Pediatric Emergency Care. 17(6):474-477, DEC 2001

PMID: 11753199

Issn Print: 0749-5161

Publication Date: 2001/12/01


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

DENNIS DURBIN;KRISTY ARBOGAST;ELISA MOLL;

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Abstract

Characteristic 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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