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September 1989

Falls From Pickup Trucks During Childhood

Author Affiliations

Children's Health Center St Joseph's Hospital and Medical Center 350 W Thomas Rd Phoenix, AZ 85013

Am J Dis Child. 1989;143(9):997-998. doi:10.1001/archpedi.1989.02150210013004

Sir.—Infants and children who are ejected or who fall out of the rear beds of pickup trucks present a significant but underreported health care issue. Most legislation dealing with child restraint or seat belts issues do not adequately address this problem. We present two cases of children ejected from the rear bed of a pickup truck.

Patient Reports.—Patient 1.—A 6-year-old right-handed Navajo boy fell from the back of a pickup truck that was traveling approximately 25 mph over a bumpy rural road. The child struck the frontal portion of his head and experienced a loss of consciousness for a few minutes. After initial evaluation and stabilization, he was transported to our institution. His vital signs on arrival included a heart rate of 70 beats per minute, a blood pressure of 120/65 mm Hg, and a respiratory rate of 20 breaths per minute. Neurologically, he had a