The use of all-terrain vehicles (ATVs) has increased dramatically since they were first sold in the 1970s. With faster models being used by younger and younger drivers, injuries have increased 4.7 times just in the last 10 years.
In this report, the records of ATV accidents in children were reviewed. Data was obtained from a pediatric trauma center in Kentucky. National records were also reported. The authors point out the increase in injuries and deaths have occurred since the 1988 Consent Decree was cancelled in 1998.
The Consent Decree was a safety agreement between the Consumer Product Safety Commission (CPSC) and manufacturers of ATVs. The goal was to decrease injury and death. This was accomplished by regulations that prevented the sale to or use of ATVs by anyone younger than 16.
Education, training, and safety warnings were required. Without this Decree in place, many more children are using (and being injured while using) ATVs.
Lack of protective gear and using an ATV that is too large for the child are two key factors. The authors point out that the speed of ATVs is another problem. Many models can now reach up to 75 mph.
Boys between the ages of 11 and 15 are the most likely to suffer injuries from ATV accidents. Face, skull, arms, and legs are affected most often. Brain injuries can be severe enough to result in permanent disability, paralysis, and even death.
It’s not clear yet what role helmets and other protective gear play in preventing or reducing injuries. Data does support the idea that injuries are less severe when protective equipment is used. Younger children are less likely to have the rational decision-making abilities of older children and adults.
The authors conclude the results of this study support the idea that restrictions should be placed on ATV drivers. They suggest no one under the age of 16 should be allowed to operate or ride on an ATV.
There should not be any passengers of any age. Helmets should be required by anyone driving or riding on an ATV. They suggest it’s time for stricter legislation on ATV use by children.