Child Passenger Safety

  • Published: Pediatrics 2011; 127;788, March 2011
  • Authors: American Academy of Pediatrics
  • Date Added: 03 Apr 2012
  • Last Update: 23 Jul 2013
  • Format: html

Objectives:

To provide evidence-based recommendations for best practice in the choice of a child restraint system to optimize safety in passenger vehicles for children from birth to adolescence.

Methodology:

Literature Review

Key Findings:

  • Child passenger safety has dramatically evolved over the past decade, but motor vehicle crashes remain a leading cause of death of children 4 years and older.

  • Best practice recommendations for a child restraint systems to optimize safety in passenger vehicles for children from birth through adolescence are:

    • rearfacing car safety seats for most infants up to 2 years of age.

    • forward-facing car safety seats for most children through 4 years of age.

    • belt-positioning booster seats for most children through 8 years of age.

    • lap-and-shoulder seat belts for all who have outgrown booster seats.

    • all children younger than 13 years to ride in the rear seats of vehicles.

  • Every transition from one type of child restraint to another is associated with some decrease in protection; therefore, parents should be encouraged to delay these transitions for as long as possible.

  • The American Academy of Pediatrics urges all paediatricians to know and promote these recommendations as part of child passenger safety anticipatory guidance at every health-supervision visit.

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