January 1, 2005
The following statement was developed by the Subcommittee on Injury Prevention and Control for the Committee on Trauma (COT) to support legislation that would improve safety measures for children in and around cars. Recently, with the help of the National Highway Traffic Safety Administration, the federal government passed legislation that requires all car manufacturers to meet safety standards for power windows that kill and injure hundreds of children each year. However, still pending is legislation that would address backovers and blindspots that are responsible for an increasing number of childhood injuries and deaths each year. The COT supports legislation and other efforts to increase the safety of children in and around cars. This statement was reviewed and approved by the Board of Regents at their February 2004 meeting.
The American College of Surgeons recognizes that injuries are the greatest cause of death and disability in children, despite the fact that the means to prevent these injuries are readily available. In particular, when children are left unattended in and around cars, the following facts pertain:
In addition to educating parents about the dangers of leaving their children unattended around motor vehicles, the American College of Surgeons endorses the following prevention activities:
Agran PF, Winn D, Castill D: Unsupervised children in vehicles: A risk for pediatric trauma. Pediatrics, 87:70-73, 1991.
Centers for Disease Control and Prevention: Injuries and Deaths among Children Left Unattended in or around Motor Vehicles. United States, July 2000-2001. 2002; 51.
KIDS'N'CARS™: www.kidsncars.org.
Nader EP, Caeruleus AP, Gardner ME, Ford HR: Driveway injuries in children: Risk factors, morbidity, and mortality. Pediatrics, 108:326-328, 2002.
National Highway Traffic Safety Administration. NHTSA Pilot Study: Non-Traffic Motor Vehicle Safety Issues: An Examination of Selected 1997 Death Certificates and Related Activity. Technical Report. Washington, DC: U.S. Department of Transportation, 2002.
Patrick DA, Bensard EE, Moore EE, et al: Driveway crush injuries in young children: A highly lethal, devastating, and potentially preventable event. J Ped Surg, 33:1712-1715, 1998.
Reprinted from Bulletin of the American College of Surgeons
Vol.90, No. 1, January 2005