Pediatric airbag injuries: the Ohio experience.

BACKGROUND/PURPOSE: We sought to determine if properly restrained children, less than 13 years of age, placed in the front passenger seat are at greater risk for trauma from airbag deployment than unrestrained children. METHODS: The charts of children treated at any of 3 regional pediatric trauma centers in Ohio were reviewed for airbag injuries sustained in motor vehicle crashes between January 1995 and September 1998. Injury Severity Scores (ISS) were compared with Mann-Whitney Rank Sum Test and outcome data with Fisher's Exact Tests. Statistical significance was set at P< or =.05. RESULTS: Twenty-seven children aged 1 month to 12 years sustained airbag-related injuries. Sixty-one percent were girls. ISS ranged from 1 to 75 with a mean score (+/- SD) of 10 (14.5). All crashes were at reported speeds of less than 45 mph, and 64% were head-on collisions. No significant differences in the mean ISS (P = .074) occurred between groups. Both groups had similar closed head, ocular and facial injuries, extremity fractures, and number of deaths (P = 1.0). Abdominal organ injury was exclusive to the restrained group. Decapitation only occurred among unrestrained children. CONCLUSION: Our data showed that airbags, with or without proper safety restraints, can lead to mortality or serious morbidity in children.

Implementation of a regional pediatric trauma center.

Today's hospitals face unique challenges in the treatment of pediatric trauma patients. With the advent of more sophisticated regional trauma systems, there is a growing awareness that children are not "little adults," but are a special component of the trauma patient population. As few communities can provide pediatric health care facilities committed to trauma care, regional pediatric trauma centers need to be developed and implemented so hospitals can provide pediatric trauma patients with comprehensive and age-appropriate care. This article describes the steps taken by the Children's Hospital Medical Center, Cincinnati, to develop a regional pediatric trauma center according to the guidelines set forth by the American College of Surgeons committee on trauma.

Distributions of total skin surface area to body weight ratios for use in dermal exposure assessments.

Surface area to body weight ratios were calculated for three age groups of the population using direct measurement data reported in the scientific literature. A strong negative correlation was observed between these ratios and age, and ratios did not differ as a function of sex. Distribution data for surface area to body weight ratios are presented for three age groups. Because of the strong correlation between these two factors, the use of these distributions in human exposure/risk assessments using point estimation techniques and/or Monte Carlo simulations may be more appropriate than treating surface area and body weight as independent variables.