All-Terrain Vehicle injuries: A review at a Rural Level II Trauma Center

All-Terrain Vehicles (ATVs) have become a major source of morbidity and mortality with more than 600 deaths nationwide. nearly half of those injured are children under 16 years. 23 ATV accidents were seen at the Guthrie Medical Center over a 30 month period ending in August 1986. 10 patients (43.5%) were under 16 years old. of those injured who were older, alcohol was involved in 70% of the accidents. Five accidents occurred on highways (21.7%), in spite of laws banning their use on public roads. Rollover type accidents and collisions were the most frequent mechanisms of injury (39% and 35%). Of 18 patients known not to have worn a helmet, 61% sustained a closed head injury. ATVs present a serious hazard to adult and children riders alike. Age limits, state licensing, safety programs, and protective equipment are all recommended as a means to reduce injury and death from recreational riding.