The impact of pediatric trauma in the Amish community

Vitale, Melissa; Rzucidlo, Susan; Shaffer, Michele L.; Ceneviva, Gary D.; Thomas, Neal J.

doi:10.1016/j.jpeds.2005.10.036

Cited by 23 publications

(26 citation statements)

References 15 publications

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“…Investigating crash causation is important to Old Order health, physical well-being, and property protection. Buggy crashes with motor vehicles constituted the second highest reason for Amish hospital admissions; of all injury types, buggy crashes brought the highest odds of surgery and greatest expenses, and second longest hospital stays (Vitale, et al 2006). In another study, 43% of buggies in crashes sustained extensive damage or were destroyed, and about 10% of buggy crashes involved a fatality (Piacentini 2003).…”

Section: Introductionmentioning

confidence: 99%

Horse and Buggy Crash Study I: Common Crash Scenarios between a Motor Vehicle and the Amish / Old Order Mennonite Horse and Buggy

Anderson¹

2014

Journal of Amish and Plain Anabaptist Studies

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Horse and buggy transportation is spreading as rapidly as its Amish and Old Order Mennonite users are, as are buggy crashes with motor vehicles. This study examines the primary causes of 76 reported horse and buggy crashes in Pennsylvania in 2006. The main crash types identified include a motorist rear-ending a forward-moving buggy, a motorist striking the buggy while attempting to pass, buggy struck while crossing an intersection, and buggy struck while making a left turn. While causative factors varied, major factors include the motorist or buggy driver incorrectly comprehending speed differentials, the motorist acting carelessly around the buggy, and miscommunication between the motorist and buggy driver. Within these crash types, buggy conspicuity was not commonly a potential cause.

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Section: Introductionmentioning

confidence: 99%

Horse and Buggy Crash Study I: Common Crash Scenarios between a Motor Vehicle and the Amish / Old Order Mennonite Horse and Buggy

Anderson¹

2014

Journal of Amish and Plain Anabaptist Studies

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“…The average length of a hospital stay for caustic ingestion is 3 days, 12 with associated costs only part of the total cost if the injury is severe. One study reviewed data from a 30-year time period and found 34 patients having second and third degree burns from caustic ingestion.…”

Section: Discussionmentioning

confidence: 99%

“…A study describing the epidemiology of trauma in Amish children found 6 of 11 toxic ingestions (at one hospital over 7 years) caused by ingestion of pipeline cleaner. 12 The following is a case report of caustic ingestion of dairy pipeline cleaner by a young child in Wisconsin.…”

Section: Introductionmentioning

confidence: 99%

Farming-Related Caustic Ingestion by a 2-Year-Old: Innocent Play with Costly Results

Al-Kassar

Knobloch

2009

Journal of Agromedicine

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Young children continue to ingest caustic materials while playing in farm work areas. However, recent agricultural safety and health literature scarcely mentions caustic ingestion, and national incidence data specific to childhood caustic ingestion occurring on farms were not found. We present a case report of a 2-year-old child who, while playing with her brother, ingested dairy pipeline cleaner (an alkali). This case, although not unique, raises concerns about current prevention efforts related to the use and storage of chemicals on farms, long-term medical problems and associated costs, and the level of tolerance regarding the intermingling of innocent child play with adult work.

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“…The speed differences between high-speed automobile traffic and the brittle, slow-moving buggies of the Old Orders are a crash hazard, and indeed, are one of the top risks of severe injury for Old Order populations (Aaland and Hlaing 2004;Anderson 2014;Vitale et al 2006). The sooner a motorist is able to identify a buggy as a buggy, and hence a slow-moving vehicle, the more time he has to react.…”

Section: Introductionmentioning

confidence: 99%

Horse and Buggy Crash Study II: Overstretching the Slow-Moving Vehicle Emblem's Abilities: Lessons from the Swartzentruber Amish

Anderson¹

2014

Journal of Amish and Plain Anabaptist Studies

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For decades, the Swartzentruber sect of Amish have, for religious reasons, rejected state-level mandates for horse-drawn buggies to display the S.M.V. (slow-moving vehicle) emblem. Court cases in several states have suggested: (1) confusion over what the emblem is supposed to accomplish, and (2) questions about the emblem's superiority to alternatives. Synthesizing evidence presented in several court cases involving the S.M.V. emblem and the Swartzentruber Amish, this study clarifies what the S.M.V. emblem can be expected to accomplish and in which domains it reaches its limits. The evidence is organized categorically and presented as a series of cues presented to the motorist. Findings suggest that while S.M.V. emblem serves well as a generic indicator of something demanding attention, it is less effective in symbolic communicating what it is that needs attention and the motorist's approaching time. Further, the S.M.V. emblem may be counterproductive when a motorist passes a buggy, as the bright splash of color draws attention to the center of the buggy rather than communicating buggy width.

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The impact of pediatric trauma in the Amish community

Cited by 23 publications

References 15 publications

Horse and Buggy Crash Study I: Common Crash Scenarios between a Motor Vehicle and the Amish / Old Order Mennonite Horse and Buggy

Horse and Buggy Crash Study I: Common Crash Scenarios between a Motor Vehicle and the Amish / Old Order Mennonite Horse and Buggy

Farming-Related Caustic Ingestion by a 2-Year-Old: Innocent Play with Costly Results

Horse and Buggy Crash Study II: Overstretching the Slow-Moving Vehicle Emblem's Abilities: Lessons from the Swartzentruber Amish

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