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Injury Information


     Protective devices (safety equipment) in use or worn by the patient at

the time of the injury. 


Additional Information

  • Check all that apply.
  • If “Child Restraint” is present, complete variable “Child Specific Restraint.”
  • If “Airbag” is present, complete variable “Airbag Deployment.”
  • Evidence of the use of safety equipment may be reported or observed.
  • Lap Belt should be used to include those patients that are restrained, but not further specified.
  • If chart indicates “3 point restraint” choose 2 and 10.



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