July 1986

Hospital-Based Child Safety Restraint Programs

Author Affiliations

Children's Service Massachusetts General Hospital Boston, MA 02114

Am J Dis Child. 1986;140(7):618. doi:10.1001/archpedi.1986.02140210016007

Sir.—Use of car safety seats for reduction of childhood morbidity and mortality associated with automobile accidents has been advocated by the American Academy of Pediatrics and public health representatives for many years.1,2 Discussion of this issue arose in the Pediatric Emergency Ward (EW) of the Massachusetts General Hospital (MGH), Boston, regarding a specific patient.

Patient Report.—A 2½-year-old boy was seen on a rainy evening in the EW after the car in which he and his parents were riding was involved in a motor vehicle accident. On physical examination the child was well except for a small hematoma above the left eye. History taking about the circumstances of the accident revealed that the child had not been in a child car-seat restraint of any kind. The EW physician explained to the mother the morbidity and mortality associated with motor vehicle accidents and emphasized the importance of safety restraints.

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