tm the best advice for every ride update on the new guidelines for child passenger safety benjamin...
TRANSCRIPT
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The Best Advice for Every Ride
Update on the New Guidelines for Child Passenger Safety
Benjamin Hoffman, MD, FAAPAssociate Professor of Pediatrics/Certified Child Passenger Safety Technician Instructor University of New Mexico
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Prepared for your next patient.
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Disclaimers Statements and opinions expressed are those of the authors and not
necessarily those of the American Academy of Pediatrics.
Mead Johnson sponsors programs such as this to give healthcare professionals access to scientific and educational information provided by experts. The presenter has complete and independent control over the planning and content of the presentation, and is not receiving any compensation from Mead Johnson for this presentation. The presenter’s comments and opinions are not necessarily those of Mead Johnson. In the event that the presentation contains statements about uses of drugs that are not within the drugs' approved indications, Mead Johnson does not promote the use of any drug for indications outside the FDA-approved product label.
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Objectives
By the end of this presentation you should be able to:
- Discuss new best practice guidelines for child safety seat use
- Describe the data behind the new guidelines- Counsel families to follow the best practice
guidelines for child passenger safety
What’s Killing Children?Top 5 Causes: Ages 1 to 15 from 2001-2007
4.3 Child Occupants were Killed EACH DAY in 2007
MV TrafficAges 1-15
Source: CDC
N = 54,900
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Source: CDC
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THERE IS GOOD NEWS!
Number of Passenger Fatalities 0-16 years of age
Source: CDC
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THE TAKE HOME MESSAGE:
Just because you can, doesn’t mean you should…
Delay Car Safety Seat transitions as long as you can!
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REAR FACING CAR SAFETY SEATS “All infants and toddlers
should ride in a Rear Facing Car Safety Seat until they are 2 years of age, or until they reach the highest weight or height allowed by their car safety seat’s manufacturer”
Source: CDC
AAP
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REAR FACING CAR SAFETY SEATS ARE SAFER! Injury Risk Forward vs Rear Facing:
0-23 months oldo 1.8x increased injury risk
forward vs. rear-facing 12-23 months
o 5x increased injury risk Why?
o Spread crash energy over entire back of child
o Protection for head and neck
Courtesy of Bonnie Kozial, AAP
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TYPES OF REAR FACING SEATS
Birth to 2 years
5-40 lb REAR FACING
o Infant Carriers
• Rear only
• Lower limit birth, 4, 5 lb
• 22-40 lb weight limit
o Convertible
• Rear as long as possible
• Lower limit birth, 5 lb
• 30-45 lb weight limit
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3 years, 32 lbs., 36 in.
BUT WAIT… WHAT ABOUT THE LEGS?
Courtesy of Michelle Cisweski, Safe NM
Arms and legs are safer rear facing!
Rear-Facing Forward-Facing
86%
8%
57%
25%
7%
Spine – 7%
Percentage of AIS 2+ injuries NASS-CDS
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FORWARD FACING CAR SAFETY SEAT All children 2 years or
older, or those younger than 2 who have outgrown the rear facing limit of their car safety seat, should use a Forward Facing Car Safety Seat with a harness for as long as possible, up to the highest weight or height allowed by their car safety seat’s manufacturer
AAP
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FORWARD FACING CAR SAFETY SEAT
20-50 lb Forward Facing>40 models >40 poundsMany 65 or 80 lb
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BELT POSITIONING BOOSTER SEAT
“All children whose weight or height is above the forward-facing limit of their car safety seat should use a Belt-Positioning Booster Seat until the vehicle seat belt fits properly, typically when they have reached 4 feet 9 inches tall and are between 8 and 12 years of age.”
AAP
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BELT POSITIONING BOOSTER SEAT
Children 4-8 years oldo 45% decreased injury risk
• Compared to seat belt o ~60% decreased injury risk
• Compared to unrestrained
Courtesy of Benjamin Hoffman, MD, University of New Mexico
Courtesy of Benjamin Hoffman, MD, University of New Mexico
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SEAT BELTS
Courtesy of Benjamin Hoffman, MD, University of New Mexico
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SEAT BELTS
4’9” and taller Correct Fit:
o Sitting upright with back against vehicle seat
o Legs bend comfortably on vehicle seat
o Shoulder belt across clavicle and sternum
o Lap belt low across hips• Not resting on abdomen
o Child can sit that way the entire ride
Courtesy of Benjamin Hoffman, MD, University of New Mexico
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WHERE TO SIT IN THE CAR
“All children younger than 13 years should be restrained in the rear seats of vehicles for optimal protection”
Courtesy of Benjamin Hoffman, MD, University of New Mexico
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FIND EXPERT RESOURCES IN YOUR COMMUNITY!
Certified Child Passenger Safety Technicians can be identified by state
on the NHTSA website.
www.seatcheck.orgwww.nhtsa.gov
1-866-Seat-Check
NHTSA.gov
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SUMMARY Moving from one child restraint mode to the next is not
necessarily a good thingo Lose relative protection every step
Rear facing to weight/height limit of seato Rear facing until at least 2 years
Forward facing until weight/height limit of seato Forward facing in a harness until at least age 4
Belt positioning booster seat until seat belt fits correctlyo Generally 4 years to 8-12 years
• Depends on child and vehicle Rear seat until at least 13 years of age
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IT IS UP TO US!
Families look to their pediatricians for the best possible advice
Follow the algorithmo http://
aappolicy.aappublications.org/cgi/content/full/pediatrics;127/4/788#F1
Access community resources
AAP
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