II. Epidemiology
- Seat Belts reduce risk of MVA related deaths in teens and adults by 50%
- Of fatal U.S. MVAs in 2015, >50% of deceased teens were unrestrained
- Children ages 4 to 7 years old are prematurely transitioned to Seat Belts in 25% of cases
- These children should instead be transitioned to Booster Seats first
- References
- (2017) NHTSA Occupant Protection in Passenger Vehicles 2015 Data
III. Technique: Correct fitting of adult auto safety belts
- Use Child Safety Seat if adult belt does not fit
- Indications
- Weighs more than 80 pounds (36 kg)
- Child standing height over 57 inches (145 cm)
- Child Sitting Height over 29 inches (74 cm)
- Proper fit
IV. Technique: Children
- See Child Safety Seats
- Children <13 years old should NOT ride in front seat due to airbag deployment risk
- Airbags are associated with Closed Head Injury and Cervical Spine Injury in children <13 years old
V. Technique: Pregnancy
- Do not disable Air Bags for pregnant patients
- Move seat back as far as possible (at least 10 inches between Abdomen and Air Bag)
- Deployed Air Bags save maternal lives
- Safe in pregnancy given enough distance between Air Bag and Abdomen
- Schiff (2010) Obstet Gynecol 115(1): 85-92 [PubMed]
- Seat Belt use is critical
- Many pregnant women fail to use Seat Belts despite their protective effects
- Fetal death is most commonly due to maternal death in blunt Abdominal Trauma
- Protecting the mother is the best way to protect the fetus
- MVAs affect 2% of pregnant women (accounts for 50% of all Traumatic injuries in pregnancy)
- Maternal (U.S.): 368 maternal deaths per year
- Fetal: MVAs account for 82% of fetal deaths
- Properly positioned Seat Belts decrease the risk of fetal injury while keeping their mothers safer
- Uterine injury and fetal risk does increase if belts are incorrectly placed across the dome of the Uterus
- Relative Risk of fetal loss if unbelted: 2.8
- Fetal outcomes
- Properly restrained women: 29% adverse fetal outcomes
- Improperly restrained women: 50% adverse fetal outcomes
- Klinich (2008) Am J Obstet Gynecol 198(4): 450 [PubMed]
- Many pregnant women fail to use Seat Belts despite their protective effects
- Proper 3 point Seat Belt application in pregnancy
- References
VI. Prevention: Miscellaneous
- Seat Belt use protects other occupants in car
- In accident Unrestrained Passengers become missiles
- Unrestrained Passengers strike belted passengers
- Unrestrained Passenger raises risk of death for others
- Cummings (2004) JAMA 291:343-9 [PubMed]
VII. References
- McClung, Ruttan (2019) Crit Dec Emerg Med 33(3): 3-11
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| Definition (MSH) | Restraining belts fastened to the frame of automobiles, aircraft, or other vehicles, and strapped around the person occupying the seat in the car or plane, intended to prevent the person from being thrown forward or out of the vehicle in case of sudden deceleration. |
| Concepts | Manufactured Object (T073) |
| MSH | D012622 |
| SnomedCT | 60054005 |
| English | Belt, Seat, Belts, Seat, Seat Belts, Seat Belt, Seat belt, device, seat belt, seat belts, Seat belt, SB - Seat belt, Seat belt, device (physical object) |
| Swedish | Säkerhetsbälten |
| Czech | bezpečnostní pásy sedadel |
| Finnish | Turvavyöt |
| Russian | REMNI BEZOPASNOSTI V KRESLAKH DLIA PASSAZHIROV, РЕМНИ БЕЗОПАСНОСТИ В КРЕСЛАХ ДЛЯ ПАССАЖИРОВ |
| French | Ceintures de sécurité |
| Polish | Pasy bezpieczeństwa |
| Norwegian | Sikkerhetsbelter, Setebelter |
| Spanish | cinturón de seguridad de un asiento (objeto físico), cinturón de seguridad de un asiento, Cinturones de Seguridad |
| German | Sicherheitsgurte |
| Italian | Cinture di sicurezza |
| Dutch | Gordel, veiligheids-, Veiligheidsgordel, Veiligheidsgordels |
| Portuguese | Cintos de Segurança |
Ontology: Air Bags (C0162697)
| Definition (MSH) | Automotive safety devices consisting of a bag designed to inflate upon collision and prevent passengers from pitching forward. (American Heritage Dictionary, 1982) |
| Concepts | Manufactured Object (T073) |
| MSH | D017278 |
| SnomedCT | 102384007 |
| English | Airbags, Air Bags, Air Bag, Bag, Air, Bags, Air, Motor vehicle airbag, device, airbags, airbag, air bags, air bag, Airbag, Motor vehicle airbag, device (physical object), Motor vehicle airbag, Airbag, NOS, Motor vehicle airbag, NOS |
| Swedish | Luftkuddar |
| Czech | bezpečnostní vzduchové vaky, air bagy |
| Finnish | Ilmatyynyt |
| Italian | Air Bags, Airbags, Air Bag |
| Russian | NADUVNYE USTROISTVA, НАДУВНЫЕ УСТРОЙСТВА |
| French | Airbags, Coussins gonflables, Coussins de sécurité |
| Polish | Poduszki powietrzne |
| Japanese | エアバッグ, エアーバッグ |
| Norwegian | Luftputer, Airbags |
| Spanish | airbag, bolsa de aire en un vehículo automotor (objeto físico), bolsa de aire en un vehículo automotor, bolsa de aire, Bolsas de Aire |
| German | Airbags |
| Dutch | Airbag, Airbags |
| Portuguese | Bolsas de Ar |
Ontology: Lap belt (C0553557)
| Concepts | Manufactured Object (T073) |
| SnomedCT | 257389003 |
| LNC | LA9382-8 |
| English | lap belt, Lap belt, Lap belt (physical object) |
| Spanish | cinturón de seguridad de falda (objeto físico), cinturón de seguridad de falda |
