West Central Regional Trauma Advisory Council
Child Safety Seats/Car Seats
Is Your Child At Risk?
Every day, children sustain serious injuries and die in motor vehicle crashes. Many of these injuries and deaths can be avoided with the correct use of child safety seats and safety belts. However, many adults are unaware they are using the safety restraint incorrectly, thereby placing their child at risk. Many safety experts believe that between 80 percent to 90 percent of child safety seats are installed and/or used incorrectly. Because children are not small adults, they need special protection when traveling in motor vehicles. Their bodies are very different from ours. Their skulls are more fragile, theirs heads are proportionately larger, their rib cage is thinner, and they're shorter.
Types of Child Safety Restraints
Infant Seats. Infant seats are designed for babies from birth until at least 20 pounds and one year of age. They must ride rear-facing in their safety seats until they are at the appropriate size/age to move to ...
Convertible Safety Seats. These seats convert from rear-facing for infants to forward-facing for toddlers weighing at least 20 pounds. Children should remain in a forward-facing seat from 20 pounds until they reach approximately 40 pounds and four years of age. Then they should graduate to ...
Booster Seats. These seats are used as a transition to safety belts by older kids who have clearly outgrown their convertible seat and are not quite ready for the vehicle belt system.
Safety Belts. When a child is old enough and large enough to "fit" an adult safety belt, they can be moved out of a booster seat. To "fit" a safety belt properly, the lap belt should fit snugly and properly across the upper thighs and the shoulder strap should cross over the shoulder and across the chest.
How Child Restraints Work
Babies, toddlers and young children are physiologically different from adults, teenagers and even older children. Because of their small stature and because their musculoskeletal systems are not fully developed, seat belts cannot provide a proper and safe means of restraining young children in the event of a crash. Safety seats are engineered to provide the added protection children require.
Child safety restraints provide a "ride-down" benefit during rapid deceleration. If properly installed, child restraints work to allow the child's body to stop as the vehicle is slowing, reducing the forces on the child's body and preventing contact with hard surfaces inside the vehicle, with other occupants, the road, or other vehicles.
Child safety seats also act to spread crash forces over a broad area of the body, thereby reducing forces on any particular part of the body, and distributing these forces to the strongest parts of the skeleton (hips, back and shoulders).
What You Can Do ...
Never place an infant in a rear-facing child safety seat in the front seat of a vehicle with a passenger-side air bag. The force of the deploying air bag will hit the seat (because of its close proximity to the dashboard) and can seriously injure or kill an infant. Remember: All infant seats must be rear-facing, so the only safe place to install it is in the back seat.
Children should ride properly restrained in the back seat whenever possible. Children are much safer (approximately 29 percent) the farther they are from the point of impact -- most commonly a frontal crash.
It is critical that both the shoulder and lap portion of the safety belt be used. However, if the best system does not fit properly the child should be secured in a child restraint. If a child must be seated in the front seat, always move the vehicle seat as far back as possible (particularly with a passenger-side air bag).
Be a role model. Always buckle up.