title: Tobogganing injuries in children.
abstract: OBJECTIVE
  To undertake a retrospective review of tobogganing-related injuries in children requiring admission to the Hospital for Sick Children, Toronto.
  
  
  METHODS
  Twenty-two children with tobogganing-related injuries were admitted between December 1991 and December 1993. There were 13 boys and 9 girls (median age, 10 years; range, 3 to 17 years). Their charts were reviewed using a structured proforma.
  
  
  RESULTS
  Nine patients (41%) sustained injuries by striking a tree, 8 struck other objects, and 5 fell from the toboggan. Only 1 was wearing protective headgear. The initial site of impact was the head in 13 patients (59%), the trunk in 5, and the extremities in 4. Major injuries were sustained in all body systems. Thirteen patients (59%) required surgical treatment and two patients died, one of cerebral edema and the other of acute renal failure and subsequent multiorgan failure.
  
  
  CONCLUSIONS
  Tobogganing-related injuries represent a small fraction of all injuries in children who require hospitalization. However, such injuries can be serious and can cause significant morbidity and mortality. Better public awareness of the risks of tobogganing is required and simple safety guidelines should be developed to reduce the risks of this popular winter pastime.
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000059:Accidents / Q000706:statistics & numerical data; D058186:Acute Kidney Injury / Q000453:epidemiology / Q000401:mortality; D000293:Adolescent; D001265:Athletic Injuries / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D001929:Brain Edema / Q000453:epidemiology / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000453:epidemiology; D005121:Extremities / Q000293:injuries; D005260:Female; D006260:Head Protective Devices / Q000706:statistics & numerical data; D006266:Health Education; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure; D009864:Ontario / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D012449:Safety; D012914:Snow; D013898:Thoracic Injuries / Q000453:epidemiology