Keeping Your Child Safe in their Car Seat

Keeping Your Child Safe in their Car Seat

By Josh MacDonald, OTR/L

Kids Place Clinic Director

Pediatric Occupational Therapist

At Kids Place, our therapists see a lot of children coming into the clinic in their infant carriers.  Unfortunately, too many of them are fastened into the car seat incorrectly.  While every car seat is different, there are a few standard rules about how to fasten them into infant carriers and forward facing seats.

First, the plastic retainer clip (the plastic clip across the chest) should be slid up to the level of the armpits.  This may seem high and appear to put pressure between the straps and the child's neck.  But, if the clip is not high enough, it will not hold the belt in place, and the child will slide between the straps and out of the seat in an accident.

Second, the seat belt should be tight enough that you cannot pinch any excess at their shoulder.  This is relatively snug.  When applied taught against the body, the seat belt assists in riding out the deceleration slowly.  If the strap is too loose, then the child will 'collide' with the seat belt in an accident, resulting in further injury.

Lastly, no additional pieces of aftermarket items should be added to the car seat.  These pieces are often not fire retardant, and could catch fire quickly.  Any padding on the seat belt strap to protect the neck will only create space between the child and the strap.  Remember, this needs to be a tight fit.  Space is bad.  Items hanging from the handle or on the seat of the vehicle will come loose in the accident and potentially strike the child.  These items are marketed well to convince us of their necessity or cuteness, but they are not crash tested and will be dangerous in an accident.

These are only a few of the rules and guidelines about car seats.  Your local fire department is able to assist you installing your car seat, and will teach you how to properly use the car seat.  This may seem like a hassle, but 90% of car seats are installed incorrectly and will not protect a child during an accident.  Make your child's safety a priority.