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In the Spotlight

December 19, 2000

Kids In The Car: Safety And Satisfaction

By Valerie Banarie, RN, BSN, CLC

PersonalMD.com Medical
Contributor


With all the choices of car seats for your child these days, walking down the aisle trying to decide can be a daunting experience. There are seats that face forward, face backward, separate from their base to become infant carriers, convertible seats, booster seats for toddlers, and on and on. Remember when the only decision regarding baby products related to color?

All 50 states require that children ride in appropriate child seats, yet car crashes continue to be the most common cause of serious injury or death in childhood. In many cases, the car seat, if used at all, was not installed properly, or the child was not properly placed and restrained in a seat appropriate for their weight and age.

When using a car seat, it is important to remember the following basic guidelines and always follow the manufacturer's instructions. If the instructions have been lost, call the manufacturer and request a copy.

Age And Weight Of The Baby

  • All infants under the age of one year AND weighing less than 20 pounds must ride facing the rear of the   car.

  • Children over the age of one year AND weighing more than 20 pounds may ride facing the front of the car.
  • Children must be restrained in an approved car seat until they weigh more than 40 pounds.

    Car Seat Location

    A car seat, which fits the child, provides maximum safety to the child. There are three basic types:
  • Rear facing infant seats are designed for babies from birth until at least 20 pounds and one year of age

  • Convertible safety seats convert from rear facing to forward facing for toddlers between one and four years of age, who weigh between 20 and 40 pounds

  • Older kids who have clearly out grown their convertible seat but are not quite ready for the vehicle's belt system use booster seats as a transition to safety belts.

  • Car Seat Location

  • The safest place for children under 12 years of age is always the back seat.br>
  • NEVER place an infant in a rear-facing car seat in the front seat of a car with a passenger-side air bag. Even in a low speed crash, if the air bag inflates, it can cause serious injury or death.
  • If you absolutely cannot avoid placing a child in the front seat of a car that has a passenger-side airbag, move the seat as far back (away) from the airbag as possible, and be certain the child does not move forward. The best choice would be a child in a front-facing car seat, as the seat will keep the child from moving about.


  • Proper Placement Of The Child In The Car Seat

  • Be certain that the harness is threaded through the correct slots for your child's size.

  • The harness straps must be placed over the child's shoulders.
    If there is a plastic clip on the harness, it must be placed at the level of the child's armpits to keep the straps together and the harness snug.

  • The child should be wearing clothing that will allow the straps to go between the child's legs. Very bulky clothing should be avoided.

  • Do not swaddle a newborn in a blanket before placing in the car seat, as the straps will not fit over the shoulders or between the legs. Rather, properly buckle the child into the seat and then tuck a blanket around them.

  • Make certain that the seat is reclined enough to prevent the newborn's head from falling forward. The manufacturer's instructions should explain how to do this for your particular car seat.

  • If a newborn slumps against the sides of the seat, use towels or blankets to pad the area around the baby. You can also purchase an insert that will help support the baby's head.


  • Additional Points to Keep in Mind

  • Never hold a baby in your lap while riding in a car. In a sudden stop, the baby will fly forward, as you will be unable to keep your arms around it.

  • Never place a seat belt around yourself and a child. In a sudden stop, your weight will press the child against the seat belt with enough force to cause major internal injuries.

  • Children over 40 pounds should ride in a booster seat until they are large enough that the seat belt and shoulder harness of the car fits them properly. Seat belts and shoulder harnesses are made for adults, and can cause severe injury if not placed properly around a child. The lap belt should be low and snug over a child's hips, and the shoulder harness should fit across the shoulder, not the neck or face.

  • Never tuck the shoulder harness under the child's arm or secure behind the child's back.

  • A car seat that has been in a crash should be replaced whether or not it appears to be damaged. Such damage will not always be visible.

  • Keeping Them Satisfied

    Keeping the kids satisfied in the car is always a tough job. Try keeping them involved with games, audiocassettes with stories and music, reading books, painting books and of course their favorite toys and snacks.

    By keeping them satisfied, properly securing your child's car seat to the car and the child within the proper seat for their age and weight, you will be doing all you can to keep them safe while on the road.



      




     
         
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