| National Safe Kids |
The
tips and facts on this page are from the national Safe
Kids website.
Review studies and learn in detail about how to protect you
and your family from dangers in cars HERE
at their website. |
| Contact |
Mailing Address
Safe Kids Cenral Virginia Coalition:
PO Box 803
Amherst, Virginia 24521 E-mail:
info@safekidscva.org
President:
Doug Childress
Coordinator: Kimberly
Maddox
434-841-5122 |
| History |
| On May 18, 2001, Central Virginia Safe
Kids got together for an organizational first time meeting.
Central Virginia Safe Kids is a non-profit organization
that fully relies on local businesses for Financial support
and volunteers.
After a year of operating as a "chapter"; Central
Virginia Safe Kids became a Coalition through the National
SAFE KIDS Campaign in August 2002. Now eligible for numerous
grants and other additional opportunities for programming,
Central Virginia Safe Kids is quickly growing!
Any business or organization who wishes to be a part of
Central Virginia Safe Kids by volunteering time or financially
supporting programs are encouraged to attend monthly meetings. |
| |
The Basics
Why should I use child safety seats and safety belts?
What is the safest way to transport my child in a vehicle?
What should I know about installing my child's safety
seat?
Why should I be concerned about using second hand seats?
Why do child safety seats need to be replaced after
a crash?
Where can I receive more child safety seat information?
I'd like to help! How can I become a child passenger
safety technician?
Selecting a Child Safety Seat
Which child safety seat is the safest?
When can I turn my infant forward facing?
My son's feet are touching the back of the vehicle
seat. Should I turn him to face front now?
Are convertible child safety seats with tray shields,
rather than five-point harnesses, safe?
How will I know when my child has outgrown his forward-facing
child safety seat?
Why do you recommend booster seats for children up
to age 8?
All of the boosters I've found require shoulder belts,
but my car only has lap belts in the back seat. What can I do?
How do I know when my child is ready to graduate from
a booster seat to a safety belt alone?
Should I buy a used child safety seat?
Are integrated child safety seats as safe as those
bought separately?
My child has special needs. Which is the best child
safety seat for him?
Position in Vehicle
I have more kids than I have room in the back seat.
What should I do?
What's the safest place in the back seat for two children
of different ages (an infant and a toddler) to ride?
Is my child safer in the seat behind the driver or
behind the front-seat passenger?
I know my children shouldn't ride in the front passenger
seat with an active air bag. What about side air bags?
Proper Installation and Use
How can I be sure my child's safety seat is installed
correctly?
How do I know if I need a locking clip to install
my child safety seat?
My daughter's new child safety seat gives me choices
of using the internal harness straps or using it like a booster
seat with the car's lap and shoulder belts. Which do you recommend?
My daughter's child safety seat leans slightly to
one side when installed tightly. Is this safe?
What are top tethers for?
Special Concerns
What can I do if there are only lap belts in my back
seat?
Where can I find a low-cost or free child safety seat?
My 3-year-old simply will not stay in his/her child
safety seat. What can I do?
What can I tell my 12-year-old who asks if she can
ride without ride without her safety belt because it's "too
uncomfortable"?
What do I need to know about transporting our children
safely in our pickup truck?
There are no safety belts on my children's school
buses! Isn't that unsafe?
What should I know about children and frontal air
bags?
What if my car has side impact air bags?
We're considering buying a new car. Can you recommend
a safe one?
What is the safest way for me to bring my children
on an airplane?
The Basics
Why should I use child safety
seats and safety belts?
Even a relatively minor crash can be an extremely violent event.An
unrestrained passenger can be thrown with a force that is several
times his or her weight. Crash forces can also cause vital internal
organs to shift violently, allowing for additional injuries. Properly
used safety belts can help to minimize a passenger’s motion
in a crash, preventing ejection, distributing crash forces over
the strongest parts of the body, and protecting the head and spinal
cord.
Since vehicle safety belts don’t fit the physical and developmental
needs of young children, appropriate child safety seats are necessary.
All states and territories of the United States have child occupant
protection laws in place.Because they are only minimal requirements,
however, most state laws do not fully represent “best practice”.
We must remember that laws vary from state to state, but the laws
of physics remain constant. Crashes do not become less violent when
we drive across state lines. [top]
What is the safest way to
transport my child in a vehicle seat?
Children 12 and under should be properly restrained in the back
seat.
Infants should ride in rear facing safety seats as long as possible;
until they are at least 12 months old and weigh at least 20 pounds.
Children who are at least 1-year-old, weigh 20-40 pounds, and can
no longer ride rear-facing should ride in forward facing child safety
seats.
Children over 40 pounds should be correctly secured in belt positioning
boosters or other appropriate child restraints until the adult lap
and shoulder belts fit correctly (around age 8).
Once the vehicle safety belts fit children, both lap and shoulder
belts should be correctly used.
Any safety seat must be installed and used according to the manufacturer's
instructions and your vehicle owner's manual.
[top]
What should I know about installing
my child's safety seat?
Hundreds of child safety seat models are in use, and there are
dozens of vehicle safety belt configurations and other anchoring
systems. As a result, there are actually thousands of potential
combinations, making correct safety seat installation.
[top]
Why should I be concerned
about using second hand seats?
There are several issues surrounding used child safety seats, so
in general they are not recommended.Here are a few of the concerns:
The full history of a second-hand safety seat may be unknown. It
may have been damaged in a previous crash, weakened by inappropriate
use and storage, or otherwise compromised.
All of the original parts, instructions and labels may not be present
and in good condition. Parts substituted from other models are inappropriate,
as are other user modifications, and can compromise the safety of
the device.
The safety seat may be recalled. Missing or damaged labels may make
that difficult to assess, and determining whether a recalled part
has been repaired or replaced can also be difficult.
The safety seat may be too old.Most manufacturers agree that a safety
seat that is more than six years old should not be used. This is
primarily due to the facts that performance standards frequently
change and devices incorporating new technologies protect children
better. In addition, replacement parts and instructions may no longer
be available for older safety seats, and manufacturers may no longer
be in business.
[top]
Why do child safety seats
need to be replaced after a crash?
Crash forces can weaken or damage child safety seats, safety belts,
and other protective devices, making them less effective. This type
of damage can even occur in minor crashes, even if it is not visible
to the naked eye, and it can make the protection systems less effective.
For this reason, manufacturers state that child safety seats and
safety belts involved in crashes must be replaced. If a restraint
system has protected a passenger in a crash, it has already done
its job.
Many parents and caregivers are reluctant to replace safety devices
after relatively minor crashes. At a minimum, we suggest contacting
the manufacturer for advice. The manufacturer knows the product’s
capabilities and limitations, and may even be able to assist parents
and caregivers with encouraging insurers to pay for replacement
[top]
Where can I receive more
child safety seat information?
There are several good resources available for additional and up-to-date
information on properly restraining children:
U.S. Department of Transportation Auto Safety Hotline 1-800-424-9393
American Academy of Pediatrics
The Air Bag & Seat Belt Safety Campaign
The National SAFE KIDS Campaign – SAFE KIDS BUCKLE UP Program
202-662-0600
[top]
I'd like to help! How can
I become a child passenger safety technician?
It's wonderful that you want to become a certified child safety
seat technician. You will find the experience very rewarding. The
most comprehensive training program available in the United States
is the Standardized Child Passenger Safety Training Program. Individuals
who complete all requirements of that course become certified child
passenger safety technicians. You can find information about the
program at www.nhtsa.dot.gov or www.cpsboard.org.
Even if you cannot invest the time right now to become a certified
technician (typically 4 to 5 days), you can still help protect kids
in your community from injury by volunteering with your local SAFE
KIDS coalition. In addition to being able to help you find local
child passenger safety trainings, our coalitions are active in a
wide range of child injury prevention activities. They will welcome
your help! A tool to help you locate your nearest SAFE KIDS coalition
can be found at www.safekids.org. If there is no coalition near
you, be sure to contact your state coalition.
[top]
Selecting a Child Safety Seat
Which child safety seat
is the safest?
There is not yet a credible rating system for child safety seats
in place. Since all current child safety seats must meet the same
standards, you may want to visit a store with a wide variety of
child safety seats and ask the manager if he/she will let you install
the store's display models in your car. Most stores are fairly receptive
to the idea of bringing one model at a time to your vehicle. Ask
these three questions about each model you consider:
Does it fit your child?Check the manufacturer's instructions to
ensure that your child is within the allowable weight and height
ranges for a specific safety seat, and that he/she also meets the
recommended age/development characteristics. Some general guidelines
are that:
Infants should ride in rear-facing safety seats as long as possible,
until they are at least 12 months old AND weigh at least 20 pounds.
Children who are at least 1 year old and weigh 20-40 pounds should
ride in forward-facing child safety seats (if they can no longer
ride rear-facing).
Children over 40 pounds should be correctly secured in belt-positioning
boosters or other appropriate child restraints until the adult lap
and shoulder belts fit correctly (around age 8).
Does it fit your vehicle(s)? - Not all child safety seats can be
correctly installed in all seating positions of all vehicles. Be
sure to read both the child safety seat and vehicle instructions.
In general, a correctly installed child safety seat should not move
more than 1 inch side to side or forward, when pulled at the safety
belt path.
Will you use it consistently and correctly? - Different child safety
seats vary in design and features. It is important to choose one
that you and your child are comfortable with, and that you will
correctly install and adjust for every ride.
You may also want to speak with a child passenger safety technician
in your area. Find one by contacting your local SAFE KIDS coalition.
A tool to help you locate your nearest SAFE KIDS coalition can be
found at www.safekids.org [link to that page]. If there is no coalition
near you, contact the state coalition listed.
[top]
When can I turn my infant
forward facing?
The American Academy of Pediatrics has recently revised their recommendations
to say that children should ride in rear-facing child safety seats
as long as possible. They also maintain that children should be
a MINIMUM of 12 months old AND weigh at least 20 pounds before they
face the front of the vehicle. Until that time, their bones and
ligaments are not developed enough to withstand forward-facing crash
forces. The rear-facing position reduces the risk of spinal cord
injury in a frontal collision, since the safety seat's shell supports
the neck and spreads crash forces across the entire back. Most infant-only
seats have a limit of 20 or 22 pounds, but most current convertible
safety seats have rear-facing limits of 30 pounds or more. These
seats provide better protection for children, even beyond their
first birthdays.
[top]
My son's feet are touching
the back of the vehicle seat. Should I turn him to face front now?
At one time, a few manufacturers were concerned about the potential
for leg injuries. At this point, we are not aware of any documented
injury cases resulting from that situation. We are, however, aware
of many documented neck injury cases from turning children around
too early. As a result, most manufacturers have softened the related
warning in recent versions of their instructions.
All manufacturers are required to include overall height and weight
limits in their instructions. Since sitting height is more important
to crash protection than overall height, and children's body proportions
vary, some manufacturers also include wording like "the top
of the head should be at least an inch below the top of the safety
seat" for their rear-facing models. We recommend visiting a
store with a wide selection, looking at the instructions for various
models, placing your child in the display seats, and even asking
the manager to let you try installing the display models in your
vehicle. This process would ensure that the model fits your child
and your vehicle, as well as that you are comfortable using it correctly
on every ride.
[top]
Are convertible child
safety seats with tray shields, rather than five-point harnesses,
safe?
In seats with tray shields, the potential for head contact and/or
poor harness fit for smaller children has been expressed by experts
for quite some time. Most feel that a five-point harness is the
best solution for both concerns. At the same time, the overhead
shield versions DO meet the necessary safety standards.
[top]
How will I know when my
child has outgrown his forward-facing child safety seat?
Trained child passenger safety advocates look for three characteristics
when determining whether a child has outgrown a forward-facing child
safety seat.
We look at the weight limits of the seat.
We look at uppermost harness slot height, in relation to the child's
shoulders. To hold the child back against the seat, the harnesses
should be at or above the child's shoulders when facing forward.
We look at the height of the child safety seat "shell"
in relation to the base of the child's skull. To protect the head
and neck, the base of the skull (about the middle of the child's
ears) should not be above the top of the shell.
Most child safety seats also have a maximum height limit; it should
be noted in the seat instructions. It is given as overall height,
but sitting height is even more important. Consult and follow the
manufacturer's instructions for your specific model.
If your child has exceeded any of these weight or height characteristics,
a new child safety seat is in order. Depending on your child’s
age and size, you could:
find a convertible or forward-facing child safety seat that has
higher harness slots
find a high-back combination booster, which allows harness use until
40 pounds and then converts to a belt-positioning booster
use certain belt-positioning boosters
In general we recommend using harnesses as long as possible before
“graduating” to belt-positioning booster seats. Be sure
to follow the manufacturer's instructions for installing and using
whatever safety seat you choose.
[top]
Why do you recommend
booster seats for children up to age 8?
While most families are used to the idea of keeping kids in safety
seats until they are around 4 years old, many are not aware that
children need safety seats much longer than that. Vehicle safety
belts are designed to protect adults and older children, and they
must fit correctly to provide that function.
Looking at current vehicle designs, child growth patterns/charts,
and general lessons learned through observation, many advocates
have concluded that vehicle safety belts don't fit until kids are
8, 9, 10 or even 11 years old. As a result of this fact, combined
with the fact that boosters are not yet widely used, we see a great
number of serious (and fatal) injuries to children. Internal organ
and spinal column injuries often result from improper belt fit.
[top]
All of the boosters I've
found require shoulder belts, but my car only has lap belts in the
back seat. What can I do?
Depending on your child's height and weight, you have a few options:
Use a forward-facing child safety seat with higher weight limits.
Although most only go to 40 pounds, a few manufacturers are designing
models that are rated up to 60 pounds or higher, and can be installed
using only a lap belt.
Have shoulder belts retrofitted to your vehicle. Although your dealer
may be unaware of it, contacting the manufacturer may help you to
find a shoulder belt retrofit kit that the dealer can install.
Try a tethered harness system. You can see one example, the 86-Y
Harness at www.ezonpro.com.
Use an alternative vehicle that has rear shoulder belts. Any vehicle
that is 1990 model year or later should have this.
As a last resort or temporary solution, you may choose to use a
belt-positioning booster seat in the front seat, combined with the
lap and shoulder belt. With or without an air bag, though, children
ages 12 and under are statistically much safer when properly restrained
in the back seat.
[top]
How do I know when my
child is ready to graduate from a booster seat to a safety belt
alone?
Children should ride in boosters until the vehicle safety belts
fit correctly. Correct fit means:
The child can sit all the way back against the vehicle seat, with
knees bent comfortably over the edge.
The lap belt remains snugly across the bony areas of the lower hips/upper
thighs (not the soft abdomen).
The shoulder belt remains snugly positioned across the chest and
collarbone.
If any of these criteria are not met, it is likely that the child
needs a belt-positioning booster seat.
[top]
Should I buy a used child
safety seat?
The National SAFE KIDS Campaign does not recommend used child safety
seats, because you may not know if the seat has been correctly maintained
or involved in a crash. Once a seat has been in a crash, it must
be replaced. Other reasons:
The used seat may have been recalled for malfunction or defects.
The seat may be too old. Child safety seats more than six years
old should not be used – safety regulations are changing rapidly
and older safety seats may no longer be structurally sound.
Some manufacturers of older seats are no longer in business, so
they cannot provide any necessary information or parts.
Seats sold at garage sales may be missing important parts, vital
labels or manufacturer’s instructions.
We understand that money is sometimes a concern, but in this case
new is the safest way to go. Find free or low-costs child safety
seats.
[top]
Are integrated child safety
seats as safe as those bought separately?
Integrated child safety seats (seats that are built into in a new
vehicle) must meet the same performance standards as add-on seats.
The main difference is that parents/caregivers can avoid the often
difficult installation process. Obviously, integrated seats cannot
be turned rear-facing, so your child should be at least 1 year old
and weigh at least 20 pounds before using them.
If you do choose a vehicle with integrated safety seats, you may
want to consider having an add-on child safety seat available for
when your child travels in other vehicles.
[top]
My child has special needs.
Which is the best child safety seat for him?
The best child safety seat for your child depends on his/her specific
physical needs. In some cases, a conventional seat would work. In
others, a seat that offers more support and adjustability may be
necessary. Some "special needs" manufacturers and their
products can be found at www.snugseat.com, www.columbiamedical.com,
www.britaxusa.com and www.ezonpro.com. Looking at what products
are available might help to determine what is best, but involving
your healthcare professional critical. You may also benefit from
consulting a specialist in transporting children with special health
care needs.
[top]
Position in Vehicle
I have more kids than
I have room in the back seat. What should I do?
Currently, the accepted recommendation is that children ages 12
and under (also worded as “under 13”) should ride in
the back seat. In cases where it is absolutely impossible for all
children ages 12 and under to ride in the back seat, tough decisions
need to be made. In general, the child who can be kept furthest
from an air bag is the best choice for front seat placement. You
should consult your vehicle manufacturer for advice on disabling
air bags if a child under 13 will ride in an air bag-equipped position.
Rear-facing infants can NEVER be placed in seating positions with
active frontal air bags.
Please visit the National Highway Traffic Safety Administration's
Web site at www.nhtsa.dot.gov for a list of facilities that can
deactivate air bags.
[top]
What's the safest place
in the back seat for two children of different ages to ride?
Selecting the best seating positions for your children is not simple.
Some say to put the infant on the outside, since he/she has the
additional protection of a rear-facing shell. Others say to put
the infant in the middle because he/she is the most fragile. Still
others say that having an infant in the middle makes securing him/her
more difficult because of access issues.
The specific dynamics of any given crash situation also affect
the answer. The long and the short of it is that all children should
be properly restrained. You need to consider your own special circumstances
and use your best judgment for placement decisions.
[top]
Is my child safer in the
seat behind the driver or behind the front-seat passenger?
As long as a child can be correctly restrained in the rear center
position, we generally recommend it. That position is insulated
from all crash angles, so it is usually thought of as safest.
The right and left rear seats are similar in relative, based on
fatal crash statistics. When selecting between them, some considerations
might include the height of the driver, curbside parking, the availability
of a door, access to other seating positions, the safety of all
other passengers, whether the child needs to be monitored, driver
distractions, etc. The final decision must be made by parents and
caregivers.
[top]
I know my children shouldn't
ride in the front passenger seat with an active air bag. What about
side air bags?
Side-impact air bags can provide a friendlier vehicle interior
and enhance protection against an intruding vehicle, hard interior
surfaces and/or breaking glass. Side air bags are currently not
required, and their designs vary greatly.
The National Highway Traffic Safety Administration (NHTSA) and
auto manufacturers have determined that some side-impact air bags
can present a danger to out-of-position children. Because designs
vary, however, NHTSA recommends that manufacturers notify consumers
regarding whether it is safe for children to sit in positions equipped
with side-impact air bags.
NHTSA also recommends that manufacturers of vehicles with side-impact
air bags in rear seats ship vehicles to dealers with inactive rear
bags that can be activated by a dealer, upon consumer request. They
suggest that manufacturers allow consumers with children who are
likely to be out of position to have the option of deactivating
side-impact air bags in rear seating positions.
The bottom line: contact the specific vehicle's manufacturer for
advice
[top]
Proper Installtion and Use
How can I be sure my child's
safety seat is installed correctly?
Start with our Child Safety Seat Guide, to be sure you’re
using the correct seat for your child’s age and weight. At
the very top of our Web page www.safekids.org in the red banner,
you will see "Child Safety Seat Guide." Click on this
and choose the age and weight of your child. Click on Go. A detailed
list of tips will follow.
Next, read both the seat manufacturer's instructions and your vehicle
owner’s manual carefully. These will get you started on installing
your seat correctly.
Then, check for a snug fit. In general, a correctly installed child
safety seat should not move more than 1 inch side to side or forward,
when pulled at the safety belt path.
If you need additional help, consider attending a SAFE KIDS BUCKLE
UP Car Seat Check Up or Child Safety Seat Inspection Station near
you. A certified technician at one of these events will check your
seat for proper function, installation and recalls. He or she will
then teach you how to correct any errors, so you can be sure your
child is protected on every ride!
Our home page www.safekids.org contains a tool to help you find
a Car Seat Check Up or Child Safety Seat Inspection Station near
you. The listings are by state. If there isn't an event listed close
to you please call your local SAFE KIDS coalition about additional
resources. If there isn't a coalition close to you, please contact
the state coalition (at the top of the list) about available resources.
To find a nationwide list of events, click on the words "complete
listing of SAFE KIDS BUCKLE UP events."
[top]
How do I know if I need
a locking clip to install my child safety seat?
Locking clips are rarely necessary for vehicles manufactured in
1996 or later. The vehicle owner's manuals and instruction manuals
for child safety seats should explain how to lock the safety seats
in place using the systems built into your vehicle. If you don't
have those instructions, the manufacturers can provide you with
duplicate copies. You can also contact your local SAFE KIDS coalition
www.safekids.org to learn about opportunities for hands-on assistance.
If you find that you do need a locking clip, you can usually find
one attached to your child safety seat. You can also purchase a
locking clip at a retail store that carries child safety seats (Babies
“R” Us, Toys “R” Us, Wal-Mart, Target, K-Mart,
etc.) or order them from the safety seat manufacturer.
[top]
My daughter's new child
safety seat gives me choices of using the internal harness straps
or using it like a booster seat with the car's lap and shoulder
belts. Which do you recommend?
Most combination seats allow children from 30-40 pounds to be protected
by either the internal harnesses or the belt-positioning booster
mode. Children who weigh more than 40 pounds MUST ride in the belt-positioning
booster mode with most models. The main benefits to using a five-point
harness for children who weigh 30-40 pounds are:
A five-point harness is more adjustable and fits a wide variety
of children.
A five-point harness distributes crash forces over a wider area
of the body than a 3-point lap-shoulder belt.
A young child is more likely to move around or fall asleep, possibly
affecting "pre-crash positioning." If a child is out of
position at the time of a crash, the restraint system may not provide
optimal protection.
Although either mode provides excellent protection (when used correctly)
in a frontal crash, 5-point harnesses may provide additional protection
in side impacts, off-center impacts, rollover crashes, etc.
As always, we strongly recommend reading and following the manufacturers’
instructions for both the child safety seat and the vehicle.
[top]
My daughter's child safety
seat leans slightly to one side when installed tightly. Is this
safe?
The "leaning" is likely to be caused by the hard latch
plate or buckle pressing on one side of the child safety seat, with
soft seat belt webbing (fabric) on the other. To determine its safety,
you should contact the child safety seat and vehicle manufacturers.
In the meantime, you have a few options:
Make sure that the child safety seat is in the "upright"
position. There should be either a fold-down foot or a lever release
for adjusting the recline to that position. Converting to the upright
position may raise the belt path enough so either flipping the latch
plate is unnecessary, or the latch plate does not affect the angle
of the seat.
If the buckle is attached to a short piece of soft webbing (fabric),
check with your auto manufacturer about twisting the webbing to
lower the buckle's position. Most manufacturers allow two 360 degree
twists. The lower buckle positioning may make it so the latch plate
stays locked, without flipping it.
Try a child safety seat with a different belt path.
Try a different seating position.
[top]
What are top tethers
used for?
Top tethers are used to improve the performance of forward facing
child safety seats. In addition to the lower child restraint anchorage
provided by a correctly tightened and locked safety belt (or lower
LATCH anchors), tethers provide an anchoring system for the top
of the child restraint.
Correctly using a top tether provides three key benefits:
Reduced head excursion
Reduced potential for neck injury
More secure/staple installation
Current child restraint models (and models manufactured after 7/85)
must meet a 32” head excursion standard without the use of
a top tether. When installed and tightened correctly, however, these
devices can reduce head excursion in frontal crashes to the new
28” standard. They can also increase safety seat stability
in side impacts or rollovers, and can assist parents in overcoming
some vehicle/child restraint compatibility issues. Although conventional
child restraints are reasonably safe without the use of top tethers,
parents/caregivers should be encouraged to use this anchoring system,
if it is available for their child restraint and vehicle models.
[top]
Special Concerns
What can I do if there
are only lap belts in my back seat?
Vehicles were not required to have rear seat shoulder belts until
model year 1990, and many current models do not have shoulder belts
in rear center seating positions. Since belt positioning boosters
can only be used with both lap and shoulder belts, properly restraining
children who weigh more than 40 pounds in these seating positions
can require extra effort. Some options are:
Obtain a forward facing child safety seat (with harnesses or energy
absorbing foam) that is rated to weights higher than 40 pounds (see
above).
Obtain a special harness that is anchored to vehicle with a tether.
Contact an auto dealership about installing shoulder belts. If your
dealer is unfamiliar with retrofit shoulder belts that are authorized
by the manufacturer of your vehicle, contact the manufacturer directly.
Correctly restrain your child in the front seat, using a lap/shoulder
belt with a belt positioning booster, understanding that children
are generally much safer in rear seating positions.
Shield booster: These devices were popular in the 1980s and early
1990s, when most vehicles had only lap belts in rear seats. The
intent was to enhance upper body restraint for children who had
outgrown their convertible safety seats. Changes to the federal
standards in 1996 caused most shield boosters to be removed from
the U.S. market, since current shield have a weight range of 30-40
pounds. While manufacturers may recommend the use of shield boosters
at lower weights, children who weigh less than 40 pounds should
remain in convertible or forward-facing safety seats.
Current shield boosters do have removable shields which allow them
to become backless belt positioning boosters for children who weigh
more than 40 pounds. This is the only use of these devices that
experts typically recommend.
Adaptive Restraints for Children with Special Transportation Needs:
Children with special health or developmental issues can often use
conventional safety seats, but some may need restraint systems that
are designed to address those issues. If your child may have unconventional
transportation needs, it is recommended that you discuss them with
your pediatrician, physical therapist and a trained transportation
specialist. They should be able to refer you to resources that can
help you select and use an appropriate system.
Safety belt: Vehicle safety belts are designed to protect adults
and older children (usually around age 8), and they must be used
correctly to provide that function. To determine whether a child
is large enough to use safety belts alone, parents and caregivers
need to assess the child for three necessary characteristics:
The child can sit all the way back against the vehicle seat, with
his/her knees bent over the edge
The lap belt remains snugly positioned over the bony upper thighs
or lower hips, rather than the soft abdomen
The shoulder belt remains snugly positioned across the chest and
collarbone
If any of these characteristics are not present, it is likely that
the child needs a belt positioning booster seat. Safety belts should
stay on the strong, bony parts of the body, and shoulder belts must
never be placed behind the back or under the arm.
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Where can I find a low-cost
or free child safety seat?
Our local coalitions should be able to help. Coalitions can often
provide child safety seats to families in need, either at no charge
or for a small donation. Please visit a local SAFE KIDS BUCKLE UP
Car Seat Check Up or call your local SAFE KIDS coalition. If the
coalition is unable to provide a seat, they may be able to direct
you to an agency who can.
Our home page www.safekids.org contains a tool to help you find
a Car Seat Check Up or Child Safety Seat Inspection Station near
you. The listings are by state. If there isn't an event listed close
to you please call your local SAFE KIDS coalition about additional
resources. If there isn't a coalition close to you, please contact
the state coalition (at the top of the list) about available resources.
To find a nationwide list of events, click on the words "complete
listing of SAFE KIDS BUCKLE UP events."
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My 3-year-old simply will
not stay in his/her child safety seat. What can I do?
There are a couple of variables that can affect whether a child
stays in his or her child safety seat. A parent or caregiver must
ensure:
1) That everyone in the vehicle, including the adults, is buckled
up during every ride. This sets an example for the child that riding
unrestrained is unacceptable.
2) That the child's safety seat harnesses are threaded and tightened
correctly, so they are comfortable and safe. For a forward-facing
3-year-old, the harnesses should be at or slightly above the child's
shoulders and in reinforced slots. The child safety seat manufacturer's
instructions provide specific guidance, so they should be read and
followed.
3)That the harnesses are snug on your child and the harness retainer
clip is positioned at the level of the child's armpits.
Beyond that, it is a behavioral issue. One method that has been
used by many is consistently stating that the car will not move
unless everyone is buckled up. If the child "escapes"
during travel, the driver can pull over to a SAFE PLACE and remain
there until the child agrees to sit in his or her safety seat. It
may require extra travel time at first, but once the child realizes
it is remaining in the child safety seat is not negotiable, the
problem should subside.
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What can I tell my 12-year-old
who asks if she can ride without her safety belt because it's "too
uncomfortable"?
The short answer is, “no.” Tell her that a properly
used safety belt helps to manage forces in a crash, so the injuries
aren't as bad. Her safety belt will:
prevent her body from being thrown around inside or outside of
the car
distribute crash energy to the strong, bony areas of her body
spread crash energy over a wide area of her body
allow her body to slow down with the car
protect her head, neck and spinal cord
Safety belts work best if used the way they were designed and tested:
She should be sitting all the way back against the car's seat,
and the head restraint (headrest) should be adjusted so it supports
the back of her neck and head.
The lap part of the safety belt should be snug on the bony areas
of her upper thighs or lower hips.
The shoulder part should be snug across the center of her chest
and collarbone.
Snug safety belts may seem a little uncomfortable – but the
protection they offer in a crash is more than worth it!
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What do I need to know
about transporting our children safely in our pickup truck?
Most practices are the same as if your children were riding in
a car. In cases where it is absolutely impossible for all children
ages 12 and under to ride in a back seat, tough decisions need to
be made. In general, children should be kept as far as possible
from an active air bag. You should consult your vehicle manufacturer
for advice on disabling air bags if a child under 13 will ride in
an air bag-equipped position, and many pickup truck models come
with a pre-installed air bag on/off switch. Rear-facing infants
can NEVER be placed in seating positions with active frontal air
bags.
If the truck has a back seat, it should be a full front-facing
seat. Child safety seats )including boosters) cannot be used on
side-facing vehicle seats. If the vehicle seat is front-facing,
eighty percent of the child safety seat base should be positioned
on it.
Some advocates have expressed concerns about side-facing vehicle
seats in extended cabs, even for older passengers, since there is
little or no upper body protection offered. In addition, the Children's
Hospital of Philadelphia (CHOP) recently released information that
the chances of injury are significantly higher in the rear seats
of extended cab pickups than in other passenger vehicles.
NOTE: Children should NEVER ride in the cargo area (bed) of a pickup
truck or any other vehicle.
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There are no safety belts
on my children's school buses! Isn't that unsafe?
Transporting children safely to and from school is an important
issue for school systems, parents and caregivers. Most children
killed or injured in school bus incidents were either getting on/off
of the bus or were outside of the bus. School bus transportation
is statistically the safest form of ground transportation. The question
of having safety belts on school buses, however, is complex one.
Children on large school buses are protected by a system called
“compartmentalization.” A combination of high, energy-absorbent
seat backs and narrow seat spacing creates a “compartment”
for occupants in a crash. It uses the concept of “eggs in
a carton,” keeping occupants confined and spreading crash
forces over a wide area of the body. In addition, the large vehicle
size, typical travel times/routes and visibility of large buses
adds to that protection.
Small school buses that weigh less than 10,000 pounds must be equipped
with lap belts, since smaller buses experience crash forces similar
to those experienced by passenger cars. A few states and school
districts also require lap belts on larger buses, but recent research
has shown that they are not always the best option. In summary,
the research shows that:
compartmentalization is effective as a restraint system, but it
has limitations and requires that the children are in their seats
correctly.
lap belts on large buses could have helped some of the children
who have been in bus crashes, but they could have caused more serious
injuries to others. Belt fit and correct use of the systems are
additional issues.
lap belts are important and should be worn on small buses. They
can also be used to install child safety seats for smaller children.
lap & shoulder belts work well on school buses, but belt fit,
correct use of the belts, design issues and cost must be considered.
One of the critical challenges for transporting school-aged children
safely on buses is ensuring that they are protected by the features
designed into the buses. Many school systems allow their buses to
be overcrowded, reducing the protection for all of their students.
All children should be appropriately protected in school transit.
Most school-aged children can be protected by current bus features,
but kids who need age-, development- and size-appropriate safety
seats should also be protected. Currently, the best way to accommodate
children with additional needs is to transport them on small buses
that have lap belts.
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What should I know about
children and frontal air bags?
Since the most common type of crash is frontal, the rear seat is
generally the safest place for children to ride, regardless of air
bags. One study showed that children are up to 37% less likely to
die, when seated in the rear than if seated in the front. Most past
and current air bags were designed to help protect adults in frontal
collisions; not children. Especially when a child is in a rear-facing
safety seat or out of position, a frontal air bag can cause serious
or fatal injury.
The best protection is provided when people follow the rules below:
Children ages 12 and under should be properly restrained in the
back seat
Never place a rear-facing child in a seating position with an active
frontal air bag
If a forward-facing child MUST be transported in the front seat,
it should be the child who can be kept farthest away from the air
bag. In that case:
Properly secure the child in an appropriate restraint for the child’s
age and size
Move the front seat as far back from the dashboard as possible
Do not allow the child to lean forward toward the dashboard
Contact the vehicle manufacturer for advice on installing and/or
using a manual air bag on/off switch.
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What if my car has side
impact air bags?
Side impact air bags improve the protection of adults in the most
dangerous type of crashes, side impacts. Many experts are concerned
that children who are leaning against a side bag at the time of
deployment can be seriously injured, depending on the design of
the specific air bag. At least one child safety seat manufacturer
states that their restraint devices must not be used in seating
positions with side bags.
Since side impact air bags vary so greatly from model to model,
the most accurate source of information is the vehicle manufacturer.
Refer to your vehicle owner's manual for recommendations that apply
to your vehicle, and contact the manufacturer’s customer service
department with additional questions.
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We're considering buying
a new car. Can you recommend a safe one?
Cars have a wide variety of safety features, but all must meet
minimum safety standards. If you are looking for comparative information
on different vehicle models, you can look at the feature charts
in Buying a Safer Car for Child Passengers www.nhtsa.dot.gov. Another
source of information is the Insurance Institute for Highway Safety's
crash test ratings www.iihs.org.
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What is the safest way
for me to bring my children on an airplane?
Although it is not currently required on aircraft, children should
be secured in child safety seats until they weigh at least 40 pounds
(depending on your child safety seat model), and then should be
secured by aircraft lap belts. Properly restraining children and
adults provides protection during takeoff and landing, in cases
of clear air turbulence, and in survivable crashes. Most rear-facing
and forward-facing child safety seats are labeled that to meet FAA
requirements, though booster seats cannot be used. Bringing your
child’s safety seat with you also provides the practical benefit
of having it with you when you land.
Before traveling, it is recommended that you check your safety
seat for FAA compliance labeling and contact the airline for child
safety seat policies and possibly for additional seat discounts.
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