PEDIATRICS Vol. 76 No. 4 October 1985, pp. 562-566
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Farm Accidents in Children

Thomas H. Cogbill MD1, Henry M. Busch Jr MD1, and Gary R. Stiers MD1

1 From the Departments of Surgery and Pediatrics, Gundersen Clinic/La Crosse Lutheran Hospital, La Crosse, Wisconsin

During a 6frac12 year period, 105 children were admitted to the hospital as the result of trauma that occurred on farms. The mechanism of injury was animal related in 42 (40%), tractor or wagon accident in 28 (26%), farm machinery in 21 (20%), fail from farm building in six (6%), and miscellaneous in eight (8%). Injury Severity Score was calculated for each patient. An Injury Severity Score of greater than or equal to 25 was determined for 11 children (11%). Life-threatening injuries, therefore, are frequently the result of childhood activities that take place in agricultural environments. The most common injuries were orthopedic, neurologic, thoracoabdominal, and maxillofacial. There was one death in the series, and only one survivor sustained major long-term disability. Such injuries are managed with optimal outcome in a regional trauma center. Educational programs with an emphasis on prevention and safety measures may reduce the incidence of farm accidents.

Key Words: farm accident • injury severity score • trauma center

Submitted on August 29, 1984
Accepted on January 7, 1985




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