The most dangerous thing that U.S. children do as part of daily life is ride in a car. Motor vehicle crashes remain the leading cause of death for children 4 years and older.
Using the correct car safety seat or booster seat can help decrease the risk of death or serious injury by over 70%, and parents look to their pediatricians as a trusted source of guidance.
New evidence over the past decade prompted the Academy to update the policy statement and technical report Child Passenger Safety. The documents are available at https://doi.org/10.1542/peds.2018-2460 and https://doi.org/10.1542/peds.2018-2461, and will be published in the November issue of Pediatrics.
The impact of the revised policy should be minimal, as the only significant change is the removal of a specific age, 2 years, as a criterion for when a child changes from a rear- to a forward-facing car safety seat.
Guidance for families
Pediatricians should be prepared to provide advice at every health maintenance visit to ensure that children are as safe as possible. The evidence-based recommendations call for the following:
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