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Study Reveals Child Chest Injuries Are Common in ATV Accidents

By Andrew Deutsch
Posted on 29 Nov 2016

Image: An AP supine chest X-ray of a 16-year-old involved in an ATV rollover (Photo courtesy of Radiology Key).

The results of new study into All-Terrain Vehicle (ATV) accidents involving children have shown that serious chest injuries are common.

Injuries included fractured ribs, and bruised or collapsed lungs, 40% of which required treatment in an Intensive Care Unit (ICU). In the USA alone, in 2014, 24,800 children, under the age of 16, were treated in emergency rooms after being injured in ATV accidents.

The results were presented at the annual Radiological Society of North America (RSNA2016) meeting in Chicago, USA. The American Academy of Pediatrics has recommended that children younger than 16 years old should not be allowed to ride in ATVs.

The researchers carried out a retrospective review of patients below the age of 18, who underwent chest imaging for ATV-related accidents, between 1992 and 2013. The patients were scanned at a level 1 trauma center in Houston, Texas, USA. Twenty-two percent (102 patients) of the 455 patients admitted during the study period suffered from a chest injury. The most common injury was a pulmonary contusion (61% of patients), followed by pneumothorax (45%), and rib fractures (34%). Eight children with chest injuries later died.

The author of the study, Kelly N. Hagedorn, MD, radiology resident, McGovern Medical School, The University of Texas Health Science Center (Houston, TX, USA), said, "The sheer incidence of chest injuries in pediatric patients evaluated after ATV accidents is rather alarming and not necessarily the type of injuries patients and their families give much forethought to when considering the risks of ATV use. While this study only highlights a specific subset of potential injuries, their incidence and clinical significance cannot be overlooked. Other studies have demonstrated the prevalence of orthopedic and neurologic injuries, and the most recent CPSC report estimates that 23 percent of ATV-related fatalities since 1982 have occurred in children younger than 16. Our study further supports the need for increased public awareness of the risks – and potentially devastating consequences – of ATV use among children."

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68 (!!!!! 2820.9686279297): SELECT fid FROM jos_deeppockets WHERE id=294767019 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294767019 AND published='1' LIMIT 1

69 (!!!!! 4928.1120300293): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

70 (!!!!! 3027.9159545898): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294767019 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (459.19418334961): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294767019 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (107.0499420166): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (545.02487182617): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (888.10920715332): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (406.02684020996): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (320.9114074707): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (368.11828613281): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (180.00602722168): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (216.00723266602): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (205.99365234375): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (331.16340637207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (224.82872009277): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 3702.8789520264): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (515.93780517578): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 7925.0335693359): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (599.86114501953): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (486.13548278809): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294767019 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (210.04676818848): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294767019 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (499.96376037598): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (!!!!! 1019.0010070801): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 1315.8321380615): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 5567.0738220215): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (941.99180603027): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (278.94973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (388.86070251465): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (571.96617126465): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (775.09880065918): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (420.09353637695): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (182.15179443359): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (310.18257141113): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (196.93374633789): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (499.01008605957): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 6981.1344146729): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (650.88272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

105 (475.88348388672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

106 (64.13459777832): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294767019 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (581.97975158691): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294767019 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2407.0739746094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

109 (726.93824768066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

110 (!!!!! 2665.0428771973): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294767019 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (917.91152954102): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294767019 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 6983.9954376221): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 3140.926361084): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (!!!!! 2629.0416717529): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

115 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

116 (125.88500976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

117 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

118 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

119 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

120 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

121 (!!!!! 1518.9647674561): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

122 (918.14994812012): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 120485.06736755): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (!!!!! 2022.9816436768): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294767019 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294767019 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 21807.909011841): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (133.03756713867): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (290.1554107666): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (398.15902709961): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (!!!!! 2444.9825286865): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (308.03680419922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (880.00297546387): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (!!!!! 2084.9704742432): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (!!!!! 5965.2328491211): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (!!!!! 1889.9440765381): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (!!!!! 2818.8228607178): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (701.904296875): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (442.9817199707): SELECT name FROM jos_deeppockets WHERE id=211

138 (32.901763916016): SELECT name FROM jos_deeppockets WHERE id=211

139 (773.90670776367): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (534.0576171875): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 5304.0981292725): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

142 (494.95697021484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

143 (!!!!! 25784.015655518): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3960.132598877): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294767019 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 7121.0861206055): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294767019 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (829.93507385254): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1829.8625946045): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

149 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

150 (!!!!! 3757.9536437988): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (503.0632019043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

152 (305.8910369873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

153 (!!!!! 1188.0397796631): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294767019 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294767019 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (45.061111450195): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

155 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

156 (!!!!! 1372.0989227295): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (287.05596923828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

158 (251.05476379395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294767019 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294767019 AND published='1' LIMIT 1

159 (797.98698425293): select jos_twitters.link from jos_twitters where cat=10

160 (115.87142944336): select jos_facebook.link from jos_facebook where cat=10

161 (74.148178100586): select jos_google_plus.link from jos_google_plus where cat=10

162 (214.0998840332): select jos_linkedin.link from jos_linkedin where cat=10

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