Prevention Book


Child Safety Seat

Aka: Child Safety Seat, Child Car Restraint, Car Seat
  1. Epidemiology
    1. Use per National Traffic Safety Administration (NTSA)
      1. Children under age 5 are unrestrained in 51% of cases
      2. Safety seats are misused in 80% of cases
    2. Child Safety Seat efficacy in motor vehicle accidents
      1. Reduces infant deaths by 71%
      2. Reduces toddler deaths by 54%
      3. Reduces hospitalization by 69%
  2. Precautions: Three quick rules of thumb
    1. Backwards is best (until age 1 and 20 pounds)
    2. Weights to change Car Seat: 20-40-80
    3. Boost until big enough (80 pounds, 57 inches)
  3. Types: Safety Seats
    1. Infant Car Seat
    2. Child Convertible Car Seat
    3. Booster Car Seat
    4. Built-In Car Seats
    5. Adult Safety Belt
  4. Precautions: Not-Acceptable Seats (Car Seats to Avoid)
    1. Infants Seats
      1. Century 590 (throw away the base)
      2. Evenflo On My Way 206 (only use with the base)
    2. Convertible Seat
      1. Kolcraft Traveler 700 (only use facing rearward)
  5. Precautions: General
    1. Never use rear-facing seats in front of an airbag
    2. Use only properly fitting seats and restraints
    3. Never use child seats in side-facing seats
    4. Attach Car Seat firmly to car
      1. Side-to-side motion should be no more than 1 inch
    5. Harnesses
      1. Should be snug and unable to pinch harness lengthwise
      2. Avoid bulky clothes under harness (too loose)
      3. Keep flat and without knots
      4. Do not iron or heat dry harnesses (weakens strap)
      5. Harness clip should be placed at level of axilla
      6. Harness straps should be in reinforced position only
        1. Except in rear-facing Car Seats
    6. Only use safe Car Seats
      1. Throw out any Car Seat that has been in a crash
      2. Avoid use of Car Seats that are older than 6 years
      3. Constantly check for product recalls
  6. Precautions: Adult Seat Belt use
    1. See Adult Safety Belt
  7. Resources
    1. NHTSA Auto Safety
      2. Phone: 1-888-DASH-2-DOT or 1-888-327-4236
    2. SafetyBeltSafe USA
      2. English Phone: 800-745-SAFE or 800-745-7233
      3. Spanish Phone: 800-747-SANO or 800-747-7266
  8. Reference
    1. (Sept, 1995) Consumer Reports [PubMed]
    2. Biagioli (2002) Am Fam Physician 65(10):2085-90 [PubMed]
    3. Biagioli (2005) Am Fam Physician 72(3):473-8 [PubMed]

car seat (C0006939)

Concepts Manufactured Object (T073)
English car seats, car seat, Car Seats
Derived from the NIH UMLS (Unified Medical Language System)

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