If a child is struck by a car, the nurse should assess for:
1. Chest or femur injuries where the bumper may have impacted the child.
2. Liver injuries on the right side due to impact by the vehicle.
3. Lower extremity fracture caused by the wheels running over the child.
4. Kidney injury due to the impact of the vehicle on the lower back.
Chest or femur injuries where the bumper may have impacted the child.
Rationale: Children tend to freeze and face the vehicle and therefore end up with more frontal injuries than adults. So, depending on the height of the child and the height of the vehicle bumper, the impact occurs on the chest or femur. Adults usually try to escape and turn away from the vehicle, thus sustaining lateral injuries on the side of impact, such as liver, kidney, or lower extremity.
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