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Farm accidents in children.

T H Cogbill, H M Busch, G R Stiers

    Pediatrics
    |October 1, 1985
    PubMed
    Summary

    Farm injuries significantly impact children, with animal and machinery accidents being common causes. Prompt medical care at trauma centers and prevention education are crucial for better outcomes.

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    Area of Science:

    • Pediatric Trauma
    • Agricultural Safety
    • Injury Epidemiology

    Background:

    • Childhood activities in agricultural settings pose significant injury risks.
    • Farm-related trauma is a notable cause of pediatric hospital admissions.

    Purpose of the Study:

    • To analyze the incidence, mechanisms, and outcomes of childhood farm injuries.
    • To identify common injury types and severity in pediatric farm trauma cases.

    Main Methods:

    • Retrospective review of 105 pediatric hospital admissions due to farm trauma over 6.5 years.
    • Injury mechanisms categorized: animal-related, tractor/wagon, machinery, falls, miscellaneous.
    • Injury Severity Score (ISS) calculated for all patients.

    Main Results:

    • Animal-related incidents (40%) and tractor/wagon accidents (26%) were the leading causes.
    • 11% of children sustained severe injuries (ISS ≥ 25).
    • Common injuries included orthopedic, neurologic, thoracoabdominal, and maxillofacial trauma.

    Conclusions:

    • Pediatric farm injuries frequently result in life-threatening conditions.
    • Optimal management in regional trauma centers leads to favorable outcomes.
    • Prevention education is vital to reduce the incidence of farm accidents.

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