All-terrain vehicle injuries in children: Industry-regulated failure

Although the sale of all-terrain vehicles (ATVs) to children under 16 years of age was prohibited in 1988, they continue to represent half of the ATV-associated injuries. The authors conducted a retrospective review of ATV injuries admiited to their institution from 1988 to 1998. 76 patients were identified over the 10 year period and children <16 years accounted for 50% of these. Only 8% of these children wore helmets. In conclusion, despite industry regulation, nearly half of ATV injuries continue to involve children < 16 years of age. The consent decree restricting access of children < 16 years of age to ATVs has been ineffective and expired in April 1998. Significant morbidity and mortality cotinues to occurr in children < 16 years of age who operate these vehicles. Reform is needed, such as legislation, that would mandate the sale of safety equipment on ATV purchase, as well as provide for ATV safety education.