Child Passenger Safety in the United States Position Statement-Child Passenger Safety in the United States Position Statement

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Child passenger safety in the United States has significantly improved over the years, with a decrease in motor vehicle crash deaths among children under 13. However, MVCs still remain a leading cause of unintentional deaths in children. The most effective way to prevent injuries and deaths in children is to use age- and size-appropriate child safety seats every time they travel in a motor vehicle.<br /><br />Child passenger safety has evolved over the years, with the development of child seats designed for crash protection. Federal Motor Vehicle Safety Standard (FMVSS) 213 was adopted in 1971, setting the performance and design criteria for child safety seats. Modern child safety seats have improved safety features, but they are often used incorrectly, with loose straps and improper attachment to the vehicle seat being the most common forms of misuse.<br /><br />All 50 states and the District of Columbia have laws that require children to travel in approved child safety seats or booster seats. However, there is a patchwork system of laws across the country, and many children, especially those aged 5-15, are left unprotected due to gaps in the laws.<br /><br />The Emergency Nurses Association (ENA) advocates for a national, standardized child passenger safety law that covers children through age 15. They also recommend that emergency nurses receive training and maintain knowledge of best practice recommendations. ENA encourages nurses to participate in public awareness campaigns and educate parents and caregivers on child passenger safety standards.<br /><br />Properly using age-appropriate child safety seats can significantly decrease injuries. Rear-facing seats are recommended for infants and toddlers, and convertible seats can be used until the child reaches the weight or height limit. Booster seats are necessary for most children aged 4-8, and seat belts can be used when the child can properly fit in them.<br /><br />Emergency nurses have an important role in child passenger safety education, as they can provide recommendations and educate parents during ER visits. Training programs such as the National Child Passenger Safety Technician Certification are available to provide nurses with the necessary knowledge and skills.<br /><br />Overall, child passenger safety is crucial for protecting children during motor vehicle travel, and implementing national laws and educating caregivers are essential steps in reducing injuries and deaths.

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Keywords

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Emergency Nurses Association

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