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We report five cases of serious isolated head injury inflicted on children by rear view mirrors mounted on vehicles (table 1). All the injuries occurred between 1996 and 2001 and were admitted to our unit. So far there has been scant reporting of this particular type of injury. The risk of injury from rear view mirrors to pedestrians can potentially be prevented by modification of vehicle design and use of new technology.
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In our series of five patients, all had serious head injuries requiring admission to the intensive care unit and three needed neurosurgical intervention. At follow up, two of the patients had persisting neurological problems. The cause of these head injuries was a very high pressure resulting from a force applied to a small area, in this instance a rear view mirror.
The relatively small surface area …
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Funding: none
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Competing interests: none declared