• Pediatric emergency care · Dec 2001

    Review Case Reports

    Seat belt syndrome in children: a case report and review of the literature.

    • D R Durbin, K B Arbogast, and E K Moll.
    • Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia 19104, USA. ddurbin@cceb.med.upenn.edu
    • Pediatr Emerg Care. 2001 Dec 1;17(6):474-7.

    AbstractCharacteristic patterns of injury to children in automobile crashes resulting from lap and lap-shoulder belts have been described for many years. These injuries are known as the "seat belt syndrome." We present a typical case of seat belt syndrome involving a 4-year-old boy and review the current literature on the topic, highlighting proposed mechanisms of intra-abdominal and spine injuries. In addition, recent research findings identifying a new pattern of injuries associated with inappropriate seat belt use in young children are reviewed. Emergency physicians must consider these seat belt-related injuries in the initial evaluation of any child involved in a motor vehicle crash who was restrained with the vehicle seat belt.

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