The latest version of the pediatric report of the National Trauma Databank (NTDB) contains 221,451 records from U.S. trauma centers from 2000 to 2004 . In this report, blunt mechanisms of injury including motor vehicle crashes (43%) and falls from a height (19.9%) account for the majority of injuries, whereas penetrating injuries comprise only 9% of the total . Trauma is the leading cause of death in children between ages 1 and 14 years in the United States . Injury-related death in childhood is also a global problem as it is the leading cause of death in both industrial and developing countries . Nearly 16,000,000 children visit emergency departments for injuries each year. Of those, 15,000 die and 20,000 are disabled. There are nearly 10 million pediatric injury-related primary care visits in the U.S. annually . In fact, injury is the principal reason for medical spending for children 5-14 years of age . These figures underscore the public health impact of pediatric trauma in contemporary society.
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