Disclaimer:
This medical
information is designed as an aid only for the
patients of
Drs. Concannon & Vitale.
It is not a substitute for a medical
exam and direct
advice from your physician.
CAR SAFETY GUIDE
FOR PARENTS
Special note --The National Highway
Traffic Safety Administration, and other groups periodically change
and update their specific recommendations on infant and child safety
seats. Always refer to their updated information.
Riding in a motor vehicle is the
most dangerous thing your child does, no matter what his or her age. You can do much to prevent
serious injury or death by heeding the following tips on car safety.
- EVERYONE riding in the car
should be
properly restrained. Your child is more likely to buckle up if you do.
- ALL children under 12 years
of
age should
ride in a rear seat. If you have more children than rear seats, the
oldest
child should ride in the front seat (with the front airbag turned OFF
if
a more powerful first generation airbag (before ~2002).
- Infant car safety seats
should
be tilted
at an angle of about 45°, and the seat belt must be locked into
position
around the seat. If the seat is correctly installed, it should not
wiggle
more than one inch in any direction. The straps should come through the
lower slots of the safety seat. They must fit snugly—you should not be
able to get more than one finger between the straps and your baby's
body
Be sure to put the chest protector at about the level of the baby's
armpits
to prevent the shoulder straps from sliding off.
- Installing a car seat
properly
can be
difficult. You can get expert help from the following Web sites: http://www.nhtsa.dot.gov
or www.carseat.org.
- Under 1 year.
Babies
under 1
year of age have heavy heads and relatively weak necks, which increases
their risk of head and neck injuries in an accident. Babies should
always
ride in a car seat that faces backwards (toward the rear of the
vehicle)
in the back seat of the vehicle. Do not place your baby in a
forward-facing
car seat until he is both 12 months of age and 20 pounds.
- 1 year to 4 years. Children
older
than 1 year who weigh at least 20 pounds can ride facing forward but
should
stay in the back seat. When you install the new car seat, it should be
upright and the harness straps should go through the upper slots. Newer
cars will allow you to use tether systems that are much easier to
install.
The integral (built-in) car seats in some vehicles are usually safe for
toddlers (check the owner's manual for your vehicle).
- 4 years to 8 years. Children
who weigh more than 40 pounds are too big for a car seat and too small
to use a regular seat belt safely The solution is a booster seat,
preferably
one with a high back, which will help protect your child's head and
neck.
Booster seats raise your child's body a few inches above the car seat
so
that the regular lap and shoulder seat belt fits properly. Boosters
don't
have
to be attached directly to the vehicle seat, which makes them easier to
use than car safety seats, and they let the child see out the window—a
real benefit on a long trip.
- 9 years to 12 years. Children
from 9 to 12 years of age should ride in the rear seat with the seat
belt
worn correctly (no putting the shoulder harness behind the back or
under
the arm!). Children this age are much more likely to wear a seat belt
if
you wear yours.
- Over 12 years. Once
your child
is older than 12 years and at least 4 feet 6 inches tall and 80 pounds,
she can ride in the front seat safely. But they still need to wear a
seat
belt. Seat belts prevent more than 50% of serious injuries. A new risk
arises when your child's friends start to learn to drive. Teenage
drivers
have more than five times as many crashes as older drivers, and their
risk
of crashing goes up when they carry passengers. Your child will be
safer
if she doesn't ride in a car with a teenager who is a new driver.
- Teenage drivers.
Rhode
Island
and Massachusetts have a graduated licensing system for teenage drivers
to help protect them from the hazards of immaturity and inexperience.
After
your teenager gets a learner's permit, they should drive only under
adult
supervision for at least six months, including some supervised driving
at night and in bad weather. Once they pass the road test and get a
license,
they should not carry passengers for six months. And even if they don't
have to be home by 9 p.m., they should not drive after that time for
the
first year because teenage drivers have a high risk of serious crashes
late at night.
Adapted from Contemporary
Pediatrics
September 2003.
Last Rev. 10/2005
CarSeatGuide.htm
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