Q:What if a child is wearing a lap-shoulder belt,
but the child is so small that the shoulder belt
is very close to the child’s face or neck?
A:Move the child toward the center of the vehicle,
but be sure that the shoulder belt still is on the
child’s shoulder, so that in a crash the child’s upper
body would have the restraint that belts provide.
If the child is sitting in a second row position,
seeRear Safety Belt Comfort Guides for Children
and Small Adults on page 1-31.
{CAUTION:
Never do this.
Here a child is sitting in a seat that has a
lap-shoulder belt, but the shoulder part is
behind the child. If the child wears the belt in
this way, in a crash the child might slide under
the belt. The belt’s force would then be applied
right on the child’s abdomen. That could cause
serious or fatal injuries.
Wherever the child sits, the lap portion of the belt
should be worn low and snug on the hips, just touching
the child’s thighs. This applies belt force to the child’s
pelvic bones in a crash.
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For most basic types of child restraints, there are
many different models available. When purchasing
a child restraint, be sure it is designed to be
used in a motor vehicle. If it is, the restraint will
have a label saying that it meets federal motor
vehicle safety standards.
The restraint manufacturer’s instructions that come
with the restraint state the weight and height
limitations for a particular child restraint. In addition,
there are many kinds of restraints available for
children with special needs.
{CAUTION:
Newborn infants need complete support,
including support for the head and neck. This is
necessary because a newborn infant’s neck is
weak and its head weighs so much compared
with the rest of its body. In a crash, an infant in
a rear-facing seat settles into the restraint, so
the crash forces can be distributed across the
strongest part of an infant’s body, the back and
shoulders. Infants always should be secured in
appropriate infant restraints.
{CAUTION:
The body structure of a young child is quite
unlike that of an adult or older child, for whom
the safety belts are designed. A young child’s
hip bones are still so small that the vehicle’s
regular safety belt may not remain low on the
hip bones, as it should. Instead, it may settle
up around the child’s abdomen. In a crash, the
belt would apply force on a body area that is
unprotected by any bony structure. This alone
could cause serious or fatal injuries. Young
children always should be secured in
appropriate child restraints.
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