CPS Conference Call CPS Conference Call Tuesday February 24, 2009 Tuesday February 24, 2009 12:00 – 12:30 12:00 – 12:30 Please hold any questions you have for the Q&A Please hold any questions you have for the Q&A session at the end of the call. session at the end of the call. This conference call is hosted by MIEMSS EMSC, CPS & OP Health Care Project and is sponsored, in part, by a grant from the Maryland Highway Safety Office/ State Highway Administration.
Transcript
CPS Conference CallCPS Conference Call
Tuesday February 24, 2009Tuesday February 24, 2009
12:00 – 12:3012:00 – 12:30
Please hold any questions you have for the Q&A Please hold any questions you have for the Q&A session at the end of the call.session at the end of the call.
This conference call is hosted by MIEMSS EMSC, CPS & OP Health Care Project and is sponsored, in part, by a grant from the Maryland Highway Safety Office/ State Highway
Administration.
Why is Rear-Facing so Why is Rear-Facing so Important?Important?
Emilie Crown, RN, CENEmilie Crown, RN, CEN
Program ManagerProgram Manager
Montgomery County Fire Montgomery County Fire RescueRescue
AAP GuidelinesAAP Guidelines CPS Certification Class CurriculumCPS Certification Class Curriculum Available Car SeatsAvailable Car Seats How to educate parents How to educate parents
Scientific EvidenceScientific Evidence
ResearchResearch
Used data from NHTSA crash database Used data from NHTSA crash database from 1988-2003 from 1988-2003
Children from 0-23 months who were Children from 0-23 months who were restrained in RF and FF seats were restrained in RF and FF seats were included—total of 870 children usedincluded—total of 870 children used
Found that children who were FF were Found that children who were FF were significantly more likely to be seriously significantly more likely to be seriously injured in all crash types injured in all crash types
Research continuedResearch continued
Benefit of rear facing was evident in both children Benefit of rear facing was evident in both children < 1 year and children 12-23 months< 1 year and children 12-23 months
Benefit of rear facing was particularly great in side Benefit of rear facing was particularly great in side crashescrashes
Findings have significant implications for car seat Findings have significant implications for car seat manufacturers, as there may need to be new manufacturers, as there may need to be new designs to accommodate children up to their designs to accommodate children up to their second birthdaysecond birthday
Larger rear facing seats have been available in Larger rear facing seats have been available in Europe which often use support legs or bases that Europe which often use support legs or bases that extend to the vehicle floor to support the restraint. extend to the vehicle floor to support the restraint. These legs are not currently allowed in US.These legs are not currently allowed in US.
How children ride in SwedenHow children ride in Sweden
Children ride rear facing to age 4 and Children ride rear facing to age 4 and then transition to booster seatsthen transition to booster seats
Volvo did a recent crash study and Volvo did a recent crash study and data supported the policy of children data supported the policy of children remaining rear facing until age fourremaining rear facing until age four
Few children die on Swedish Few children die on Swedish highways—11 in 2005!highways—11 in 2005!
American Academy of American Academy of Pediatrics (AAP) GuidelinesPediatrics (AAP) Guidelines
““for optimal protection, the child for optimal protection, the child should remain rear facing until should remain rear facing until reaching the maximum weight for reaching the maximum weight for the car safety seat, as long as the the car safety seat, as long as the top of the head is below the top of top of the head is below the top of the seat back”the seat back”
What does the NHTSA What does the NHTSA Curriculum say about Curriculum say about
rear-facing?rear-facing?
Why Children Should Travel Why Children Should Travel Rear-FacingRear-Facing
Physical Physical DevelopmentDevelopment Babies have big Babies have big
headsheads Bones, tendons, Bones, tendons,
and muscles and muscles are not fully are not fully developeddeveloped
Child’s Body Proportions
Why Children Should Travel Why Children Should Travel Rear-facingRear-facing
CR absorbs forces of CR absorbs forces of the crashthe crash
VideoCourtesy of Children’s Hospital of Philadelphia
Direction – Always Rear FacingDirection – Always Rear Facing
For optimal protection, For optimal protection, use rear-facing CR to use rear-facing CR to highest weight or highest weight or height according to height according to the CR instructions.the CR instructions.
At a minimum, use At a minimum, use rear-facing CR until rear-facing CR until child is at least 1 year child is at least 1 year old and at least 20 old and at least 20 poundspounds
14 months, 24 pounds
Installation – AngleInstallation – Angle
Parents should use angle Parents should use angle given in CR manufacturer’s given in CR manufacturer’s instructions (30 to 45 instructions (30 to 45 degrees)degrees)
CR spreads crash forces CR spreads crash forces along the entire head, neck, along the entire head, neck, and backand back
Correct position helps keep Correct position helps keep airway openairway open
CR may be moved more CR may be moved more upright as child grows & upright as child grows & agesages
There are car bed options, if There are car bed options, if prescribed by physician, for prescribed by physician, for children with special health children with special health needs needs
Courtesy of Kathleen WeberChild Passenger Protection Research Program
University of Michigan Medical School
Seats that go to 30-35# RFSeats that go to 30-35# RF
All convertible seats on the market All convertible seats on the market now go to at least 30# rear facingnow go to at least 30# rear facing
Three infant seats are rated to 30# Three infant seats are rated to 30# rear facingrear facing
All Dorel convertible seats are rated All Dorel convertible seats are rated to 35# rear facing, and several to 35# rear facing, and several Evenflo convertibles and many Britax Evenflo convertibles and many Britax convertible seats also go to 35# RFconvertible seats also go to 35# RF
Infant seats with 30# weight Infant seats with 30# weight limitlimit
Educating parentsEducating parents
Let them know that RF is 76% safer Let them know that RF is 76% safer than FF for children under 2 years oldthan FF for children under 2 years old
Give them educational materials in Give them educational materials in writing to back up what you tell themwriting to back up what you tell them
Educate them about how rear-facing Educate them about how rear-facing seats protect children—give example seats protect children—give example of flight attendants…of flight attendants…
How rear-facing seats How rear-facing seats protect childrenprotect children
Support entire back, neck, head and Support entire back, neck, head and pelvis so that crash forces are pelvis so that crash forces are distributed over the entire body and not distributed over the entire body and not just points where seat belt touches childjust points where seat belt touches child
Having the head supported is key, as it Having the head supported is key, as it is large compared to the rest of child’s is large compared to the rest of child’s body especially when compared to the body especially when compared to the small neck and weaker neck musclessmall neck and weaker neck muscles
Safe Ride News Safe Ride News Fact Sheets 2009: Fact Sheets 2009: Selecting the Right Car Seat, This is Selecting the Right Car Seat, This is the Way Baby Rides, Check Your the Way Baby Rides, Check Your Child’s Car SeatChild’s Car Seat
Thank you for your Thank you for your time!time!
Questions?Questions?
Thank you for your time and your Thank you for your time and your interest in interest in cchild hild ppassenger assenger ssafety !afety !
FINAL INSTRUCTIONSFINAL INSTRUCTIONS::
• Feedback Form emailed to all call participantsFeedback Form emailed to all call participants• Feedback Form also available online: Feedback Form also available online: http://www.miemss.org/EMSCwww/CPSHome.htm
• Complete Form and fax to 410-706-3660 or email (Complete Form and fax to 410-706-3660 or email ([email protected]))• Also, complete and submit page 2 of Feedback Form if you Also, complete and submit page 2 of Feedback Form if you would like a would like a Certificate of Participation mailed to youCertificate of Participation mailed to you
