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All-Terrain Vehicle Injuries: By Accident or by Design

Janine Jagger, MPH; Dee Vernberg, MPH; John A. Jane, MD, PhD
JAMA. 1986;256(4):474. doi:10.1001/jama.1986.03380040048025.
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To the Editor.—  The data presented on all-terrain vehicle (ATV) injuries in California by Drs Trager and Grayman1 in the April 25 issue were compelling. In Virginia, a Task Force on Head Injury has recently completed its work, part of which included an assessment of the role of ATVs as a cause of brain trauma. Reports were obtained from the Virginia Department of Motor Vehicles Crash Investigation Team, who evaluated the conditions under which ATV-related deaths and serious injuries occurred. Their reports showed that one or more of the following factors were present in the ATV crashes studied between Sept 1, 1983, and May 31, 1985: high speed (>25 mph), low operator age (the youngest injured operator was 5 years old), public road use, three-wheel ATV design, and no protective clothing. In fatal crashes, massive brain or spinal cord injuries were present.In light of the available information, the task


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