PEDIATRICS Vol. 81 No. 1 January 1988, pp. 98-101
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Misuse of Car Safety Seats

Marilyn J. Bull MD1, Karen Bruner Stroup PhD1, and Susan Gerhart RN1

1 From the Department of Pediatrics and Automotive Safety for Children Program, James Whitcomb Riley Hospital for Children and the Indiana University School of Nursing, Indianapolis

Correct use of car seats for small children is essential to prevent serious injuries and death from automotive accidents. Failure to use a car seat properly can contribute to serious injury or death of a child. A case study in which misuse of a car seat occurred is reported. The infant died of hemorrhage and shock secondary to liver laceration which resulted from excessive pressure over the abdomen sustained on impact. Surveys of car seat use for small children prior to and following a child restraint law are also reported. Observers noted types of car seats and specific forms of misuse. Survey results suggest that parents are more likely to misuse car seats for infants than toddlers. Medical professionals can reinforce the importance of proper car seat use by incorporating specific car seat use questions into the patient interview and by providing educational materials.

Key Words: car safety seat • infant

Submitted on December 12, 1986
Accepted on March 3, 1987




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