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We commend Garay et al. for their recent work characterizing pediatric ATV injuries at trauma centers in Pennsylvania in the article “Pediatric ATV Injuries in a Statewide Sample: 2004 to 2014”, published in Pediatrics, Volume 140, Issue 2, August 2017. Canada has a proportionally similar burden of ATV-related serious injury and death as the United States, as we detail in an upcoming report from the Canadian Paediatric Surveillance Program (CPSP)1.
We surveyed all pediatricians and pediatric subspecialists participating in the CPSP, a national public health surveillance program funded by the Public Health Agency of Canada (PHAC) and managed by the Canadian Paediatric Society (CPS), on the issue of ATV safety. Beyond estimating serious injury and death, we assessed respondent’s knowledge of risks associated with ATV use, awareness of national recommendations for ATV safety, and whether respondents refer all child/youth deaths to a regional coroner or medical examiner. Of note, we found that only one third of respondents were aware that ATV’s should not carry passengers. Less than half were aware of longstanding national recommendations that youth receive ATV training prior to operating an ATV, and that many regions had mandatory ATV safety laws. Many respondents had never discussed ATV safety with patients in the prior 12 months, or did so occasionally.
These findings highlight the need to develop multimodal approaches to reducing ATV injury and death...
These findings highlight the need to develop multimodal approaches to reducing ATV injury and death in children and youth. National guidelines and state laws are only helpful if they are utilized and enforced; specific educational initiatives and awareness campaigns for primary care physicians and pediatricians must be developed and implemented if we are to reduce the persistent rate of ATV injury and death demonstrated by Garay et al.
1) “ATV Injuries High Among Young Children”, CPS News, Spring 2017 Edition.
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