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Impact of a Statewide Coalition on Policy Change to Decrease Pediatric Injuries from All- Terrain Vehicles

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Impact of a Statewide Coalition on Policy Change to Decrease Pediatric Injuries from All- Terrain Vehicles
Diane C. Hochstuhl, MSN, RN, NP-C1, Patricia Miller, MPP2 and Stephen G. Murphy MD2, 1Nemours/Alfred I duPont Hospital for Children, Wilmington DE, 2Nemours Health and Prevention Services, Wilmington DE

Objective: Purpose: Discuss the formation of a statewide coalition to advocate for stronger regulations regarding pediatric ATV use.
Background: Children riding on all-terrain vehicles (ATVs) risk serious injury or death. According to a Consumer Product Safety Commission (CPSC) report in 2012, ATVs remain the most dangerous discretionary use product for children within CPSC's jurisdiction. In a CPSC review of 2001 sports and recreational activity data, ATV riding was associated with the second highest hospitalization rate (12.1%). Studies reveal a high cost to society from ATV-related injuries and death among children and adolescents. A 10 year analysis of State trauma data revealed significant morbidity and mortality among pediatric trauma patients with ATV-related injuries, especially those under age 16. This State law contained outdated regulations regarding helmet usage and passenger restrictions.
Methods: In response to alarming statistics on injuries and deaths among child and adolescent ATV riders, one pediatric health system formed a statewide ATV Safety Coalition whose members include health care organizations, state agencies, ATV industry, and law enforcement. The objective was to create a broad base of support. The primary charge of the coalition was two-fold: strengthen ATV safety regulations and develop education and training. After thorough research, discussion and networking, a consensus position was developed regarding both education and legislative efforts.
Results: This coalition recommended a moderate approach to strengthen regulations regarding pediatric ATV use. A broad base of support resulted in strong statewide backing for the bill. Conclusion: The legislation was overwhelmingly approved by the State Senate.
Objective: Discuss the formation of a statewide coalition to advocate for stronger regulations regarding pediatric ATV use.Objective Content: The learner will be able to discuss the obstacles related to consolidating a state wide consensus related to a legislative initiative.


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