A child is in serious condition after falling out of a moving pickup truck and being run over by the food wagon it was towing — a grim reminder of how dangerous riding in a truck bed can be.

• The 11-year-old lost his balance and fell from the back of the pickup in the Volcano area on Hawaii Island.
• He was run over by the food trailer the truck was pulling behind it.
• He was flown to Kapiolani Medical Center on Oahu and is recovering from serious injuries.
• The crash puts a spotlight on state rules limiting who can ride in an open truck bed.

Outlook: Police are still investigating, and the case is likely to renew attention on truck bed passenger safety laws.