of the four-wheelers could also be developed e.g. the leg room, foot board and protective roll bar.

Accident Prevention↗

[Accident causes and prevention of injuries in Enduro-motorbike sport].

365 participants of the 64. Enduro-World Championship in 1989 reported 232 injuries within a 10-years-period of motorbike driving. The knee was most frequent (21.5 pc., mainly ligament ruptures) injured, followed by fracture of the clavicle (18.5 pc.), hand (15.5 pc.) and damages of the shoulder. Fractures are very common (55.5 pc.) in motorbike sports. Injuries often were produced by collisions with other motorbikes or trees. Driving mistakes, jumps, slipping wheels and overturn were other causes for an accident. During the championship 13 accidents were registered. In a clinical examination defects or alterations of the joints and bones were observed at 91 drivers. Important is the incidence of two malign tumours of the testicles. Preventive measures against accidents are discussed.

Adolescent↗

Accidents in the north. Some aspects on snowmobile accidents and moose-car collisions.

Snowmobile accidents and moose-car crashes are typical accidents in Northern Sweden. In this region there is about 1 snowmobile/10 inhabitants. The present paper combines previously published studies. The studies on snowmobile accidents are based on a material comprising all 61 fatally injured snowmobile drivers from the four northern counties of Sweden during the period 1973-1987. The helmet usage was analyzed in two clinical study populations including 200 injured from the county of Västerbotten from two periods 1979-1980 and 1985-86. Of the fatally injured (median age 32 years) 86% were driving under the influence of alcohol with a mean blood alcohol concentration of 0.17 g/ml. Serious head injuries were uncommon among persons driving without a helmet in the clinical material. Only in about 6% of the cases an open face helmet would probably have had an injury reducing effect. Drunken driving is an important etiological factor for fatal snowmobile accidents. Preventive measures must include information that the Traffic Temperance Law also applies to snowmobile riding. A helmet law for snowmobile riders does not seem to be motivated from the injury reduction point of view. According to official Swedish police statistics more than 400 car occupants are injured annually in crashes with a moose. The crash mechanism is special. Because of its long legs the body of the moose hits directly against the windshield, windshield pillars and front roof. During a period of three years 154 injured passenger car occupants were treated in the hospitals in Umeå and Skellefteå. Of both the front and rear seat occupants 80% suffered laceration injuries from glass or glass splinters.(ABSTRACT TRUNCATED AT 250 WORDS)

Accidents, Traffic↗

Snowmobile accidents in Lapland.

It is assumed that there are about 30,000 snowmobiles in Lapland. In 12 health centers and in all three hospitals the snowmobile accidents were analyzed in 1990. There were 290 accidents reported. Seventy-two percent were leisure time accidents. The accidents occurred typically in the afternoon during the weekend in the spring. Most accidents took place in the woods by driving into a barrier. Half of the injuries were on extremities, especially on legs. Eighteen % were head injuries and 11% thorax injuries. According to the Abbreviated Injury Scale classification most injuries were of class 1 and 2. There were 5 deaths. Thirty-one % of the injured persons had a helmet. From 1991 the use of the helmet is compulsory. The registration of snowmobiles is important and it should be implemented in Finland. The snowmobile is a significant cause of accidents in Lapland today and preventive measures are urgent.

Accidents↗

Prevention of childhood injuries. Part II: Recreational injuries.

This is the second of two articles on the prevention of childhood injuries. Here, interventions to reduce death and disability among children from recreational injuries are identified. The major categories of recreational injury are listed, the magnitude of the problem defined, the risk factors described, and selected interventions of the National Committee for Injury Prevention and Control summarized. Recommendations for practice are discussed.

Accidental Falls↗

[Mountain sports: their role in 2200 facial injuries occurring over 4 years at the University Hospital Center in Grenoble].

Injuries caused by mountain sports account for many of the injuries admitted to the University Hospital of Grenoble. Out of 4,490 traumas, 470 were injuries sustained during the practice of mountain sports. While the frequency of these accidents does not evolve much, the etiological distribution depends on fashion. Thus an increasing number of lesions caused by cross-country biking has been noted during the past two years. We find it urgent to propose protective measures adapted to this new sport.

Accidents↗

Snowmobile-related deaths in Ontario: a 5-year review.

OBJECTIVES: To investigate the demographic characteristics and circumstances surrounding fatal snowmobile accidents in Ontario, to examine the risk factors and to observe any fatality trends over the study period. DESIGN: Case series. PATIENTS: All 131 people who died accidentally while operating a snowmobile in Ontario from 1985-86 to 1989-90. Records were obtained from the chief coroner's office; registration data were obtained from the Ministry of Transportation. RESULTS: Although the absolute number of deaths increased each year, owing to a rapid increase in the number of registered snowmobiles, the risk of death from snowmobile accidents remained relatively constant. Deaths occurred most frequently in northeastern Ontario. Youths and men predominated among the victims. Fatal accidents occurred more often on lakes (in 66% of the cases in which this information was known) than on roads (in 26%) or trails (in 8%). Weekend fatalities predominated, and deaths occurred most often during times of suboptimal lighting (from 4 pm to 8 am). The driver was killed in 84% of the cases in which the person's role was known. Alcohol use before death was implicated in 69% of the cases, the level exceeding the Ontario legal limit in 59%. CONCLUSION: Snowmobile-related deaths result from factors that are generally avoidable. Strategies need to be instituted to reduce the rate of these events.

Accidents↗

Snowmobile trauma: an eleven-year experience.

Records of 88 patients with snowmobile injuries from 1977 to 1987 were reviewed to identify the types of trauma. Data collected included age, sex, method and degree of injury, use of safety attire, and risk factors. There were 77 males and 11 females. Seventeen (19.3%) were children under the age of 16. Poor driving judgment involved in the hitting of obstacles led to the majority of injuries. There were 106 fractures in 71 patients. Eighteen patients (25%) had more than one fracture. Eleven patients had loss of consciousness. Eighty-eight other injuries resulted for a total of 205 injuries. There were three fatalities. Results indicate that inexperience, prior use of alcohol, driver carelessness, excessive speed, and poor adherence to manufacturer recommendations were the leading contributors to the accidents.

Adolescent↗