Childhood injuries associated with ATVs are a serious and increasing problem in rural areas, where the vehicles' off-road capability makes them popular for agricultural and other utilitarian purposes, as well as for recreation.
Arkansas Children's Hospital in Little Rock was one of several Injury Free hospitals that focused on reducing ATV-related injuries in the rural sections of their service areas. At the time, Arkansas Children's was admitting, on average, one child a week with a serious ATV-related injury and treating many more in the emergency room.
The Little Rock team analyzed ATV injury incidence and patterns, including so-called clothesline injuries—neck and facial wounds sustained from striking a clothesline, wire fence or other overhead obstacle. (The study concluded that clotheslines injuries constituted a serious problem and underlined the need for improved ATV injury-prevention efforts and parental education, the authors reported in Pediatric Emergency Care.)