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Pediatric Equestrian Injuries:Assessing the Impact of Helmet Use Pediatrics 95:487-488, Bond,G.R.,et al, 1995 See this aricle in Pubmed Article Abstract During the two-year period of the study,32 children were evaluated.Two children were injured when a horse stepped on them.Thirty children fell from or were thrown from a horse.Of these,20 were wearing a helmet.Head injuries were more frequent in those patients not wearing helmets.The mean Modified Injury Severity Scale(MISS)score for riders without a helmet(12. 9)was significantly higher(more severe)than that for helmeted riders(2.8). All three patients with a Glascow Coma Score<15 on arrival were not wearing a helmet at the time of injury.The frequency of hospitalization was significantly higher for those not wearing a helmet.Compared with other common mechanisms of childhood injury the mean Modified Injury Severity Scale score of injured riders was exceeded only by that of pedestrians struck by a car.Equestrian injuries are more severe than those suffered from other common pediatric mechanisms.Helmet use is associated with decreased frequency and severity of central nervous system injury.

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