PEDIATRICS Vol. 44 No. 5 November 1969, pp. 869-876
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ACCIDENTAL FALLS FROM ELEVATED SURFACES IN INFANTS FROM BIRTH TO ONE YEAR OF AGE

Harvey Kravitz M.D.1, Gerald Driessen Ph.D.1, Raymond Gomberg M.D.1, and Alvin Korach M.D.1

1 Department of Pediatrics, Northwestern University School of Medicine, Chicago; Children's Memorial Hospital, Chicago; Department of Pediatrics, Luthern General Hospital, Park Ridge, Illinois; and National Safety Council, Chicago

This work is typical of the efforts of the gifted practitioner concerned with an important problem encountered in pediatric practice. It has all the limitations which time and sampling impose and does not satisfy the more precise investigative criteria for control populations, statistical treatment and other considerations which further studies by this group may encompass. It represents an effort which seeks a practical solution and it enlists allies in a well known safety organization. It is the method of collaboration and the clues that are developed which makes this paper a vital contribution. The practitioner requires supportive workers in this type of investigation, but is in a superb position to give additional information about the child and his family, and to implement findings that might be related to prevention. The "event tree" method of study and action which is proposed and illustrated offers a model for injury control of many types. Community workers who are concerned about the problem of falls as the leading method of childhood injury are hereby offered a useful method of study which does not require extensive or complicated efforts. The leads that the paper offers with respect to cultural differences in types of falls and circumstances should be explored. It is unclear either in this work or in the literature whether the method of control posters, campaigns, etc. are indeed effective or not. All existing methods of fall control should be encouraged as they raise the level of awareness of the hazards to children, but a number of investigators have indicated that it is the mother's attitude and distractions from childbearing which offer a strong current of causation. Approaches with the same population using evaluated techniques suggested by the authors are a next step.




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