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Accidents - All-terrain vehicles - 6-15 years old - Year 2008 - Lower Trunk

 



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Number Of Accidents (Estimate): 1,809
See also: Other years, Other age groups, Other products, Other body parts.

Accidents - Sex

Accidents - Race

National Electronic Injury Surveillance System Accidents Records


Date: 12/27/2008Age: 11 yearsSex: FemaleRace: White
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Strain, Sprain
Product: All-terrain vehicles
FOUR WHEELER ACCIDENT. DX LUMBAR SPRAIN
Disposition: Treated and released or examined and released without treatment


Date: 12/17/2008Age: 8 yearsSex: FemaleRace: Not stated in ER record
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles, Sleds
DX ABRASION ADB: W BE'G PULLED BY A 4-WHEELER ATV ON A SELD; DRIVER STOP'D AND PT SLID UNDERNEATHER HIT'G EPIGASTRIUUM ON AXLE
Disposition: Treated and released or examined and released without treatment


Date: 11/25/2008Age: 13 yearsSex: FemaleRace: White
Location: Street or highwayFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PATIENT RIDING ATV, LANDED ON PAVED ROAD PARTIALLY TRAPPED BY ATV IN MU D, NOT WEARING HELMET; HIP ABRASION
Disposition: Treated and released or examined and released without treatment


Date: 11/16/2008Age: 8 yearsSex: MaleRace: White
Location: Farm/ranchFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
WAS DRIVING A 4 WHEELER HIT A BUMP AND WAS THROWN WEARING A HELMET LOW BACK PAIN ...CONTUSION
Disposition: Treated and released or examined and released without treatment


Date: 11/16/2008Age: 10 yearsSex: FemaleRace: White
Location: Street or highwayFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PT RECEIVED HIP CONTUSION WHEN WAS INVOLVED IN ATV ACCIDENT ON APPLETON ROAD.
Disposition: Treated and released or examined and released without treatment


Date: 11/01/2008Age: 8 yearsSex: MaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
CRASHED 4 WHEELER;DX CONTUSED LOWER TRUNK, NO HELMET
Disposition: Treated and released or examined and released without treatment


Date: 11/01/2008Age: 12 yearsSex: MaleRace: White
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles
LOWER BODY PARALYSIS--DRIVER OF ATV-WENT DOWN A HILL INTO A CREEK-FLIPP ED ATV-NO HELMET OR PROTECTIVE GEAR-ATV ON TOP OF PT
Disposition: Treated and admitted for hospitalization (within same facility)


Date: 10/18/2008Age: 13 yearsSex: MaleRace: Not stated in ER record
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Inter Organ Injury
Product: All-terrain vehicles, Plants, trees and shrubs
RIDING ATV, ACCIDENTALL DROVE OVER A TREE STUMP, WHEEL TURNED&THE HANDL E BARS HIT PT'S ABDOMEN, NOW WITH HEMATURIA >> HEMATURIA
Disposition: Held for observation


Date: 10/15/2008Age: 15 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PT RIDING *** *** IN 3RD GEAR WHEN PT CAME OFF. PT UNSURE IF IT ROLLED. JUST STATES "FELL OFF". D:SUPERF. ABRASIONS, HIP/THIGH, STRAIN.
Disposition: Treated and released or examined and released without treatment


Date: 09/28/2008Age: 15 yearsSex: MaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PATIENT HAD 4-WHEELER WRECK. DX; CONTUSION TO RIGHT HIP
Disposition: Treated and released or examined and released without treatment


Date: 09/24/2008Age: 13 yearsSex: MaleRace: White
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
13YOM RIDING HIS *** ROLLED IT FELL OFF STRIKING LOWER BACK; BACK CONTU SION
Disposition: Treated and released or examined and released without treatment


Date: 09/23/2008Age: 14 yearsSex: FemaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles, Plants, trees and shrubs
14 YOF WAS RIDING *** AND HIT TREE, HANDLEBARS HIT SUPRAPUBIC AREA ABDO MINAL TRAUMA
Disposition: Treated and released or examined and released without treatment


Date: 09/21/2008Age: 11 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PATIENT FELL OFF BACK OF ATV ONTO BUTTOCKS,WAS WEARING HELMET; BUTTOCK/ BACK CONTUSION, ARM ABRASIONS
Disposition: Treated and released or examined and released without treatment


Date: 09/21/2008Age: 15 yearsSex: MaleRace: Not stated in ER record
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PT FELL OFF AN ATV LANDED ONTO BACK SUSTAINED ABRASIONS TO LOWER BACK A ND FACE
Disposition: Treated and released or examined and released without treatment


Date: 09/15/2008Age: 11 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Strain, Sprain
Product: All-terrain vehicles
FELL OFF 4 WHEELER. DX STRAIN ACUTE LUMBOSACRAL
Disposition: Treated and released or examined and released without treatment


Date: 09/14/2008Age: 10 yearsSex: FemaleRace: Not stated in ER record
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Strain, Sprain
Product: All-terrain vehicles
FELL OFF 4-WHEELER AND WAS STRUCK BY ANOTHER 4-WHEELER AT MOTOCROSS TRACK DX: STRAINED LOW BACK WITH PAIN
Disposition: Treated and released or examined and released without treatment


Date: 09/06/2008Age: 14 yearsSex: MaleRace: White
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
WAS ON AN ATV, WHEN IT FLIPPED OVER ON HIM, DIDN'T GET KNOCKED OUT, BUT AMNESIA TO EVENT, AT FIRST.SCRAPES OVER BODY. DX: ABRASIONS LOWER BODY
Disposition: Treated and released or examined and released without treatment


Date: 09/06/2008Age: 6 yearsSex: FemaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles
FELL OFF OF A FOURWHEELER ABD. PAIN
Disposition: Treated and released or examined and released without treatment


Date: 09/03/2008Age: 13 yearsSex: FemaleRace: White
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Strain, Sprain
Product: All-terrain vehicles
WENT CAMPING, & WAS RIDING AN ATV, ALOT, BACK PAIN FROM POSSIBLE STRAIN DX: BACK STRAIN
Disposition: Treated and released or examined and released without treatment


Date: 09/02/2008Age: 10 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles, Plants, trees and shrubs
PATIENT RAN INTO A TREE WHILE RIDING 4 WHEELER, HIT UPPER LEG, GROIN AR EA ON HANDLEBARS, HURTS TO WALK; GROIN PAIN
Disposition: Treated and released or examined and released without treatment


Date: 08/23/2008Age: 8 yearsSex: FemaleRace: Not stated in ER record
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Laceration
Product: All-terrain vehicles
RIDING 4 WHEEL ATV WEARING HELMET, RAN INTO BARRIER BETWEEN GARAGE BAYS RAN UP OVER HANDLEBARS, DID NOT FALL OFF; ABDOM LAC., THUMB INJURY
Disposition: Treated and released or examined and released without treatment


Date: 08/04/2008Age: 15 yearsSex: MaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
FOUR-WHEELER WRECK TONIGHT CONTUSION ABDOMEN *
Disposition: Treated and released or examined and released without treatment


Date: 07/26/2008Age: 8 yearsSex: FemaleRace: Not stated in ER record
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles, Plants, trees and shrubs
CONTUSION ABDOMEN - 8 YOF WAS UNHELMETED PASSENGER ON ATV THAT RAN INTO A TREE - SITTING IN FRONT OF DRIVER AND WAS FORCED INTO STEERING COLUM
Disposition: Treated and released or examined and released without treatment


Date: 07/12/2008Age: 15 yearsSex: FemaleRace: Not stated in ER record
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles, Fences or fence posts
PT WAS HELMETED RIDER OF AN ATV THAT STRUCK A FENCE POST. ATV ROLLED OV ER ON HER. POSSIBLE LOC. IS AMNESTIC. HAS ABD PAIN. DX ABD CONTUSION
Disposition: Treated and admitted for hospitalization (within same facility)


Date: 07/07/2008Age: 12 yearsSex: FemaleRace: White
Location: Street or highwayFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles
LOW BACK PAIN, 12 YOF, FELL OFF OF 4 WHEELER, IT LANDED ON HER.
Disposition: Treated and released or examined and released without treatment


Date: 07/06/2008Age: 14 yearsSex: FemaleRace: Other
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PT ON *** ATV WHICH ROLLED. PT LANDED ON HIP.NO HELMET. D: ABRASION.
Disposition: Treated and released or examined and released without treatment


Date: 07/06/2008Age: 15 yearsSex: MaleRace: Not stated in ER record
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Fracture
Product: All-terrain vehicles, Plants, trees and shrubs
PT RIDER OF A FOUR WHEELED ATV AND LOST CONTROL RAN INTO A TREE AND FRA CTURED LOWER BACK
Disposition: Treated and admitted for hospitalization (within same facility)


Date: 06/30/2008Age: 13 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Fracture
Product: All-terrain vehicles
PATIENT WAS DRIVER OF 4 WHEELER BRAKES LOCKED UP AND EJECTED PT AND PASSENGER OVER HANDLEBARS, C/O HIP, HUMERUS PAIN. DX-FX PELVIS.
Disposition: Treated and transferred to another hospital


Date: 06/30/2008Age: 13 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Crushing
Product: All-terrain vehicles
PASSENGER ON 4 WHEELER WITH BRO. WHEN BRAKES LOCKED UP 4 WHEELER LANDED ON TOP OF PT., NO HELMET. DX-CRUSH INJ. INTRAABDOMEN, LACE KNEE.
Disposition: Treated and transferred to another hospital


Date: 06/30/2008Age: 12 yearsSex: MaleRace: White
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PASSENGER OF 4 WHEELER THAT RAN INTO A TREE AT 30MPH - HELMETED HIP CONTUSION // SAME AS # 7883
Disposition: Treated and released or examined and released without treatment


Date: 06/30/2008Age: 9 yearsSex: FemaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PATIENT HAD ATV ACCIDENT AT FRIEND'S HOUSE YESTERDAY, HIT ABDOMEN ON HA NDLEBARS THEN HIT GROUND, TODAY WITH PAIN; ABDOMINAL CONTUSION
Disposition: Treated and released or examined and released without treatment


Date: 06/29/2008Age: 13 yearsSex: MaleRace: Not stated in ER record
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PT ON A FOUR WHEELER ATV AND FLIPPED OFF CONTUSION TO LOWER BACK
Disposition: Treated and released or examined and released without treatment


Date: 06/18/2008Age: 8 yearsSex: MaleRace: White
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles
PT WITH PAIN TO TAILBONE AFTER BEING PULLED OFF 4 WHEELER
Disposition: Treated and released or examined and released without treatment


Date: 05/31/2008Age: 9 yearsSex: MaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PT FELL OFF OF ATV AND WAS RUN OVER BY IT. DX: ABDOMINAL ABR.
Disposition: Treated and released or examined and released without treatment


Date: 05/10/2008Age: 9 yearsSex: FemaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles
PATIENT WITH H/O GLOMERULAR BASEMENT MEMBRANE DISEASE, RIDING 4 WHEELER TODAY AND HAVING SHARP,STABBING ABDOMINAL PAIN;ABDOMINAL PAIN
Disposition: Treated and released or examined and released without treatment


Date: 05/06/2008Age: 9 yearsSex: FemaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PATIENT WAS RIDING 4 WHEELER, THROWN OFF, NO HELMET. DX-ABRASIONS ABDOMINAL WALL AND ELBOW.
Disposition: Treated and released or examined and released without treatment


Date: 05/04/2008Age: 12 yearsSex: FemaleRace: White
Location: Place of recreation or sportsFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Strain, Sprain
Product: All-terrain vehicles
PT C/O WRECK ON 4 WHEELER. DX MULTI ABRASIONS CONT LFT HSOUDER STRAIN L UMBAR.
Disposition: Treated and released or examined and released without treatment


Date: 05/03/2008Age: 6 yearsSex: MaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PT WAS SITTING ON 4-WHEELER AND HIT THE GAS AND THE 4 WHEELER FLIPPED O VER ON PATIENT. DX: CONTUSION LOWER BACK
Disposition: Treated and released or examined and released without treatment


Date: 04/29/2008Age: 10 yearsSex: FemaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles, Refrigerators
PATIENT WRECKED ON 4 WHEELER INTO FRIDGE, OR SHELF, OR BOXES, DID NOT F ALL OFF; BACK/SHOULDER PAIN
Disposition: Treated and released or examined and released without treatment


Date: 04/26/2008Age: 13 yearsSex: FemaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
PT RIDING ATV W/HELMET ON, HIT STEERING WHEEL & FLIPPED OFF,C/O ABD PAI N,VOMITING & DIARRHEA,ABD ABRASIONS;ABD ABRASIONS/PAIN,PULMONARY EDEMA
Disposition: Treated and admitted for hospitalization (within same facility)


Date: 04/19/2008Age: 13 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Hematoma
Product: All-terrain vehicles
13 YO MALE FLIPPED OVER HANDLEBARS ON ATV HEMATOMA KIDNEY
Disposition: Treated and admitted for hospitalization (within same facility)


Date: 04/18/2008Age: 14 yearsSex: FemaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Other
Product: All-terrain vehicles, Poles
PT RECEIVED MILD TRAUMA TO HIP WHEN HIT A POST WHILE ON 4-WHEELER.
Disposition: Treated and released or examined and released without treatment


Date: 04/17/2008Age: 15 yearsSex: MaleRace: White
Location: SchoolFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
FELL FROM FOUR-WHEELER AT SCHOOL RIDING DOWN A HILL CONTUSION LT HIP *
Disposition: Treated and released or examined and released without treatment


Date: 04/08/2008Age: 13 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
FLIPPED 4-WHEELER/ABDOMINAL CT
Disposition: Treated and released or examined and released without treatment


Date: 03/31/2008Age: 14 yearsSex: MaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
FLIPPED 4 WHEELER AND CONTUSED ABDOMEN
Disposition: Treated and released or examined and released without treatment


Date: 03/31/2008Age: 13 yearsSex: FemaleRace: Black/African American
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Strain, Sprain
Product: All-terrain vehicles
PT RECEIVED CONTUSION TO LOWER LEG AND SPRAIN LOWER BACK WHEN THROWN FROM 4-WHEELER.
Disposition: Treated and released or examined and released without treatment


Date: 03/09/2008Age: 13 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles, Plants, trees and shrubs
RIDING A 4 WHEELER, SSTRUCK A TREE, LOC. DX-CONTUSION LOWER LEG, AABRASIONS FACE, HIP, SYNCOPE.
Disposition: Treated and released or examined and released without treatment


Date: 03/02/2008Age: 8 yearsSex: FemaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
FELL OFF 4 WHEELER AT HOME DX ABRASION TO BUTTOCKS
Disposition: Treated and released or examined and released without treatment


Date: 02/25/2008Age: 12 yearsSex: FemaleRace: Other
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
FELL OFF 4 WHEELER;DX CONTUSED ABDOMEN
Disposition: Treated and released or examined and released without treatment


Date: 02/19/2008Age: 9 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Strain, Sprain
Product: All-terrain vehicles
RAN INTO PARKED CAR WHEN ON ATV;DX STRAINED LOWER BACK
Disposition: Treated and released or examined and released without treatment


Date: 02/17/2008Age: 7 yearsSex: MaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
RIDING ATV-ATV WENT UP, HANDLEBARS POSS HIT ABD, ABD PAIN SINCE, CONTUS ION ABDOMINAL WALL
Disposition: Treated and released or examined and released without treatment


Date: 02/02/2008Age: 9 yearsSex: FemaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
ATV FLIPPED;DX CONTUSED BACK
Disposition: Treated and released or examined and released without treatment


Date: 01/08/2008Age: 6 yearsSex: MaleRace: Other
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
CONTUSED LOWER BACK WHEN ON 4 WHEELER
Disposition: Treated and released or examined and released without treatment


Date: 01/04/2008Age: 8 yearsSex: FemaleRace: White
Location: Not recordedFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Strain, Sprain
Product: All-terrain vehicles
4 WHEELER RAN OVER PT IN LOWER BACK REGION C/O PAIN IN THAT AREA, STRAI N-MUSCLE/BACK PAIN LOW BACK
Disposition: Treated and released or examined and released without treatment


Date: 01/01/2008Age: 8 yearsSex: FemaleRace: White
Location: HomeFire: No fire involvement or fire involvement not recorded
Body part: Lower TrunkDiagnosis: Contusion Or Abrasion
Product: All-terrain vehicles
LEFT HIP PAIN FOUR WHEELER ACCIDENT HIP CONTUSION #
Disposition: Treated and released or examined and released without treatment

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