Seat Belt Misuse by a Child Transported in Belt-Positioning Booster Seat With Deadly Consequences

Child passenger safety has been a major public health victory, but there is still work to be done. This case presentation is about a 5-year-old boy who placed the shoulder portion of the lap-shoulder seat belt behind his back who was recently killed in a motor vehicle crash. This article reviews what trauma nurses need to know about the latest improvements in child passenger safety practices. Also presented are important resources for trauma nurses to share with families to improve travel safety.

[1]  R W Byard,et al.  Child booster seats and lethal seat belt injury , 2004, Journal of paediatrics and child health.

[2]  Dennis R Durbin,et al.  Child Passenger Safety , 2018, Pediatrics.

[3]  Dennis R Durbin,et al.  Child Passenger Safety , 2018, Pediatrics.

[4]  J KULOWSKI,et al.  Intra-abdominal injury from safety belt in auto accident; report of a case. , 1956, A.M.A. archives of surgery.

[5]  Bert Willems,et al.  Premature graduation of children in child restraint systems: an observational study. , 2007, Accident; analysis and prevention.

[6]  Marilyn J Bull,et al.  Seat belt misuse among children transported in belt-positioning booster seats. , 2009, Accident; analysis and prevention.

[7]  Michael R. Elliott,et al.  Effects of Seating Position and Appropriate Restraint Use on the Risk of Injury to Children in Motor Vehicle Crashes , 2005, Pediatrics.

[8]  P Fitzpatrick,et al.  Lap belt injuries in children. , 2010, Irish medical journal.

[9]  P F Agran,et al.  Injuries to a sample of seatbelted children evaluated and treated in a hospital emergency room. , 1987, The Journal of trauma.

[10]  S. D. Morris Misuse of booster seats , 2001, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[11]  Julie Brown,et al.  High back booster seats: in the field and in the laboratory. , 2006, Annual proceedings. Association for the Advancement of Automotive Medicine.

[12]  Kristy B Arbogast,et al.  Effectiveness of Belt Positioning Booster Seats: An Updated Assessment , 2009, Pediatrics.

[13]  Lawrence E Decina,et al.  Child restraint system use and misuse in six states. , 2005, Accident; analysis and prevention.

[14]  Martin R. Eichelberger,et al.  Injuries to children restrained in 2- and 3- point belts , 1998 .