How to Find the Right Car Seat for Your Child
Grace Weatherby
/ Categories: WELLNESS, 2024

How to Find the Right Car Seat for Your Child

Auto accidents are one of the leading causes of death for children ages 1 to 13 years in the United States.

What makes this fact more tragic is that many of those deaths could have been prevented with the proper use of a car seat. Research shows that:

- Children are between 54% (toddlers) and 71% (infants) less likely to sustain a fatal injury if they're secured in a properly installed car seat

- Nearly 60% of car seats are installed or adjusted incorrectly.

That is why it is so important to choose and use the right car seat correctly every time your child is in the car. As your child grows, what type of car seat they need will change. Make sure you use a car seat that fits your child’s current size and age. This information will be included in each seat’s instruction manual and found on a label on the seat.

Here is a look at the different types and when they should be used:

AGE (by years)

SOURCE: NHTSA.gov

 

Rear-facing car seat (ages birth to 3 years)

The best seat for infants and young children, rear-facing car seats have a harness that, in a crash, cradles and moves with your child to reduce the stress to the child's fragile neck and spinal cord. Your child should remain in a rear-facing car seat until he or she reaches the top height or weight limit allowed by the car seat manufacturer.

Forward-facing car seat (ages 3 to 7 years)

This style of seat has a harness and tether that limits the movement of your child’s body and head in the event of a crash. Your child should remain in a forward-facing car seat until he or she reaches the top height or weight limit allowed by the car seat manufacturer.

Booster seat (ages 7 to 12 years)

Available with or without a back, booster seats elevate your child up so the vehicle’s lap-and-shoulder belt fits properly across your child’s hips and across the chest.

Seat belt (ages 8+ years)

Once your child has outgrown their booster seat (check the seat for height and weight guidance), they can transition to using a seat belt. The belt should lie across the upper thighs and be snug across the shoulder and chest to restrain your child safely in a crash. It should not rest on the stomach area or across the neck or face.

It is important to note that if a car seat is not installed or fitted correctly, your child’s safety could be compromised. If you have questions, trained professionals can help. Car seat assistance stations in our area are listed below. Or call the Department of Transportation Vehicle Safety Hotline at 888-327-4236. How-to videos from the NHTSA can also be found here.

 

Car Seat Assistance Stations
 
VERMONT
Deerfield Valley Rescue Squad
22 Stowe Hill Road
Wilmington
802-446-5557
By appointment
 
Manchester Police Department
60 Jeff Williams Way
Manchester
802-362-2022
By appointment Tuesday 5-6 p.m.
 
Sunrise Family Resource Center
238 Union Street
Bennington
802-442-0059
By appointment
 
MASSACHUSETTS
North Adams Police Department
11 Summer Street
North Adams
413-664-4944
By appointment
 
Adams Police Department
4 School Street
Adams
413-743-1212
By appointment
 
NEW YORK
City of Troy Police Department
55 State Street
Troy 
(518) 270-4689
By appointment

 

Deborah Yanke, LNA, is a member of the Women's and Children's Services team at Southwestern Vermont Medical Center as well as a certified car seat technician. 

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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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