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American Academy of Pediatrics

revised

  • e20182460
From the American Academy of PediatricsPolicy Statement

Child Passenger Safety

Committee on Injury, Violence, and Poison Prevention
Pediatrics April 2011, 127 (4) 788-793; DOI: https://doi.org/10.1542/peds.2011-0213
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  • Age-based advice on child restraints can lift levels of appropriate restraint use
    Robert WG Anderson
    Published on: 22 March 2011
  • concerned grandmother
    Karla M. Graham
    Published on: 21 March 2011
  • Published on: (22 March 2011)
    Age-based advice on child restraints can lift levels of appropriate restraint use
    • Robert WG Anderson, Deputy Director

    The American Academy of Pediatrics published a policy statement on child restraint selection in the online edition of the Journal [1] with a supporting technical paper [2]. The National Highway and Traffic Administration (NHTSA) also released revised recommendations on child restraint selection on the same day.

    A substantial problem with complex guidelines for child restraint selection is that the moment...

    Show More

    The American Academy of Pediatrics published a policy statement on child restraint selection in the online edition of the Journal [1] with a supporting technical paper [2]. The National Highway and Traffic Administration (NHTSA) also released revised recommendations on child restraint selection on the same day.

    A substantial problem with complex guidelines for child restraint selection is that the moment at which transition should take place becomes ill-defined. Good guidance should be memorable and should only use information about children that parents readily know. Getting the majority of families to use the most appropriate restraint most of the time is a significant part of the problem, and it is possible that overly complex algorithms will not assist in overcoming this.

    We have previously shown that concrete age-based guidelines to restraint transitions are suitable, even when the design criteria are based on child anthropometry, and that age-based guidelines might lead to higher levels of appropriate restraint selection [3,4]. Indeed, we consider that technical aspects of restraint fit are the responsibility of those involved in specifying the design of automobile seats and child restraints. Further, it should be unnecessary for parents (or pediatricians for that matter) to become experts in the finer points of child restraint selection and fit, and that good design criteria should allow a simple rule for restraint transition based on a child’s age to be sufficient.

    AAP’s policy concerns itself with technical correctness, and is an important achievement in that respect, whereas there is a great need to simplify the message for parents. To this end, belt and seat geometry could be designed to better coordinate with simple guidelines based on age [3]. As it is, age-based transitions can be used to lift levels of appropriate restraint selection.

    References

    1. Committee On Injury, Violence, And Poison Prevention. Policy Statement— Child Passenger Safety. Pediatrics 2011; 0: peds.2011-0213v1-20110213

    2. Durbin DR and Committee On Injury, Violence, And Poison Prevention. Technical Report Child Passenger Safety. Pediatrics 2011; 0: peds.2011-0215v1- 20110215

    3. Anderson RWG, Hutchinson TP. The feasibility of age-based criteria for child restraint selection. 20th International Technical Conference on the Enhanced Safety of Vehicles, Lyon, France, 18-21 June 2007.

    4. Anderson RWG, Hutchinson TP, Edwards SA. Using child age or weight in selecting type of in-vehicle restraint: implications for promotion and design. Proceedings of 51st Annual Scientific Conference of the Association for the Advancement of Automotive Medicine, pp 181-195. 2007.

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
  • Published on: (21 March 2011)
    concerned grandmother
    • Karla M. Graham, grandmother

    Question?? In looking at car seats again, they don't accommodate the length of the child but the weight. Cramming a one or two-year-old in a car seat that has them stuffed in their seat for any length of a ride is NOT good for anyone else in the truck. Is there a car seat out there that will accommodate the weight and length? My six month old grandson is 27 inches tall and 21 lbs and growing. Also, have studies been done abou...

    Show More

    Question?? In looking at car seats again, they don't accommodate the length of the child but the weight. Cramming a one or two-year-old in a car seat that has them stuffed in their seat for any length of a ride is NOT good for anyone else in the truck. Is there a car seat out there that will accommodate the weight and length? My six month old grandson is 27 inches tall and 21 lbs and growing. Also, have studies been done about the effect of the rear facing seat for children up to two-years of age, especially in regard to their leg lengths and the impact of an accident? If an accident occurs with a one or two-year-old in a rear facing seat, what will it take for firefighters to get the child out with their size and weight versus a front facing seat? Can a one to two-year-old child be safely removed while staying in that seat for a rescue as well as they can be if the seat were front-facing? Has fire rescue personnel had input into this new recommendation? If not, active fire rescue (those in the field - not Chiefs) personnel should be involved, since they are the ones that will be working the rescue. The safety of my family is first. Any info you can provide to answer my questions would be greatly appreciated. Thanks, Karla Graham Concerned Grandmother

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
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Pediatrics
Vol. 127, Issue 4
1 Apr 2011
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Child Passenger Safety
Committee on Injury, Violence, and Poison Prevention
Pediatrics Apr 2011, 127 (4) 788-793; DOI: 10.1542/peds.2011-0213

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Child Passenger Safety
Committee on Injury, Violence, and Poison Prevention
Pediatrics Apr 2011, 127 (4) 788-793; DOI: 10.1542/peds.2011-0213
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