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Child Passenger Safety Resources in EDs

Child Passenger Safety Resources in EDs

Each year in the United States, more than 130,000 children younger than age 13 are treated in EDs after motor vehicle collisions (MVCs). MVCs are a leading cause of death in U.S. children, in part because child passengers continue to be inappropriately restrained. Studies have shown that 20% of children aged 1 to 3 years and nearly 50% of those aged 4 to 7 years do not use the recommended restraint for their age. MVC-related ED visits for children offer a chance for ED personnel to convey tips for proper use of child passenger restraints to prevent future injuries. Missing Key Opportunities Recently, my colleagues and I published a study in Pediatric Emergency Care that examined emergency physician awareness of and referrals to child passenger safety resources. Our results suggest that many EDs aren’t taking advantage of opportunities to educate families on child passenger safety. The survey, which included responses from more than 600 emergency physicians drawn from a national sample, found significant variability by practice setting in the availability of child passenger safety resources. More than one-third of responding ED physicians reported uncertainty about whether their departments provided child passenger safety resources to parents. Less than half of respondents said that a parent of a 2-year-old being discharged following an MVC would be provided with discharge instructions that include advice about car seats. Our analysis also revealed that only half of pediatric trauma center physicians would always recommend replacing a 3-year-old’s car seat following a roll-over MVC, and even fewer adult and non-trauma center physicians would do so. Children seen in general EDs without pediatric specialization were least...
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