adult-worn child carriers: a potential risk for injury
Target- Check and describe the types of injuries associated with adults The worn-out child harness means parents need to use these products with care. Methods— A literature search was conducted for baby straps, backpack straps, baby straps and baby straps. Information was also obtained and listed from a database of three consumer product safety committees: the National Electronic Injury Monitoring System (NEISS), the In- Deep investigation file and injury/potential injury incident file. Results— No injuries were reported in the medical literature. In the NEISS database, 51 injuries were reported between January 1990 and September 1998. Of these injuries, 38 (74. 5%) Head trauma and 8 (15. 7%) Facial trauma. 51 injured and 11 injured (22%) Hospital treatment requiredConclusions— According to the data provided in this article, injuries related to the use of adults The worn children\'s shoes appear to come from three general sources: the suitability and design of the product, the condition of the product and the use of the product. Health providers must assist in disseminating information to parents about the safe use of these products to prevent harm. Document Retrieval of database Medline (1985–98) Health Source Plus (1984–98) And Academic Search Elite (1980–98)was performed. Search terms used, including variants, include: baby strap, backpack strap, baby strap, child strap and baby strap. Information was also sought from CPSC. The CPSC is an \"independent federal regulator designed to protect the public from unreasonable harm and risk of death associated with about 15 000 consumer goods \". As part of the consumer protection task, the CPSC maintains three databases :(1) National Electronic Injury Monitoring System (NEISS) , A database containing the injury statistics of hospital samples represented by the National Hospital Emergency Room Statistics ,(2)the In- Documents for in-depth investigation (INDP) , A database containing reports and survey summaries of product-related injuries, and (3) Injury/potential injury incident file (IPII) A hotline report, a newspaper account related to the product, a report from a medical examiner, and a database of letters involving accidents in consumer goods. These databases are searched using terms such as baby straps, slings and backpacks. A narrative description of each case captured in the search was reviewed. The analysis included data on appropriate cases from January 1990 to September 1998. As a result, there is no report on the use of related injuries in adults Worn-out child carriers were found in peer-reviewed medical literature. Analysis of CPSC data showed 75 cases in the NEISS database. 51 of these reported cases (68%) Included in the analysis; The remaining 24 cases were excluded because they reported damage to unrelated products. IPII includes 34 reports of injuries. Hazards and patterns of damage include: fabric tearing, zipper unzipping or separation, broken hook or fastening rings, baby falling from the opening of the leg, broken strap, stitched unfastening, broken snap or bracket, parents fell down while taking their children. Six investigations were reported by INDP. The most common type of injury investigated was a skull fracture that occurred after a fall in the leg opening of the previous type of carrier in less than 6 months old, and some people used the restricted band despite the use. In the NEISS database, 31 patients (61%) It\'s a boy. The average age is 7. 6 months ( 95% confidence interval 5. 7 months to 9. 4 months). Table 1 summarizes the type and location of the injury. 38 patients suffered head injuries (74. 5%)and 16. 7% of patients had facial trauma. Wounds and bruises were reported among 45 people. 1% of patients and 33. 3% had a concussion. Although the cpsc neiss database reports no deaths in children with adult injuries Nearly 18% of all injured children need to be hospitalized, and nearly 4% need to be transferred to another medical institution for treatment (table 2). View this table: View inline View pop-up table 1 for all injuries in the NEISS database View this table by damage location layered damage type: inline View popup Table 2 patient results layered according to the damage location of all injuries in the NEISS database were recorded in the literature, discussing the accurate rate of product-related injuries obtained from the cpsc neiss database 4 because it is not clear whether these problems can be adequately corrected using statistical techniques, our aim is not to estimate the number of injuries or injury rates associated with adults Worn-out children\'s straps. Instead, we try to demonstrate the need to be careful with adults by reviewing the CPSC database information -- Worn-out children\'s straps. Injuries related to adult use- The worn children\'s shoes appear to come from three general sources: the suitability and design of the product, the condition of the product and the use of the product. In recent years, injuries related to product suitability have led to a recall of several models. 2 injuries may be due to poorly designed governance mechanisms, excessive leg openings, or the baby is too small to be placed safely in the baby backpack. Most product-specific instructions include weight-based guidelines. However, especially in infants, weight is only a rough indicator of size and strength. Therefore, although the caregiver may use the product according to the instructions, the baby may still not have enough size or strength to transport safely in a given model. On the other hand, for a particular model, the baby may be too big, too heavy or too strong, causing the zipper, fastener or strap to break or unravel and the baby to fall. The damage caused by the condition of the product may include old or poorly repaired carriers whose straps, zippers, buckles, fabric or fasteners break, tear or fall off in other ways, causing the baby to fall down. Caregivers must be picky about ensuring that their carrier is in good condition and repair all torn, torn or loose zippers and straps using appropriate materials that are durable enough. Special attention must be paid to used or used carriers. The way the product is used can also cause damage. For example, a benign action like removing a carrier can cause the carrier strap to break and the baby to fall. Care workers must pay attention to the physical and structural limitations of the carrier. When an adult carrying a child falls or travels, it may also cause injury, causing the baby to be thrown out or thrown off the carrier. The risk of falls and travel in adults is significantly increased as the activities that adults are doing are difficult. Due to the fall of the baby landing and the height of the surface, the damage associated with adult use The worn child strap may be severe. Most of the injuries reported in the NEISS database are head injuries, and 22% of the injuries require hospital treatment. There are currently no industry standards or regulations- Mandatory or voluntary Manage the manufacture of the baby backpack carrier, although each carrier has its own warning and instructions for use. While industry regulations are in the process of being developed, it may take several years to develop and implement ( Personal communication with CPSC compliance office, 1999; Personal communication with the youth product Manufacturers Association, 1999). In order to prevent injuries, it is important to educate caregivers on how to use adults most safely- Worn-out children\'s straps. Many consumer organizations publish information guides and brochures for parents about baby products. For example, the CPSC publishes a safety nursery that can be obtained on the CPSC website or directly from the CPSC. Many parenting books also contain safety information, and these public sources of information will undoubtedly continue to play an important role in the safety education of parents and caregivers. In addition, pediatricians, primary health care providers, other health care professionals and professional caregivers are currently and must continue to play an important and central role as reliable sources, accurate information, assist parents in their education process. References annisfeld E, Casper, Nozyce M, et al. Does carrying a baby promote attachment? Experimental study on increasing the influence of physical contact on attachment development. Child Dev 1990; 61:1617–27. Openurlcrosspubmedweb, Consumer Product Safety Committee of Science. Press Release (12/1998; 04/1999)( Including recall). Washington, DC: CPSC. Consumer goods safety committee of Consumer goods. Who we are, what we did for you. Washington, DC: CPSC. Web address: Vivo Weiss HB. Limitations of child injury data in CPSC National Electronic Injury Monitoring System: case of baby walker-related data. Inj Prev 1996; 2:61–6. Consumer Product Safety Committee. Safety nursery: brochure to help avoid injury to nursery furniture and equipment. Washington, DC: CPSC.