•Most rollover/back-over injuries are due to larger,
high-profile vehicles (such as trucks and sports
utility vehicles) with increased morbidity and
•In 10 percent of driveway fatalities, a child puts
the car in motion.
In addition to educating parents about the dangers of leaving their children unattended in and
around motor vehicles, the ACS endorses the following prevention activities:
•Support of legislation that impose fines on parents/
caregivers who leave children unattended inside
•Furthering of research, development, and installation of “back-over prevention devices” and
rearview cameras in trucks, minivans, and other
•Studies on the effectiveness of sensing devices that
would sound an alarm when a child is left in a
car seat and the key has been removed from the
•Further research on the effectiveness of devices
that would prevent children from being able to
start a vehicle ♦
Agran PF, Winn D, Castillo D: Unsupervised children
in vehicles: A risk for pediatric trauma. Pediatrics.
1991; 87( 1): 70-73.
Fenton SJ, Scaife ER, Meyers RL, Hansen KW, Firth SD: The
prevalence of driveway back-over injuries in the era of
sports utility vehicles. J Pediatr Surg. 2005; 40( 12):1964-1968.
KidsAndCars.org. 2013. National statistics. Available at:
November 23, 2015.
Nader EP, Courcoulas AP, Gardner ME, Ford HR. Driveway
injuries in children: Risk factors, morbidity, and mortality.
Pediatrics. 2001;108( 2):326-328.
Patrick DA, Bensard DD, Moore EE, Partington MD, Karrer
FM. Driveway crush injuries in young children: A highly
lethal, devastating, and potentially preventable event.
J Pediatr Surg. 1998; 33( 11):1712-1715.
Pinkney KA, Smith A, Mann C, et al: Risk of pediatric back-over injuries in residential driveways by vehicle type.
Pediatr Emerg Care. 2006; 22( 6):402-407.
U.S. Department of Transportation. National Highway Traffic
Safety Administration. Traffic Safety Facts. Not-in-traffic-surveillance: Child fatality and injury in nontraffic
crashes, 2008 to 2011 statistics. Available at: www-nrd.
nhtsa.dot.gov/Pubs/811812.pdf. Accessed November 6,
More than 50 percent of the deaths are caused by
a child being run over by a motor vehicle in the
driveway or while the vehicle is backing up. In
these incidents, the driver is usually a parent.