@article{ref1,
title="Pediatric pedestrian versus motor vehicle patterns of injury: debunking the myth",
journal="Air Medical Journal",
year="1999",
author="Orsborn, R. and Haley, K. and Hammond, S. and Falcone, R. E.",
volume="18",
number="3",
pages="107-110",
abstract="INTRODUCTION: Mechanism of injury has been widely used to enhance the ability of EMS providers to recognize predictable injury patterns. One such pattern, referred to as &quot;Waddell's triad,&quot; identifies a triad of injuries associated with pedestrian/motor vehicle collision (MVC), including trauma to the head, abdomen, and lower extremities. We questioned this choice as a common injury pattern for this mechanism. METHODS: A retrospective chart review of 4444 pediatric trauma patients admitted to a regional pediatric trauma center between 1992 and 1996. The source of this information was the medical center's trauma registry. RESULTS: Four-hundred-sixty-five patients suffered a pedestrian/MVC and were included in the study; 231 suffered head injury, and 78 experienced a combination of head and leg injury. Only 11 patients (2.4%) suffered the predicted &quot;triad&quot; of head, leg, and abdominal injury as a result of pedestrian/MVCs. Two of these children suffered minor head injury, and only one patient (0.2%) suffered injury as originally described by Waddell. CONCLUSION: Although the concept of Waddell's triad is logical, and a high index of suspicion should be maintained, the incidence of this predictable injury pattern is low. Educational emphasis should be placed on other aspects of mechanism of pedestrian injury.<p /><p>Language: en</p>",
language="en",
issn="1067-991X",
doi="",
url="http://dx.doi.org/"
}