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9-1-1 responses for shopping cart and stroller injuries

Gary M Vilke1, Barbara M Stepanski, Leslie Upledger Ray

  • 1County of San Diego Division of Emergency Medical Services, San Diego, CA, USA. gmvilke@ucsd.edu

Pediatric Emergency Care
|September 30, 2004
PubMed

Insights

Shopping cart and stroller injuries frequently affect young children, often resulting in head and facial trauma. Paramedic evaluations highlight the need for increased parental education to prevent these common pediatric emergencies.

Area of Science:

  • Pediatric Emergency Medicine
  • Injury Prevention
  • Prehospital Care

Background:

  • Shopping cart and stroller incidents cause approximately 24,000 emergency department (ED) visits and over 650 hospital admissions annually for children.
  • The study investigates the frequency and outcomes of pediatric injuries related to shopping carts and strollers encountered by paramedics.

Purpose of the Study:

  • To determine the incidence and characteristics of pediatric injuries associated with shopping carts and strollers.
  • To analyze the types of injuries and patient disposition following prehospital evaluation by paramedics.

Main Methods:

  • A retrospective review of prehospital patient records was conducted.
  • Included were patients under 14 years old injured in shopping cart or stroller incidents attended by paramedics.
  • Data collected included demographics, injury type, and patient disposition.

Main Results:

  • Over a 3.5-year period, 241 cases were identified (120 shopping cart, 121 stroller).
  • Falls were the most common cause of injury, with head and facial injuries being prevalent.
  • 77% of patients were transported to an ED, 8.2% were admitted, and no deaths occurred.

Conclusions:

  • Shopping cart and stroller incidents represent a significant cause of pediatric injury evaluated by paramedics.
  • There is a clear need for enhanced parental education regarding the safe use of these devices to prevent injuries.
Abstract

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