Decker M D, Bolton G A, Dewey M J, Smith G, Schaffner W
Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232.
Am J Dis Child. 1988 Jun;142(6):656-8. doi: 10.1001/archpedi.1988.02150060090039.
Motor vehicle accidents are the leading cause of death in children. In 1977, Tennessee adopted the nation's first law requiring the use of child restraint devices (CRDs), but despite extensive promotional efforts, a majority of young children still travel unrestrained. We surveyed all acute-care hospitals in Tennessee to determine their policies regarding CRDs. Of 109 hospitals with obstetric services, 28 (26%) had a policy calling for discharged newborns to be transported in CRDs; only seven (5%) of 128 pediatric services had such a policy. It is time for hospitals and professional organizations to adopt policies to ensure that the parents of every child discharged from an obstetric or pediatric unit are educated concerning CRD use laws and are able to comply with them. Pediatricians should consider incorporating "discharge in child restraint device" into their routine discharge orders.
机动车事故是儿童死亡的主要原因。1977年，田纳西州通过了美国第一部要求使用儿童约束装置（CRD）的法律，但尽管进行了广泛的宣传努力，仍有大多数幼儿乘车时未使用约束装置。我们对田纳西州所有急症护理医院进行了调查，以确定它们关于CRD的政策。在109家设有产科服务的医院中，有28家（26%）制定了要求新生儿出院时使用CRD运送的政策；在128家儿科服务机构中，只有7家（5%）有这样的政策。现在是医院和专业组织制定政策，以确保从产科或儿科病房出院的每个孩子的父母都了解CRD使用法律并能够遵守这些法律的时候了。儿科医生应考虑将“使用儿童约束装置出院”纳入其常规出院医嘱。
