Child Passenger Safety

  title={Child Passenger Safety},
  author={Dennis R. Durbin and Benjamin D. Hoffman},
Despite significant reductions in the number of children killed in motor vehicle crashes over the past decade, crashes continue to be the leading cause of death to children 4 years and older. Therefore, the American Academy of Pediatrics continues to recommend the inclusion of child passenger safety anticipatory guidance at every health supervision visit. This technical report provides a summary of the evidence in support of 5 recommendations for best practices to optimize safety in passenger… 
8 Citations
Restraint Factors and Child Passenger Deaths in New South Wales, Australia
Interventions targeting increasing restraint use and reduction of common ‘use’ errors are needed to prevent further restraint factor-related deaths.
Pediatric Restraint Use and Injury in New York City Taxis Compared with Other Passenger Vehicles
Improved data systems, surveillance, and enforcement are needed to improve restraint use and reduce injury in children and teens, particularly those in vehicles-for-hire.
Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers
Saving children from motor vehicle collisions is a high priority because the injury rate among motor vehicle passengers has been increasing in Japan. This study aimed to examine the factors that
Reducing child restraint misuse: national survey of awareness and use of inspection stations
The AACPSIR Survey results suggest a segment of caregivers share a positive safety culture, including knowledge of CPS services and use of those services, which may have the potential to improve child passenger safety.
Preventing injuries must be a priority to prevent disease in the twenty-first century
A multi-pronged approach using legislation, advancing safety technology, improving the built environment, anticipatory guidance by clinical providers, and education of caregivers will be necessary to decrease and prevent injuries in the twenty-first century.
Rearward-Facing Infant Child Restraint Systems with Support Legs in Frontal and Frontal-Oblique Impacts
The study used sled tests to evaluate the effectiveness of support legs in rearward-facing infant CRS models for frontal and frontal-oblique impacts with and without a simulated front row seatback, which supports the findings of previous studies.
Responses of the scaled pediatric human body model in the rear- and forward-facing child seats in simulated frontal motor vehicle crashes
The study shows the potential benefit of rear-facing orientation compared to forward-facing for children up to 4 years of age in a controlled environment.


Child Passenger Safety
4 evidence-based recommendations for best practices in the choice of a child restraint system to optimize safety in passenger vehicles for children from birth through adolescence are provided and all children younger than 13 years to ride in the rear seats of vehicles are urged.
Critical Gaps in Child Passenger Safety Practices, Surveillance, and Legislation: Georgia, 2001
The results of this study highlight 3 important areas for improving child passenger safety: targeted interventions to promote booster seat use and riding in the back seat, expanded child passenger restraint and seating position surveillance, and expanded legislation to mandate booster seatUse and back seating position.
Effects of Child Age and Body Size on Serious Injury From Passenger Air-Bag Presence in Motor Vehicle Crashes
Age of 0 to 14 years (versus 15–18 years) was the only consistent effect modifier of the association between air-bag presence (or air-bags deployment) and serious injury, particularly for crashes with a moderate probability of injury.
Effectiveness of child safety seats vs seat belts in reducing risk for death in children in passenger vehicle crashes.
Based on previous epidemiological and biomechanical evidence for child restraint system effectiveness in reducing nonfatal injury risk, efforts should continue to promote use of child restraint systems through improved laws and with education and disbursement programs.
Effects of Seating Position and Appropriate Restraint Use on the Risk of Injury to Children in Motor Vehicle Crashes
The results support the current focus on age-appropriate restraint in recently upgraded state child restraint laws, and it is important to note that considerable added benefit would be realized with additional requirements for rear seating.
Effects and costs of requiring child-restraint systems for young children traveling on commercial airplanes.
Unless space for young children in restraint seats can be provided at low cost to families, with little or no diversion to automobile travel, a policy requiring restraint seat use could cause a net increase in deaths.
Monitoring premature infants in car seats: implementing the American Academy of Pediatrics policy in a community hospital.
A car seat monitoring program can be incorporated effectively into a Level II community hospital nursery discharge plan provided that appropriate medical staff policies, nursing procedures, and administrative support to deal with the logistics of the program is established.
A retrospective review of air bag deaths.
  • M. Mckay, B. Jolly
  • Medicine
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
  • 1999
Air bags can cause fatal injury to car occupants in low- or moderate-speed crashes and data suggest that proximity to the air bag at the time of deployment is the critical risk factor for fatal injury.
Safety for the Growing Child – Experiences from Swedish Accident Data
During the past 40 years, different child restraint systems (CRS) have been developed to improve protection for children of different sizes and ages. Development of more effective CRS, and a higher
Seating Patterns and Corresponding Risk of Injury Among 0- to 3-Year-Old Children in Child Safety Seats
The most common seating position for appropriately restrained child occupants in a child-restraint system is the right rear outboard, and the center rear seating position is used less often by children restrained by aChild-rest restraint system as they get older.