Owner's manual | Baby Trend EuroSport Owner`s manual

3/19/2012

TECHNICIAN UPDATE

Passenger Safety

Texas AgriLife Extension Service in cooperation with

Texas Department of Transportation

Educational programs of the Texas AgriLife Extension Service are open to all people without regard to race, color, sex, disability, religion, age, or national origin. The Texas A&M University System, U.S.

Department of Agriculture, and the County Commissioners Courts of Texas Cooperating

Speakers

Beth Warren

Safety Programs

Texas Department of Public Safety

Sarah Tilton

Child Passenger

Safety Advocate

Britax USA

Allana Pinkerton

Child Passenger

Safety Advocate

Diono

Bev Kellner

Program Manager

Texas AgriLife

Extension Service

Passenger Safety

MythBusters

Educational programs of the Texas AgriLife Extension Service are open to all people without regard to race, color, sex, disability, religion, age, or national origin.

The Texas A&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating

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3/19/2012

Passenger Safety

MYTH

Correct angle for rear‐facing infant only seat is 45 degrees.


• Rear‐facing seats can be installed at an angle of 30‐45 degrees depending on manufacturer’s instructions.

• Always read instructions and follow manufacturer’s level indicator.


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MYTH

The most dangerous part of child using a lap/shoulder belt when they do not fit is the shoulder belt rubbing on a child’s neck.


• There is little, if any, evidence in the literature of cervical spine (neck) injuries resulting from poor positioning of the shoulder belt near the child’s neck (in situations where the child’s head does not strike anything in the vehicle).

• A shoulder belt that touches the side of the neck is not likely to cause injury unless the belt is very loose.

• Cervical spine injuries may occur when no shoulder belt is used – making head injuries more likely. www.TheCarSeatLady.com


MYTH

Car seats can never be used in

RVs.


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• Yes, seatbelts and child restraints can be used in an RV.

• Always check in the owner's manual.

• Never use a CR facing sideways.


MYTH

A car seat should always be replaced after a crash.


• Follow NHTSA guidelines

AND CRS manufacturer’s recommendations.

• Almost all manufacturers recommend replacing a seat after a crash.


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MYTH

In some new Fords with inflatable seat belts, you will be able to disconnect the shoulder belt to install a CR.


• The Inflatable Seat Belt has two retractors ‐ one for the shoulder portion and one for the lap portion.

• Both the lap and shoulder portions are permanently attached to a single latch plate.

• The lap belt portion is equipped with a locking retractor for securing a child restraint, but the shoulder belt cannot be disconnected to use the lap belt only.


MYTH

Boosters should always be used in school buses.


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• Most school buses equipped with lap/shoulder belts have adjustable shoulder belts.

• Do not use a booster seat in a school bus with adjustable shoulder belts.

• Booster moves child forward, reducing excursion room in seat compartment.


MYTH

LATCH is slightly safer than seat belts.


• Both LATCH and seat belts are equally safe.

• Use the system that provides the most secure fit.


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MYTH

The Graco Nautilus must always make contact with 100% of the vehicle seat.


• When using the Nautilus in the booster seat mode, the front of the seat must not hang over the front of the vehicle seat.

• When using the Nautilus in the harness mode, follow the 80/20 rule.


MYTH

When a convertible label reads “Use

ONLY in a REAR‐facing position when using it with an infant weighing less than 20 pounds,” make sure to advise parents to stop using it after 20 pounds.


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• Don’t be mislead! This is language required by FMVSS 213.

• All convertible seats go rear‐facing until at least 30 lbs. Most go to 35 lbs. Many go to 40 lbs. and now some go to 45 lbs.!!!


MYTH

European car seats that have all the labels and have the same brand name as those sold in

America are legal to use in the

United States.

• Example: Maxi‐Cosi seat sold in Europe


• It's not legal to use seats that are not approved by NHTSA. European seats are not approved.

• NHTSA only grants waivers for imported seats under extreme circumstances, and not wanting to buy new seats will not qualify.

• Must use seat that is labeled with “Meets

FMVSS 213 standard.” State laws base correct use on the instructions for the seat, using

FMVSS 213 as the standard.


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MYTH

Tether straps are ALWAYS routed under head rest.


• Consult vehicle manual. If no direction is provided, it is usually routed under the head restraint.

• When using a Britax versa‐tether without specific guidelines from the vehicle manufacturer, route the tether so that it travels to the designated tether anchor location in the most natural route.

• If the V of the two pieces of webbing routes best and most natural connecting to the designated anchor point “around” the head restraint – then go around.


MYTH

When using LATCH, the unused lap/shoulder belt cannot be buckled behind the safety seat.


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• To prevent possible strangulation issues, some manufacturers recommend fastening the seat belt behind the CR before installing it.

• Make sure the belt buckle does not interfere with the installation of the lower attachments

(LATCH).

• Consult manufacturer’s instructions before using this method.


MYTH

There should never be more than one seat attached to a tether at a time.


• Many pickup trucks with tether routing loops will allow this.

• Refer to vehicle manufacturer’s instructions.


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MYTH

Lower anchors are always attached with the open part of the hook facing downwards.


At least one booster seat manufacturer (Diono, formerly Sunshine Kids Juvenile Products) recommends that the opening of the hook face upwards. This is because the lower anchors, when available, on a booster do not bear the weight of the child, just the weight of the booster seat itself.

• Positioning it with the hook opening facing upwards is for ease of use. Do not do this with lower anchors when connecting a harnessed seat.

• Always read instruction manuals.


MYTH

If a CR has a built‐in lock‐off on both sides of the CR, both should be

used.


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• Some manufacturers may recommend using both lock‐offs; others may select one or the other.

• Review the CR’s instructions to know which lock‐off to use and whether the lap belt alone or the lap‐and‐shoulder belt is threaded through the lock‐off.

• Manufacturers developed lock‐offs to make pre‐crash locking easier.


MYTH

A child outgrows a forward‐facing harnessed seat when they have less than 1” from the top of their head to the top of the shell.


• That is true for rear‐facing seats.

• For most forward‐facing seats with harnesses, the child outgrows the seat when the mid‐point of their head (usually the top of the ears) is over the top of the shell, or the child’s shoulders are above the top slots on the seat.


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This concludes the Myth Busters section of the update!


CPS Industry Hot Topics

Occupant Detection Systems, Inflatable Seat Belts, Seat Belt

Extenders, Tether Routings, Vehicle Head Restraints,

Low Speed Vehicles (LSV)

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FAA Approved!

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Vehicle Safety Features

2011 Honda Odyssey

Airbag System Components

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2011 Honda Odyssey

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2010 Honda Odyssey

Do not spill any liquids on or under the seats, cover the sensors, or put any cargo or metal objects under the front seats.

Make sure the floor mat behind the front passenger’s seat is properly positioned on the floor. If it is not, the mat may interfere with the proper operation of the front passenger’s seat and its sensors.

Hanging heavy items on the front passenger seat, or placing heavy items in the seat‐back pocket.

Second‐row passengers should not wedge objects or intentionally force their feet under the front passenger seat.

The passenger’s advanced front airbag system has weight sensors under the seat.

Although Honda does not encourage carrying an infant or small child in front, if the sensors detect the weight of an infant or small child (uo to about 65 lbs or 29 kg), the system will automatically turn the passenger’s front airbag off.

A second row passenger pushing or pulling on the back of the front passenger’s seat.

Moving the front seat forcibly back against cargo on the seat, the floor behind it, or a folded second row seat.

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2009 Chevy Malibu

2010 Honda Accord EX‐L

In the AAB section page 26:

Although Honda does not encourage carrying an infant or small child in the front, if the sensors detect the weight of an infant or small child (up to about 65 lb or 29 kg), the system will automatically turn the front passenger’s airbag off.

In the Protecting Children ‐ General Guidelines section page 34:

Never put a rear‐facing child seat in the front seat of a vehicle equipped with a passenger’s front airbag.

Page 38: Rear‐facing Child Seat Placement

A rear‐facing child seat can be placed in any seating position in the back seat, but never in the front. Never put a rear‐ facing child seat in the front seat of a vehicle equipped with a passenger’s front airbag.

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2010 Chevy Traverse

Even if the passenger sensing system has turned off the right front passenger frontal airbag, no system is fail‐safe. No one can guarantee that an airbag will not deploy under some unusual circumstances, even though the airbag is turned off.

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2011 Kia Soul

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Can a CRS touch the vehicle seat back in front?

“If you are unable to use the center rear seating position and have to install this child restraint directly behind a front vehicle seat, ensure that there is at least 1‐1/2 in.

(38 mm) of space between any part of the child restraint and the vehicle seat that is closest to the child’s head.

This space may be necessary for the child restraint to properly perform in certain types of crashes.”

Evenflo Discovery™5

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Discovery™ 5 User Guide, Page 3, General Warnings

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3/19/2012 www.orbitbaby.com

Can a CRS touch the vehicle seat back in front?

2012 Lexus ES 350

Child restraint systems installed on the rear seat should not contact the front seatbacks.

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49

51

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What seating positions have pretensioners and/or load limiters?

Audi A4 / S4

Pretensioners

1 & 3

Load Limiters

1,3,4,5,6

Audi A6 / S6

Pretensioners

1,3,4,5,6

Load Limiters

1 & 3

2011 Honda

Odyssey

Pretensioners

1 & 3

No load limiters

2011 Chevy

Cruze

2011 Chevy

Tahoe

Pretensioners

1 & 3

No load limiters

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Can the Inflatable Safety Belts be used to install a child restraint?

Defer to BOTH vehicle and child restraint manuals.

2011 Ford Explorer

2012 Ford Flex and 2 unnamed Lincoln models

Toyota added to 2012 Lexus LFA (standard front seat feature, made by Takata)

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2011 Ford Explorer

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Inflatable Seat Belts

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Can I use an inflatable seat belt to install a CRS?

• Technicians must take time to read and understand the vehicle and child restraint manufacturer's instructions and research their websites for updates on this new technology. Contacting their customer service departments is also a very good idea if you or the caregiver has any questions.

• This tip sheet provides several child restraint manufacturer policies regarding the inflatable seat belt

(August 1, 2011 CPS Express)

Submitted by Kim Herrmann, Safe Kids Worldwide (Ft. Myers, FL)

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2011 Ford Explorer

Pre‐crash locking seat belts will lock in one of two places: the latch plate or the retractor.

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Chapter 4: Seat Belt Systems with Pre‐Crash Locking Features – Page 42

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2011 Chevy Malibu

Dynamic Locking

Latch Plate

Locks only under dynamic crash loading

CRS should not be installed without locking the retractor!

GM Introduces Industry’s First Front

Center Air Bag

Buick Enclave, GMC Acadia, and Chevrolet

Traverse midsize crossovers in the 2013 model year http://www.gm.com/content/gmcom/home/article.content_pages_news_us_en_2011_sep_0929_airbag.gm.html

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2009 Chevy Tahoe

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Should top tethers be routed around, over or under a vehicle head restraint?

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Crew Cab

2012 Sierra 1500

Regular Cab

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3rd row

2 nd row

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“If the child restraint has a top tether, follow the manufacturer’s instructions regarding use of the top tether.”

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2009 Toyota Tacoma Access Cab

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Dodge Trucks

2009 2500/3500 Ram Trucks

“Heavy Duty”

• 2009‐2011 Ram 1500 Quad or Crew Cab Trucks

• 2010‐2011 Ram 2500/3500

Crew Cab Trucks

• 2010‐2011 Ram

3500/4500/5500 Quad or

Crew Cab Trucks

• 2010 across the board webbing loop

CPS Express ‐ January 1, 2012 72

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2012 Chrysler 200 Convertible

Route the tether strap to provide the most direct path from the child seat to the anchor.

Can a CRS be installed in this vehicle?

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What is a LSV?

• CRS are certified for use in motor vehicles and aircraft.

• A motor vehicle is a vehicle that is driven or drawn by mechanical power and manufactured

primarily for use on public roads.

– passenger car

– multipurpose passenger vehicle

• Both of these classifications exclude low‐speed vehicles.

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2011 Dodge Journey

• The Integrated Child Booster

Seat is located in each outboard second‐row passenger seat.

• 48 – 85 lbs.

• 47 – 57 inches tall

To position a child:

• Slide second row seat to the full rear position to use the integrated Child Booster Seat.

• The second row bench with the Integrated Child Booster

Seat must remain in the full rear position during use.

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Armrest Retaining Strap

• Vehicle glove box when new

• Use to secure center armrest before installing RF child seat in center position

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Seat Belt Entanglement

It is always okay to buckle the vehicle seat belt behind a LATCH installed CRS to prevent the potential of strangulation?

A.

Yes, Always

B.

No, Never

C.

Maybe

D. Check BOTH the CRS and Vehicle manual

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2010 Honda Accord EX‐L

Make sure any unused seat belt that a child can reach is buckled, the lockable retractor is activated, and the belt is fully retracted and locked.

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2011 Volkswagen Golf

 Never activate the switchable locking retractor when routing the safety belts around the head restraints.

 Guide the belt webbing behind the head restraint of the adjacent seat (fig. 66).

When doing so, do not engage the switchable locking feature on the safety belt!

You should not hear a

“clicking” sound when the safety belt is retracting.

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Nissan

If a child has an unused seat belt within reach:

• Buckle unused seat belts. Pull the seat belt out all the way to the end without yanking. Then, feed the excess webbing back into the retractor.

• If a child seat is installed with LATCH, consider completing the steps above before you install the child seat. Always consult your child seat and vehicle owner's manual for installation instructions.

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Can the retractor be locked in booster mode?

2011 Nissan Altima and 2012 Lexus ES 350

2011 GMC Acadia

82 http://gmownercenter.yahoo.com

What accessory base will work with the SnugRide®?

Infant Car Seat Works with which car seat base(s)?

SnugRide®

(weight rated to

22lbs)

Only with a SnugRide® base that is rated to 22lbs

Infant SafeSeat™

Infant SafeSeat™ base, SnugRide® 30 base, SnugRide® 32 base, or

SnugRide® 35 base

SnugRide® 30


SnugRide® 35 base

SnugRide® 32


SnugRide® 35 base

SnugRide® 35


SnugRide® 35 base 84

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2011 Chevy Equinox

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How do I explain to a parent it is important to use a top tether?

A top tether can reduce the distance that the child’s head moves forward by 4‐6 inches and can thus lessen the risk of head injuries in a crash.

Head injury is the leading cause of vehicle crash related deaths for children ages 0‐12

(www.chop.edu)

“For FFCR, the analysis suggests that upper tethers are a crucial component in the prevention of head contact with the vehicle front seat or dash. In fact, when the upper tether is not used, the results predict that head excursion values will be large enough to

allow head contact with these structures,…”

QUANTIFYING THE RELATIONSHIP BETWEEN

VEHICLE INTERIOR GEOMETRY AND CHILD

RESTRAINT SYSTEMS

C.P. Sherwood, Y. Abdelilah, J.R. Crandall – University of Virginia

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CPS Student Manual Pg. 81

Department of Transportation's

Federal Aviation Administration (FAA)

87 http://www.faa.gov/passengers/fly_children/

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Cares Child Airplane Aviation

Restraint System

• Aviation Child Safety Devices (ACSD)

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89 http://www.kidsflysafe.com/ http://www.usairways.com/en‐US/traveltools/specialneeds/children.html

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Does CRS and vehicle always agree?

2006 Toyota Tacoma 91

2006 Toyota Tacoma 92

2011‐2012 Toyota Tacoma 93

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NHTSA Priority Plan

• www.regulations.gov

• Docket number SA‐2009‐0108

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2011‐2013 Rulemaking and Research

Priority Plan

• Child Restraints in Side Impacts

• Vehicle‐CRS Fit Program

• Rear Visibility of Vehicles and Power Windows

• Boosters

• Lower Anchors and Tethers for Children

• Test Requirements

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• WWW.nhtsa.gov/cars/problems/comply

Smartphones!

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Car Seat Helper

http://www.phoenixchildrens.com/ 100

QR Codes

http://qrcode.good‐survey.com/ 101

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Thank you!

Sarah Tilton

Child Passenger Safety

Advocate

Britax Child Safety, Inc.

Direct Line (704) 409‐1695

Email: [email protected]

15 Minute Break

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Communicating

Extended

Rear‐facing to Parents



Why Rear‐Facing?

• It’s 5 TIMES SAFER than forward‐ facing.

• Even for 2 year olds!

Source: Henary B, et al. Injury Prevention 2007

Passenger Safety www.TheCarSeatLady.com

Why Children Should

Travel Rear‐Facing

Increased crash protection:

• Spreads crash forces along the entire head, neck, and back

• Protects head, neck, and spinal cord

• CR absorbs forces of crash

Video courtesy of Children’s Hospital of Philadelphia


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AAP Recommendations

• Minimum – one year AND 20 lbs.

• New Research 2008

Rear‐facing to age two or more is 5 times safer.

• AAP Statement April 2011

Infants should ride rear‐facing until they reach the highest weight or height limit recommended by the manufacturer of the CSS.


12‐month‐old Forward‐Facing

www.TheCarSeatLady.com


Younger Child’s Head is Larger in

Proportion to Body


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12‐month‐old Rear Facing



Rear‐facing Until Age 2 (At Least!)

Too Heavy

Usually 35‐45 pounds

Too Tall

Head less than 1 inch below top of seat

AAP Committee on Injury, Violence & Poison Prevention. Pediatrics. 2011

Watson E, et al. BMJ. 2009 www.TheCarSeatLady.com


Reasons Drivers

Chose Forward‐Facing

Source: O’Neill J, et al. Clinical Pediatrics 2011


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Parents Believe Child Is Too Big Long

Before Child Outgrows Rear‐facing

Of these ONLY ONE child actually had outgrown their rear‐facing seat www.TheCarSeatLady.com

Source: O’Neill J, et al. Clinical Pediatrics 2011

But what about their legs?



3 Years 2 Months ‐ 37 lbs.


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1 Year 2 Months ‐ 18 lbs.








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2 Years 1 Month ‐ 27 lbs.



2 Years 1 Month ‐ 27 & 32 lbs.



Forward‐facing kids also sit in uncomfortable‐looking positions!



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and so do adults...



Putting Feet on Airbag

(as shown) is Dangerous



Besides, there are

MORE leg injuries to forward‐facing kids than rear‐ facing kids


Arbogast KB, et al. Annual Proceedings / Association for the Advancement of Automotive

Medicine, 2002


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She wont wake up with a stiff neck

...but you sure would



Parents Are Listening!

Who or What Influenced Your Decision To Forward‐Face Your Under 2‐year Old

Child?

Car Seat Manual

Family

Doctor

Friends

Internet

Car Seat Expert

0

O’Neill J, et al. Clinical Pediatrics 2011


20 40 60 80 www.TheCarSeatLady.com

Rear‐Facing Talking Points

• Minimum of 2 years is just that ‐ a minimum.

• Validate:

 12‐15 months is typically the most difficult time for kids in car seats (or any device with straps) ‐ kids realize that these completely limit their independence & mobility.

 Legs will look scrunched & uncomfortable ‐ but child will be comfortable.



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To Keep Older Children Happy:

• Remove head rest so child can see better out the rear window

• Sit the car seat more upright (when manufacturer allows) to give child better view www.TheCarSeatLady.com


Joel’s Story

If They’re Still Not Sure…

• Have them watch the video

• See handout with reminder cards

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Special Thanks

Dr. Alisa Baer

Pediatrician, NICU

Columbia University Children's Hospital of NY www.TheCarSeatLady.com


BOOSTER SEATS:

WHAT FITS?

Educational programs of the Texas AgriLife Extension Service are open to all people without regard to race, color, sex, disability, religion, age, or national origin.

The Texas A&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating


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Boosters

Boosters are for children:

• Mature enough to sit still in lap/ shoulder belts

• Usually 4 years of age and over 40 lbs.


The Statistics in Texas

• Booster‐age children have a higher non‐use rate than younger age groups.

• Recent surveys show only 47% of 5‐9 year olds in Texas were correctly restrained in booster seats.

• In 2010, 34 Texas children ages 5‐9 were killed, and over 9,400 were injured.

• Less than 33% of those killed and only 25% of those injured were restrained.

Source: Texas Motor Vehicle Crash Statistics, Restraint Use by Age and Injury Severity, 2010


The Problem

• Children are prematurely put into booster seats when a harnessed seat would offer better protection.

• Children are put into a seat belt before they are big enough to fit – usually 4’9” tall.

• 57 inches tall is the average height of an

11‐year‐old!


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Why a Booster Seat?

Video: Lap belt vs. Booster

Video: Lap & shoulder belt vs. Booster

Videos Courtesy of Children’s Hospital of Philadelphia


BPB Effectiveness

• Children in belt‐positioning booster seats are 45% less likely to sustain injuries than similarly aged children using the vehicle seat belt.

• Proper positioning of the seat belt by booster seats virtually eliminates injuries associated with injuries to the abdomen and spine.

Source: Effectiveness of Belt Positioning Booster Seats: An Updated Assessment,

Arbogast, Jermakian, Kallan, and Durbin, Pediatrics, 2009.


Problems with Belt Fit

• Shoulder belts in vehicles are anchored too high to fit small children. Designed for 4’9” adult.

• Most vehicle seats are too big for children to sit comfortably. Children will slouch and not be held firmly by the seat belt.

• Children do not have the hip bone (pelvis) development to keep the lap belt in place.


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3/19/2012 www.TheCarSeatLady.com


Hip Bones Underdeveloped

1

16‐months

4

1

5 years

4

1

Adolescent

2

2 3 5 6

2 3

5 6

Number of Bones in the Hip and Pelvis www.TheCarSeatLady.com

Images (C) BoneClones


Consequences of Misuse

• Seat belt syndrome: injuries that occur when lap belts don’t fit

Illustration courtesy of Children’s Hospital of Philadelphia


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Poor Lap Belt Fit

• An incorrect fit with a lap belt is very dangerous!

• When the lap belt rides over the abdomen, crash forces are loaded onto these soft weak tissues.

• Injuries can include ruptured spleen, kidneys, and even fracture of the lower spinal cord.


Passenger Safety iihs.org



Spinal Cord/Abdominal Injuries

• The most common cause of pediatric spinal cord injury (SCI) is a motor vehicle collision.

• Lap belt injuries and the seatbelt syndrome are often associated with pediatric SCI in improperly restrained children involved in

MVCs.

• The risk of significant intra‐abdominal injuries is increased almost four‐fold in these children.

• This injury is complex, and its associated abdominal injuries are difficult to diagnose; delay in diagnosis increases morbidity.

Source: Journal of Spinal Cord Medicine, 2007


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Dangers of Poor Lap Belt Fit

Intestinal Rupture Splenic Laceration


Bladder Rupture

Photo source: CIREN www.TheCarSeatLady.com

Kids Slouch to Allow

Knees to Bend



Poor  Good Lap Belt Fit with Booster

No Booster

With Booster

Lap Belt: On abdomen

Knees: Don’t bend naturally

 Child will slouch

Lap Belt: Flat on thighs

Knees: Bend naturally

No slouching www.TheCarSeatLady.com


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Poor Shoulder Belt Fit

• Riding with a shoulder belt rubbing against the neck does not cause injuries.

• However, children who put the shoulder belt behind their back or under their arm are at great risk!

• Their upper body can be violently thrown forward in a crash.



Dangerous

Uncomfortable iihs.org


Shoulder Belt Rubbing Neck Is

NOT Dangerous


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... but putting the shoulder belt

UNDER your arm or BEHIND your back

IS VERY DANGEROUS!



Dangerous Head Movement with Shoulder Belt under Arm or Behind Back

Booster

Shoulder belt under arm

Shoulder belt behind back www.TheCarSeatLady.com


Slouching not only makes the lap belt fit poorly... but also the shoulder belt.

Slouching can lead to head injuries!



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Slouching Head Injuries


Excessive Head Movement with Slouching


Booster: Yes

Slouching: No


Booster: No

Slouching: Yes www.TheCarSeatLady.com

Boosters Make the

Seat Belt Fit Well

No Booster With Booster www.TheCarSeatLady.com


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Lots to choose from!


Types of Booster Seats

Backless

Booster


High Back

Booster

Backless Boosters –

Pros and Cons

Pros

• Older children don’t want to be in a “little kid’s seat.”

• Narrow base may improve access to belt buckles.

• Low cost ($15‐30).

• Convenient for air travelers to pack.

Cons

• Shoulder belt guides may be difficult to use or lost.

• Taller children benefit from a HB‐BPB in vehicles without rear seat head restraints/support.


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HB BPB – Pros and Cons

Pros

• Built‐in shoulder belt guides ‐ proper positioning of belt.

• Some guides don’t allow the shoulder belt to retract freely. Always check to be sure the belt moves freely.

• Adjustable headrests with side‐wings help keep sleeping children upright with the shoulder belt correctly in place.

Con

• More expensive than backless BPBs

Source: Safe Ride News March/April 2006.


Is One Safer than the Other?

• Both provide protection in a crash.

• Both lift the child up so the adult lap‐shoulder belt fits correctly.

• Studies show high backs are more protective in side‐impact crashes .


Backless BPB Shoulder Belt Guide

Source: Partners for Child Passenger Safety Educational Illustrations


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High Back Shoulder Belt Guide

Source: Partners for Child Passenger Safety Educational Illustrations


IIHS Studies Fit

Good Belt Fit Poor Belt Fit

• IIHS studies point out not all seats fit every child.


IIHS Booster Studies

• Dec. 2009 – Booster Seat Ratings:

• 9 best bets and 6 good bets

• 11 out of 60 seats evaluated aren't recommended

• Sept. 2010– Booster Seat Ratings:



• Oct. 2011– Booster Seat Ratings:




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How They Measured Fit

• Engineers assessed boosters using a specially outfitted crash test dummy representing an average‐size 6‐year‐ old child.

• The engineers measured how 3‐ point lap and shoulder belts fit the dummy under 4 conditions spanning the range of belt configurations in vehicle models.

• Each booster gets 4 scores for lap belt fit and 4 for shoulder belt fit.

• NO CRASH TESTS WERE

PERFORMED.


Types of Seats Rated Best

• Very few combination or 3‐in‐1 seats are rated best or good in booster mode.

• Mostly dedicated boosters receive best or good ratings.

• Some dual‐mode dedicated boosters have different ratings for backless mode vs. high back mode.

Examples of Best Bets


The In‐betweens

• IIHS recommends “check fit.”

• Seats may provide good fit for some children in some vehicles.

• Make sure the lap belt lies flat across a child’s upper thighs, and the shoulder belt crosses snugly over the middle of the shoulder.

• Otherwise, choose a different seat.


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Not Recommended

• Some combination and 3‐in‐1 seats with side‐positioners for shoulder belt use in BPB mode do not allow good fit.


More Info on IIHS Studies

• Visit their website at: http://www.iihs.org/research/topics/boosters/


Safe Kids Response to IIHS

• Booster seats are not one‐size‐fits‐all.

• Parents must find the right fit for their child.

• Test the fit:

1. Place child on booster seat, and fasten the lap/ shoulder belt around the child.

2. Use seat belt guides on booster for the lap and shoulder belts.

3. Check to be sure the lap belt rests on the top of the thighs or low on the hips.

4. Check to be sure the shoulder belt is positioned on the bony shoulder ‐ not the neck or face.

• If lap and shoulder belt are correctly positioned as described above, the booster seat will protect the child. If not, try another brand.


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24

Good to Know…

• Booster seat backs offer varying degrees of rear‐impact head/neck protection.

• Several HBBs do not allow use if the child’s head is above the vehicle seat back.

• Some taller HBBs may interfere with the vehicle head restraint.

• Consult both vehicle and booster seat manuals for how to handle this situation.


Weight Limits

• Don’t move kids too early.

– Keep kids in full harness for as long as possible.

• Weight limits vary.

– Usually 30‐100 for high back

– Usually 40‐100 for backless

• Look on labels for height and weight limits.

– Some go to 110 or 120 lbs.

• Watch for proper belt path and fit.


Boosters to Fit Children over 100#s


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25

…use a booster until the child passes the

5‐Step Test!

Hint: Most kids are 10‐12 years old when they pass.



Source: SafetyBeltSafe USA



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26

Boosters and LATCH

Lower Anchors

• Most dedicated boosters do not come with lower anchor straps. The few that do most often have rigid lower anchors.

• Examples that have lower anchor connectors:

• Cybex Solution X‐fix ‐ rigid lower anchor connectors

• Jane Indy Plus ‐ rigid lower anchor connectors

• Magna Clek Oobr ‐ rigid lower anchor connectors

• Sunshine Kids Monterey ‐ flexible lower anchor connectors

Backless Belt Positioning Booster

• Most do not have lower anchor straps.

• Exceptions:

• Magna Clek Olli & Ozzi ‐ rigid lower anchor connectors

• Safety 1st Go Hybrid ‐ flexible lower anchor connectors

• Sunshine Kids Monterey – flexible lower anchor connectors www.TheCarSeatLady.com


Boosters and LATCH (cont.)

Tether Strap

• At present, only combination seats come with top tethers ‐ some allow tether in booster mode.

• Britax Frontier/Frontier 85: allow use of lower anchors & tether

• Evenflo ‐ all combo seats (retroactive) allow use of lower anchors & tether

• Recaro Young Sport ‐ recommend use of tether

(do not allow lower anchors)

• Safety 1st Go Hybrid (formerly Safeguard Go) ‐ allow use of lower anchor

• Nania Airway & Nuevo/Solo ‐ allow use of lower anchors & tether www.TheCarSeatLady.com


Common Obstacles to

Booster Seat Use

• Cannot fit 3 boosters across backseat

• Difficulty in buckling in boosters when there is a tight fit

• Sending along a booster seat when child is transported by another parent www.TheCarSeatLady.com


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27

Narrow Boosters Leave Room


( tiny) Volkswagen Golf www.TheCarSeatLady.com

Climbing into a Buckled Belt

1 2 3 4

Booster with belt fastened

Climbing under belt

Tightening seat belt

Ready to go!



Booster Seat with Portability

• Inflatable

• 12” wide

• Weighs 1 pound www.TheCarSeatLady.com


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28

Booster Talking Points

• Involve the child

• Teach child 5‐step‐test and how a booster works.

• If buying a new seat, let child select (from

2 or 3 choices).

• Empower parent to resist peer pressure

(from child and other parents) to stop using a booster sooner than is safe.

• Backless is just as safe as High Back (in most cases).

• State laws are NOT enough to keep kids safe

‐ most kids need a booster until age 10‐12.



Boosters and Carpools

• 70% of parents carpool.

• Over 30% of parents do not require their children to use a boosters when carpooling with other parents.

• 45% do not require their child to use a booster when driving other children that do not have one.

Source: Study from University of Michigan's C.S. Mott Children's Hospital,

Pediatrics Journal Online, Jan.30, 2012


Alternatives for Boosters for

Children over 40 Pounds

• Convertible seats to 50‐80 lbs. forward‐facing

• Combination seats to 50‐90 lbs. and then become booster seats

• Forward‐facing seats up to 105 lbs. but do not become boosters

Graco Nautilus

• Vests that go to 168 lbs.

• See handout on higher weight seats


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29

Ride Safer Travel Vest

• Option for booster‐age child when only lap belts are available.

• When used with lap belt only, tether MUST be used.

• Small (3‐6 years old)

• 30 to 60 lbs.

• Large (5‐8 years old)

• 50 to 80 lbs.


Communicating with Children about Booster Seats

• Your child’s safety is not negotiable.

• What to do if your child says, “But I’m a big kid now”!

• Tell your child that the car will not move until everybody is buckled up correctly.

• Let your child select his booster seat, and teach him how to buckle himself up.

• Show your child that the booster will let him see out the window better and help make the seat belt comfortable.

• Tell your child that boosters are for “big kids.”

Don’t call a booster seat a child’s seat.



Communicating with Children

Let’s Talk Twinkie Physics

Courtesy Washington State Safety Restraint Coalition


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30

1 Hour Lunch Break

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31

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1

Lower Anchors and Tethers for

CHildren (LATCH)

Standard Requirements and What We Are Seeing in Cars

Phase in Dates

Child Restraints

Vehicles

Sept. 1999

* Tether Straps - all forward facing CRS

Sept. 2000 Sept. 2001 Sept. 2002

Lower attachments

- 100% CRs

(except car beds, vests, boosters)

MY 2003 MY 2000 MY 2001

* Tether anchors - 80% passenger cars

MY 2002

* Tether anchors -100% cars, truck, vans, SUVS

* Lower anchors -20% passenger vehicles

• Lower anchors -

50% passenger vehicles

* Lower anchors -

100% vehicles

2

What Federal Standards affect LATCH?









571.213 Standard No. 213; Child restraint systems

S1. Scope. This standard specifies requirements for child restraint systems used in motor vehicles and aircraft.

S2. Purpose. The purpose of this standard is to reduce the number of children killed or injured in motor vehicle crashes and in aircraft.

S3. Application. This standard applies to passenger cars, multipurpose passenger vehicles, trucks and buses, and to child restraint systems for use in motor vehicles and aircraft.

3

1

571.213 Standard No. 213;

Child restraint systems

 S5.9 Attachment to child restraint anchorage system









Attached by use of tool

Infant only – the base must have lower anchors

Manufactured on or after September 1, 2002

 Lower anchors

Manufactured on or after September 1, 1999

 Tether conforming to configuration and geometry Figure 11

Exceptions: car beds, harnesses and belt positioning seats

4


Child restraint systems

5

What Federal Standards affect LATCH?







571.225 Standard No. 225; Child Restraint Anchorage

Systems

S1. Purpose and Scope. This standard establishes requirements for child restraint anchorage systems to ensure their proper location and strength for the effective securing of child restraints…..

S2. Application. This standard applies to passenger cars; to trucks and multi-purpose passenger vehicles with a gross vehicle weight rating (GVWR) of 8,500 pounds or less; and to buses (including school buses) with a GVWR of 10,000 lbs. or less.

6

3/19/2012

2


Child Restraint Anchorage Systems







Child restraint anchorage system as defined in FMVSS 225 S3.

Two lower anchorages meeting the requirements of S9; and

A tether anchorage meeting the requirements of S6.

7

2012 Toyota Tundra Crewmax



280mm + 1mm

8



9

280mm + 1mm

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3



Forward

 With stand a force applied of 11,000N

 Reach force within 24‐30 seconds

 Hold for 1 second

 175 mm maximum displacement

Lateral

 (70‐80 degrees) (150 mm maximum displacement)

10

SFAD2



Side View Top View

11

SFAD1

12

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4



Tether Anchorages:

With stand a force applied of 15,000N

Reach force within 24‐30 seconds

Hold for 1 second

Must not separate completely from the vehicle seat or seat anchorage or the structure of the vehicle.

Each tether anchorage shall:





Permit attachment of a tether hook (FMVSS 213)

Be accessible without any tools other than a screwdriver or coin





After being accessed, be ready for use without the use of tools

Be sealed to prevent exhaust fumes from entering the passenger compartment

13

Lower Anchors and Tethers for CHildren

(LATCH)

•

–

Result of LATCH study of 2006 showed that most people do

not understand the proper use or importance of using LATCH

40% of parents are relying on seat belts

•

Working group of manufacturers & advocacy groups developed new LATCH message

14 www.nhtsa.gov

Lower Connector Designs

15

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5

LATCH and Tether positions







LATCH

(16) vehicle 2011 models offer more than (2) positions

(5) of these offer (4) or (5)







Tether Anchors

(22) vehicle models offer more than (3) positions

(8) offer (5) or more positions

16

Source: 2011 LATCH Manual, Page 15

2012 Acura MDX

17

What is the maximum weight capacity for lower anchors in vehicle?









Most state 48 lbs. limit.

(12) refer to CR instructions for maximum weight use

(6) provide no guidance









(4) indicate 40 lbs.

Honda

Acura

Mercedes

Ferrari

18


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6

Maximum Weight for Vehicle Lower Anchors

19

Maximum Weight for Vehicle Lower Anchors

20

Challenges of LATCH and Real World





Vehicle vs. Child Restraint



What were we taught in certification class?

Top tether anchors are located where the car body is strong enough to withstand crash forces. Top tether anchors have upper weight limits that vary. Always refer to the vehicle owner’s manual and child restraint manual for installation guidance. Both manuals must be in agreement for tether and lower anchor use on seats with higher weight limits. When no guidance is provided, discontinue use of the lower anchors and/or tether and use the vehicle seat belt for a child heavier than 40 pounds.

(CPS Student Manual, April 2007 (R10/10),Pg. 82)

21

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7

High Weight Harness CRS and LATCH

BRITAX Frontier 85

Combination

•

85 lbs. in harness

•

Vehicle or assume 40 lbs.

•

Recommends use of tether at all times

Recaro Prosport

Combination

•

90 lbs. in harness

•

Varies by vehicle

•

MUST use lap-shoulder for child

52 lbs.

If you have a top tether anchorage in your vehicle, it can

ONLY be used for children weighing less than 52 pounds

(23.6 kg).

Baby Trend Trendz

FastBack 3-in-1

•

70 lbs. in harness

•

With children weighing more than 50 pounds (23 kg) use vehicle belt (NOT LATCH) for installations.

•

Baby Trend requires using the tether for installation whenever possible.

Diono Radian RXT®

Convertible

• 80 lbs. in harness

• SuperLATCH up to 80 lbs.

• Always recommends use of top tether

22

Can I use LATCH in the center seating

Position to install a child restraint?

A.

B.

C.

D.

Yes, Always

No, Never

Maybe

Check BOTH the CRS and Vehicle manual

23

CPS Student Manual Pg. 80

Check user guides of CRS

KeyFit & KeyFit 30 by Chicco

24

24

Boulevard 70 by Britax

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8

2010 Chevy Traverse

25

2009 Nissan Murano

26

2010 Ford Explorer

The LATCH anchor points are provided to install child restraints in the rear outboard seating positions only. Do not attempt to install a child restraint in the center position using the

LATCH anchors.

www.motorcraftservice.com

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9

Use of Non-Standard Spacing









Child Restraints

(11) allow use of their products in center rear with nonstandard spacing if the vehicle permits.

(20) do not allow







Vehicles

Ford, Lincoln, Mercury allow in 2009 MY and newer

Mazda, Chrysler, Dodge, Jeep, Ram pre-2009 in certain models

All others do not allow

28


29

2011 Chevy Equinox

30

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10

FMVSS 213 Installation Testing Requirements

Seat Belt Type’s are defined in 49CFR571.209 Seat Belt Assemblies

Type 1 seat belt assembly is a lap belt for pelvic restraint.

Type 2 seat belt assembly is a combination of pelvic and upper torso restraints.

31

B.

C.

Can BOTH LATCH and seat belt be used?

A.

Yes, Always

No, Never

Check BOTH the CRS and Vehicle manual

Generations Combination

Page 22 by Evenflo

Zeus 360° Convertible

Page 5 by Combi

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11

3/19/2012

2009 Chevy Tahoe

35

2010 Explorer Owners Guide

36 www.motorcraftservice.com

12

2009 Ford F-150

37 www.motorcraftservice.com

How do I explain to a parent it is important to use a top tether?





A top tether can reduce the distance that the child’s head moves forward by 4‐6 inches and can thus

 lessen the risk of head injuries in a crash.

(CPS Student Manual Pg. 81)

Head excursion without top tether = 32”

Head excursion with a top tether = 28”

 QUANTIFYING THE RELATIONSHIP BETWEEN VEHICLE

INTERIOR GEOMETRY AND CHILD RESTRAINT SYSTEMS

C.P. Sherwood, Y. Abdelilah, J.R. Crandall – University of Virginia

38







Can a BPB be positioned using LATCH?

BRITAX Frontier 85 & SICT, Parkway SG & SGL



If the LATCH anchors in your vehicle prevent proper vehicle belt fit across your child you cannot use LATCH to position this seat in booster mode.

2010 Chevrolet Traverse



“Notice: Do not let the LATCH attachments rub against the vehicle’s safety belts. This may damage these parts. If necessary, move buckled safety belts to avoid rubbing the LATCH attachments.”

Evenflo



Booster and LATCH use



We do permit the use of tethers and lower anchors, for belt positioning boosters, as long as the position of the booster seat in the vehicle and/or the resulting fit of the auto belt over the child are not affected.



This is retro active for all booster seats.

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13

2006 Acura TL 4-Door Sedan

40

Additional LATCH Resources



Page 146-147 Vehicle quick reference list



Page 110 High-weight harness tether requirements



Page 60-64 Dealing with Discrepancies between CRS and

Vehicle

41

Additional LATCH Resources



Pages 8-9 Using Tether for Child over 40 lbs.



Page 65-70 Dealing with

Discrepancies between

CRS and Vehicle



Page 107 High-weight harness tether requirements



Page 154-155 Vehicle quick reference list (lower anchor capacity & use of inner anchors in center position)

42

3/19/2012

14

Amendment to FMVSS 213

Docket No. NHTSA-2011-0176











Effective February 27, 2014

CRS up to 80 lbs.

Use of Hybrid III 10-year-old child chest dummy (HIII-10C), weighing 35 kg (78 lb)



Used for all CRS above 65 lbs.

LATCH Anchors







Weight of CRS + child not to exceed 65 lbs.

Label on CRS

Excluding BPB from LATCH maximum recommended weight label

Top Tether





Research program

For now, no weight limit for use of top tether

43

Thank you!

Sarah Tilton

Child Passenger Safety Advocate

Child Passenger Safety Technician Instructor


13501 South Ridge Drive

Charlotte, NC 28273

Direct Line (704) 409-1695


TRANSPORTING CHILDREN

WITH SPECIAL

HEALTH CARE NEEDS




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15

Overview

• Restraint Options

• Checkup Event

• Curbside Case Studies

• Resources

Material in this section is from Safe Kids Road Safety for Kids

Online Training


Goal

• The goal of this module is for CPS technicians to learn more about working with children who have special health care needs since they may attend an event.

• If you are interested in learning more:

Safe Travel for All Children: Transporting

Children with Special Health Care Needs

2‐day training provided by Riley Hospital for

Children (www.preventinjury.org)


Objectives

By the end of the session, the CPST will be able to:

• Identify ways to handle short‐term special transportation needs at curbside events.

• Clarify the role of the curbside CPST relative to children with special transportation needs.

• Identify relevant transportation resources in the community.


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Children First!

• Children are people first!

• Any medical or behavioral conditions are secondary.

• Do not label the child.

 A label defines the condition, not the child.

EXAMPLE: Say “a child with autism,” not “an autistic child.”


Which Child Has Special

Health Care Needs?

• Child has a chronic physical problem

• Child has a chronic developmental problem

• Child has a behavioral problem

• Child has an emotional problem

• All of the above


• Definition: Children with special health care needs

[CSHCN] are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who require health and services of a type or amount beyond that generally required by children.

Source: PEDIATRICS Vol. 102 No. 1 July 1998, pp. 137‐139


3/19/2012

17

Profile: CSHCN

• In 2005, 14%, or 10.2 million, U.S. children

<18 years had special health care needs.

• 1 in 5 households have at least 1 child with special health care needs.

• Increased prevalence in families with:

 Older children

 Boys

 Multi‐racial children

 Lower income

Source: Maternal and Child Health Bureau and National Center for Health Statistics, State and Local Area Integrated Telephone Survey, National Survey of Children with Special

Health Care Needs, 2005–2006


Working with Families Curbside:

All families. Same rules.

• Recognize the family as a unit.

• Share complete and unbiased information.

• Be aware of the impact of change.

• Be open‐minded and non‐judgmental.

• Be prepared to repeat information in a different way.

• Respect the caregiver’s choices.


CPS Technician Role

• Identify appropriate resources, and have a list prepared and ready to provide.

• Provide current information.

• Develop community partnerships.

• Assist in solving transportation problems.

• Assist families with proper use and installation.

• Do NOT exceed expertise. Know how to refer to a specially trained tech!


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18

Special Health Care Needs

Trained CPST Role

• Completed additional training specific to children with special health care needs beyond the national CPS Certification Course.

• Identifies transportation challenges.

• Provides community resources.

• Proposes solutions.

• Explains technical information to the caregiver in a simple, clear way.


Transportation Challenges

• Children with medical conditions that affect their cardiorespiratory status, posture, behavior, or size can present transportation challenges.

• Examples include prematurity, neuromuscular disorders, application of casts, Down syndrome, and autism.


Infants Born Prematurely

Parents may come to you before the baby is born. Techs should be able to provide basic guidance:

• Need rear‐facing seats with smaller internal dimensions to fit their smaller infants.

• Need CR minimum weight limit less than 5 pounds.

• May have breathing problems in a semi‐upright position.

• May need more head and trunk support than rolled towels provide.

• Should use CR only for transportation (not for an extended time).

• Should be observed in car safety seats for breathing‐ related problems before hospital discharge.

Photo courtesy of National CPS Certification Training; April 2007, R 10/10


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19

Infants Born Prematurely

• May need to travel flat in a car bed if they have problems with their breathing, heart rate, or oxygen level when sitting in a CR.


Children with Apnea

• Experience temporary interruptions of their breathing, which can be normal or abnormal.

• Have pathological apnea if their breathing pauses > 20 seconds or they have shorter pauses associated with cyanosis, marked pallor, hypotonia, or bradycardia .



• May have a type of apnea, positional apnea, which is directly related to their sitting position.

• May have increased symptoms or stop breathing if their heads flop too far forward.

• Should be monitored in a CR before hospital discharge to make sure the they do not have breathing problems while in their CR.

• May benefit from positioning with rolled receiving blankets along their sides and crotch roll to prevent sliding down in the CR.


3/19/2012

20


• May need to travel in a car bed.

• May travel prone (on stomach) only with medical permission.

• Should be tested in a semi‐ reclined CR before transitioning from a car bed to a CR.


Children with Down Syndrome

• May have decreased muscle tone or unstable neck bones and will benefit from rear‐facing longer.

• May have a tendency to be overweight as they grow older and require a CR with a higher weight harness or booster with higher weight limit.

• May have low muscle tone and loose ligaments, making their joints very flexible (sometimes called “double jointed”) and getting out of a CR harness easier.

• May also be inclined to get out of their car seats due to behavioral challenges.

• May benefit from CR with higher weight harnesses, large medical seats, or vests with back closures.


Children with Cerebral Palsy

• Have a non‐progressive defect or lesion of their brain, resulting in disorders of movement and posture.

• Have symptoms that range from slight speech impairment to total inability to control their body movements.

• May have muscle tone abnormalities that affect their ability to sit in a CR.

• May benefit from riding rear‐facing to higher weights.

• Can be centered in a CR with rolled blankets placed along their trunk.

• May benefit when they are older from a forward‐facing seat that can semi‐recline to help keep their heads from falling forward.


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21

Children with Cerebral Palsy

• May not be able to sit up unassisted, and may require the support of a large medical seat with positioning features such as head support pads or pommel.

• Should be evaluated by a rehabilitation therapist to determine the most appropriate large medical seat.

• May need a wheelchair at some time. Not all wheelchairs are approved for transit (in vehicle). A

WC‐19 transit wheelchair should be considered, if needed.


Children with Behavioral Challenges

• May be impulsive, easily distracted, and have short attention spans.

• May resist consistent use of restraints, and may unbuckle themselves.

• May be distracting to drivers.

• May have a diagnosis of autism, attention deficit‐hyperactivity disorder, or cognitive impairment.



• Keeping them restrained:

« Be sure harnesses are snug.

« Provide activities to keep them entertained.


3/19/2012

22


• May need to try a variety of restraints to see which is most difficult to escape.

• May benefit from a CR with a higher weight harness, a large medical seat, or vest with back closure and floor mount tether.

• May benefit from intervention from a behavioral pediatrician or therapist to help them sit safely restrained in the back seat.


Children Who Are

Overweight or Obese

• Weigh more than is healthy for their height.

• Have a body mass index at or above the 95th percentile (2‐19 years old).

• Frequently exceed the weight limits of a CR before they are developmentally ready for the next step.

• May need a CR with higher weight harness; booster with higher weight limit; large medical seat; or vest with higher weight limit.


Transporting Equipment

• Use prescribed equipment during transport.

• No specific product available to secure medical equipment.

• Place on floor of vehicle wedged with pillows, foam, or blankets.

• Secure with unoccupied seat belts.

• Check vehicle owner’s manual about placing items under vehicle seat.


3/19/2012

23

Other Recommendations for

Transporting CSHCN

• Minimize travel.

• Make frequent stops to check on the child or provide a break.

• Have enough power for portable equipment for a least twice the length of the trip.

• Position the child in the back seat of the vehicle with an adult observing.

Source: Transporting Children with Special Health Care Needs

Training and Resource Manual, revised March 2007


Restraint Options for CSHCN

Restraint Basics

Whether or not the child is using a conventional or special restraint, the same basic rules apply:

• Selection

• Direction

• Location

• Installation


Restraint Basics

Go back to core curriculum:

• Harness snug.

• Retainer clip at armpit level.

• Harness straps at or below shoulders rear facing, and at or slightly above the shoulder forward facing.

• Secure installation.

• Follow instructions carefully.

• When in doubt, seek help.


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24

Conventional Seat Solutions

• The approach for selecting the best restraint for a child with special health care needs is the same as for any child.

• Try conventional seats first. Different

CRs fit children differently. Try a variety.

• When conventional seats do not

Photo courtesy of National

CPS Certification Training:

April 2007, R10/10 meet the child’s specific needs, a specialty child restraint may need to be used.

• Never modify a CR to force “fit.”


Optimal: Rear‐Facing Reminders

• Keep all children rear‐facing as long as possible to the highest weight or height allowed by a convertible CR.

• Rear‐facing positioning provides the best head and spinal cord protection.

• Children that ride rear‐facing have added support and improved airway management.

This may be especially important for children with low tone and/or large heads.


Optimal: CR Forward‐Facing Options

• For older children with lower muscle tone or poor head control, consider seats that have semi‐recline options.

• Consider using a seat with a higher harness weight limit to provide extra support for a longer period of time.


3/19/2012

25

Higher Weights/Heavier Children

• Many conventional child restraints have upper weight limits to 50, 65, 80+ lbs.

• Stay updated! Car seat manufacturers introduce new higher weight harness restraints and new products regularly.

• These are often available at local retailers .


Higher Weight Harness (HWH) Restraint

Use and LATCH Anchors

• Always consult vehicle and CR manuals for LATCH and tether weight limits.

« Follow all stated limits. If vehicle and CR manufacturer limits conflict, follow the lowest one.

« Assume a 40‐pound limit if the information is not available.

• Contact vehicle manufacturer customer service for guidance.


Specialty Restraints

• If a conventional restraint doesn’t best serve the needs of the child, specialty restraints are available.

• Type of specialty restraint determined by child’s medical team, not curbside CPST.

Source: Photo used with permission from the Riley Hospital for Children.


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26

Specialty Restraints

• Products available to serve children who:

« must lay flat in the vehicle

« have outgrown conventional child restraint system and still require a five‐point harness to sit upright

« demonstrate severe behavioral problems

• Usually ordered through local equipment vendor.

• Third‐party payers may cover cost with documentation.


Specialty Restraints: Types

• Car beds

• Convertible CR for children with hip casts

• Large medical seats

• Vests


Car Beds

• For infants who must lie down

• Prematurity, low birth weight, apnea, Pierre

Robin Sequence, osteogenesis imperfecta

• Three types:

Angel Ride:

Up to 9 lbs.


Dream Ride SE

5‐20 lbs

Hope Car Bed

4.5‐35 lbs

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27

Car Beds

• Installed lengthwise with baby’s head facing the center of the vehicle

The position* a baby lies in the bed is determined by the infant’s medical team

*supine = on the back

*prone = on the stomach

*sidelying = on the side

Baby’s medical team determines when baby can move from car bed


Snug Seat Hippo

• Convertible seat designed for children in hip casts

« Rear facing

5‐33 pounds

« Forward Facing

1 year and 20‐65 pounds


Forward‐Facing Medical Seats

• Designed for larger occupants; upper weight limits can exceed

100 lbs.

• Children with poor neck and trunk control, behavioral problems, neuromuscular disorders, etc.

• Equipped with features and accessories to aid positioning.


3/19/2012

28


• Typically, a rehabilitation therapist evaluates a child’s need for a medical seat after receiving a prescription from a physician.

• Once an appropriate seat is determined, the therapist orders it from a vendor and submits paperwork for approval by a third‐party payer

(insurance, Medicaid).

• Approval process can take months and is specific to each state.

• Child may require a conventional higher weight harness seat until medial seat approved.



• Typically, require some type of tethering system; varies with seat.

• Some seats require two tether anchors at a certain weight.

• Some can use shoulder portion of seat belt as part of tethering system.

• May require installation of special heavy‐duty tether hardware.

Large medical seat that uses shoulder portion of lap/ shoulder belt as part of a tethering system.

Photo used with permission from the Riley Hospital for Children.


Upright E‐Z‐ON

Vests

Modified E‐Z‐ON


3/19/2012

29

Vests

Upright E‐Z‐ON Vest

• 20‐168 pounds

• Child and adult sizes

• Requires use of tether

(check instructions)

• Some models may be used on school buses.

• Models with back closure and/or floor mount tether may be useful for children


Modified E‐Z‐ON Vest

Upright E‐Z‐ON Vest

• For children 1‐12 years, 20‐100 pounds who must lay down; different sizes

• Child must fit lengthwise on bench seat.

• For children under 30 inches, one seat belt through hip and chest strap.

• For children over 30 inches, one seat belt through chest strap and another through hip strap and extremity belt.


Prepare for Checkup Events

• Be prepared to handle situations involving CSHCN. Ask families if any of their children have special health care needs when making the appointment.

• Arrange for a special needs‐trained technician to work the event.

• Be prompt with the appointment. Waiting in line is often difficult for families who have children with special health care needs.

• CSCHN children tend to be more environmentally sensitive. Consider a location that can be controlled in terms of temperature, noise, fumes, etc.

• Try to have appropriate replacement CRs: Order CRs that rear‐face longer and CRs that have harnesses to higher weights. You may not have a CR that meets their needs. Do the best you can!

• Recommend that the family work with a specially trained tech for an assessment of child’s abilities and transportation needs (current and future).

• Have resource materials and local referral information for families.


3/19/2012

30

Checkup Events

Refer to a special needs‐trained technician if:

• Parent reports a transportation issue due to a medical condition

• Positioning or behavioral challenges (i.e., can’t hold head up, slumping forward, escaping seat)

• Child in specialized restraint or wheelchair

At a minimum, provide pamphlets and community resource information. If possible, refer to a local special needs certified technician.

Source: Dr. Marilyn Bull’s presentation at Lifesavers Conference 2008


Checkup Events: Equipment

• If providing CRs is an option:

« Infant seats with minimum weight <5 lbs

« Seats with higher weight rear‐facing harnesses

« Seats with forward facing recline

« Seats with higher weight forward facing harnesses

• Car seat manufacturers’ instructions for adaptive restraints

• Towel rolls/receiving blankets

• Current (2011) LATCH manual by Safe Ride

News

Source: Dr. Marilyn Bull’s presentation at Lifesavers Conference 2008


Checkup Events: Technician Tips

• For the child’s protection, have the parent lift the child when it is time to take the child in and out of the restraint. They know how to best lift and hold the child.

• Creative, untested, jury‐rigged solutions can lead to risky practice and be a danger to the child.

• Even minor modifications can compromise the performance of a CR.

• DO NOT MODIFY THE CR.


3/19/2012

31

Checkup Events:

Vehicular Challenges

The family’s vehicle may have some limitations:

• Not enough seating positions for all occupants because special restraint may take up more than one seating position

• May be too small for the restraint

• May not have top tether anchors or working seat belts


Curbside Situations

We will be talking about 6 situations where you must think about possible solutions curbside.

After we go through each exercise, we’ll select the best response.


Curbside Situation #1

• Jimmy is a 2 ½ year old with a diagnosis of cerebral palsy. He weighs 27 pounds and is currently being transported in a forward‐facing convertible seat. His family is concerned because Jimmy cannot hold up his head.

• What can you discuss with his family to assist with his head support?


3/19/2012

32


Solution:

• Discuss the benefits of rear‐facing longer, and suggest this as a better option than forward facing for Jimmy.

• A child’s head should not be held back separately (separate Velcro strap).

• Jimmy is small enough to use a conventional

CR.



• Lila was born prematurely. She now weighs 6 pounds and is being transported in the rear‐facing infant‐only seat in which she passed her car seat observation before hospital discharge. You notice that the family is using an aftermarket head support product. The mother explains that if they don’t use the product, Lila’s head falls to the side and forward in the CR.

• What is the best course of action to take in this situation?



Solution:

• Make sure the CR fits the baby.

• Explain to the mother why it is not advisable to use aftermarket products that did not come with the car seat.

• If allowed by the CR manufacturer, demonstrate use of rolled receiving blankets along the infant’s sides.

• Check the angle of the CR to make sure it is installed correctly.


3/19/2012

33


• A grandparent shows up with a 6 year old who weighs 38 pounds and has cerebral palsy and very low muscle tone. He has problems holding his head upright. He currently rides laying on the back seat and is unrestrained.

• What do you recommend to his family?



Solution:

• Suggest a modified E‐Z‐ON vest, which will allow him to lie down in the back seat.

• Suggest a five‐point harness, and recommend the grandmother discuss his transportation needs with his medical team.



• A five year old child who weighs 38 pounds and is 40 inches tall has autism and unbuckles his car seat harness every time.

• What is one of the first steps to take curbside?


3/19/2012

34


Solution:

• Eliminate misuse first. The child may be getting out of the seat because of harnessing errors or because he’s too tall.

• Unless you are a behavioral specialist, you should avoid giving advice on behavior modification.

• After you have eliminated misuse, you may need to recommend a different CR.



• A 2 year old weighs 57 pounds and is 33 inches tall. The child is being transported in a combination seat with a harness maximum of

40 pounds. The seat is installed with LATCH.

• What solution is most appropriate?



Solution:

• At 57 pounds, the child meets the weight criteria for a belt‐positioning booster, but since she is only 2 years old, she is not ready developmentally to transition to a booster.

She would be better protected in a CR higher weight harness.

• When moving to a seat with a higher weight harness, check the anchor weight limits for

LATCH. It may be only 40 or 48 pounds, so the

CR would have to be secured with the seat belt.


3/19/2012

35


• Cindy arrives at a car seat clinic in a large medical seat. She is 8 years old, weighs 62 pounds, and has low muscle tone. Cindy’s mother wants you to check the seat to make sure the family has installed it correctly. You notice that the seat is installed with a seat belt but no top tether.

• What is one of the first things you will need to do?



Solution:

• Check the CR and vehicle instructions for top tether requirements.

• Possibly suggest a belt‐positioning booster if the child can sit comfortably and stay in place for the entire trip.


Resources

• “Safe Travel for All Children: Transporting Children with Special Health Care Needs”

« Two‐day enrichment course for CPST developed by the Automotive Safety Program, Riley Hospital for Children

« Combination of classroom sessions and hands‐on activities

« Focuses on passenger vehicles and restraints

« Skills tests and written exam (84%) to pass the course

« Courses listed on www.preventinjury.org under

Training Dates


3/19/2012

36

Special Needs Restraints

• Purchased through a distributor or directly through manufacturer

• List of all CR manufacturers ‐ http://www.cpsboard.org/childmanu.htm

• Examples of SN CR manufacturers

« www.columbiamedical.com

« www.ezonpro.com

« www.eztether.com

« www.snugseat.com


Resources

• Vary by community...Educate yourself

« Local AAP chapter and communicate with your chapter’s executive director http://www.aap.org/member/chapters/chaplist.cfm

« Check with local hospital, March of Dimes, Injury

Prevention, or Safe Kids Coalitions.

« Develop a list of local and national programs that support families with CSHCN.

• AAP: http://www.aap.org/family/Carseatguide.htm

« Section on transporting children with special health care needs

« Shopper’s Guide

« Special Needs Product Chart: http://www.aap.org/family/SpecialCarSeatsChart.pdf


Resources, cont.

• Riley Hospital Automotive Safety Program/The National

Center for the Safe Transportation of Children with Special

Health Care Needs

« www.preventinjury.org

« Medical FAQs

« Definitions and transportation options

« Extra training for CPSTs

« Fact sheets and video on transporting premature infants

• LATCH Manual and School Transportation Handbook: www.saferidenews.com

• Child Restraint Manufacturers’ Instructions CD: www.carseat.org


3/19/2012

37

Acknowledgements

A special thank you to:

• Dr. Marilyn Bull

• Judith Talty

• Automotive Safety Program, Riley Hospital

• Ann Brunzell

• J.J. Current

• John Drees

• Tammy Franks

• Kim Herrmann

• Susan Lindenmuth


15 Minute Break

3/19/2012

38

3/19/2012

What’s New in

Child Safety Seats?

Educational programs of the Texas AgriLife Extension Service are open to all people without regard to race, color, sex, disability, religion, age, or national origin. The Texas A&M

University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating

The Manufacturers

• Britax

• BubbleBum

• Chicco

• Combi

• Diono

• Dorel

• Evenflo

• Graco

• Harmony

• KidsEmbrace

• Learning Curve

• Magna Clek

• Orbit

• Peg Perego

• Recaro

• Summer Infant


Getting to Know Britax Products

© 2012 Britax Child Safety, Inc. All rights reserved

1

Chaperone™

REAR-FACING

 4‐30 lbs.

 32” or less

 Harness Positions: (7) 6‐11”

 (2) Buckle position at 3.00” & 4.50”

 6 Years from Date of Manufacture

Cowmooflage

E9LG72L

Page 2

B-SAFE™

REAR-FACING

 4‐30 lbs.

 32” or less

 Harness Slots:

 5” – 7” – 9” – 12”

 (2) Buckle position at 3.50” & 5.50”


Kiwi (May 2012)

E9LE5

Page 3

3/19/2012

2

An infant positioning insert may be necessary for small infants (sold separately).

(2) Buckle position at 5.00” and 7.50”

Roundabout

®

55

Gumdrop

Marathon ® 70

Azalea

Boulevard ® 70

Zebra

Boulevard

®

70 CS

Cowmooflage

Advocate

®

70 CS

Opus Gray

MSRP: $199.99

5-40 lbs. RF

20-55 lbs. FF

46” or less

4 Harness slots

8.5-11.5-14-16.5

MSRP: $289.99

5-40 lbs. RF

20-70 lbs. FF

MSRP: $319.99

5-40 lbs. RF

20-70 lbs. FF

49” or less 49” or less

10 Harness Positions

8.5–9.5-10.5-11.5

12.5-13.5-14.5-15.5

16.5-17.5


8.5–9.5-10.5-11.5

12.5-13.5-14.5-15.5

16.5-17.5

© 2012 Britax Child Safety, Inc. All rights reserved

MSRP: $339.99

5-40 lbs. RF

20-70 lbs. FF

49” or less

MSRP: $379.99

5-40 lbs. RF

20-70 lbs. FF

49” or less


8.5–9.5-10.5-11.5

12.5-13.5-14.5-15.5

16.5-17.5


8.5–9.5-10.5-11.5

12.5-13.5-14.5-15.5

16.5-17.5

Frontier™85

Combination Harness-2-Booster ®

HARNESS MODE

 2 Yrs & 25 lbs. to 85 lbs.

 30‐57” in height

 Harness Positions:

 (10) 12.00‐20.00”

 (3) Buckle position at 5.50”,7.00”&8.25”

BOOSTER MODE

 40‐120 lbs.


 Shoulder Height: 13.50‐24.50”


Maui Blue

E9LC21X

Page 6

Frontier™85 SICT

Combination Harness-2-Booster ®

HARNESS MODE

 2 Yrs & 25 lbs. to 85 lbs.


 Harness Positions:

 (10) 12.00‐20.00”

 (3) Buckle position at.50”,7.00”&8.25”

BOOSTER MODE

 40‐120 lbs.



Cardinal

E9LE32X


Page 7

3/19/2012

3

Parkway SG

When Using Backrest

 40‐120 lbs.



When Using without Backrest

 40‐120 lbs.




Pink Sky

E9LA8H7

Page 8

Parkway SGL

ISOFLEX Flexible Lower LATCH Connection System

When Using Backrest

 40-120 lbs.

 38-63” in height

 Shoulder Height: 15.00-21.50”

When Using without Backrest

 40‐120 lbs.




Nutmeg

E9LD22R

Page 9

Can I use an inflatable seat belt to install a

BRITAX CRS?

Page 10

3/19/2012

4

Non-regulated Products

The use of non-Britax Child Safety, Inc. covers, inserts, toys, accessories, or tightening devices is not approved by Britax. Their use could cause this child seat to fail federal Motor Vehicle Safety Standards or not perform as intended in a crash.

Page 11

Accessories by BRITAX for BRITAX

• Cup Holder - $14.99

• Infant Positioning Insert - $14.99

• Travel Cart - $79.99

• Travel Bag - $69.99

• Secure Guard Clip - $19.99

Page 12


• EZ-Cling Sun Shades - $9.99

• Kick Mat - $15.99

• Head & Body Support Pillow - $29.99

Page 13

3/19/2012

5


Storage Pouch

MSRP: $15.99

April 2012

Vehicle Seat Protector

MSRP: $26.99 May 2012

Page 14

Advocate Support

• YOUR input is valuable!

• Consumers should call Consumer Services

• Technical assistance as a technician or instructor, please contact myself

.

– Installation issues

• Vehicle make, model, year

• Seating position

• Upholstery type

• Pictures

Sarah Tilton

Child Passenger Safety Advocate

Child Passenger Safety Technician Instructor


13501 South Ridge Drive

Charlotte, NC 28273

Direct Line (704) 409-1695


Page 16

3/19/2012

6

3/19/2012

Thank you for all you do to help keep our little friends safe!

Page 17

We are expanding!

Our new offices and warehouse now located in

Puyallup, WA

25% of our U.S. staff are

CPS Certified

More by Summer of

2012

7

Headquarters

Canada

United

Kingdom

Germany

New Zealand

Our products are sold in over 54 Countries

Introducing the All‐New Radian R‐Series

Convertible+Booster

From Birth to Booster

5‐45 lbs. Rear‐Facing:

20‐80 lbs. Forward‐Facing

50‐120 lbs. BPB

Adjustable Head Support

Pillow inserts

1 Cup Holder

MSRP $339.99

CPST Discount & State Dist.

Program Discounts available

3/19/2012

8

5‐45 lbs. Rear‐Facing

20‐80lbs Forward‐Facing

50‐120 lbs. BPB

Pillow Inserts

1 Cup Holder

MSRP $309.99

CPST Discount &

State Dist. Program

Discounts Available

5‐40 lbs. Rear‐Facing

20‐65 lbs. Forward‐Facing

50‐100 lbs. BPB

MSRP $259.99

CPST Discount & State

Dist. Program Discounts

Available

All New Features

• Wider Seat

• Expandable Sides

• Wider at the Hip

• Cup Holders with

Multiple Attachment

Points

• Booster Mode

3/19/2012

9

SuperLATCH Innovation

NHTSA mandated increased Anchor strength as of Sept 2005

Heavy duty 4 prong connector specifically designed for Radian

Steel Frame: Most robust material for energy absorption

Allows installation up to 45 lbs. RF

Allows installation up to 80 lbs. FF

You can over‐ride vehicle mfg stated weight limits starting Sept 2005

Should not be used with a child who is less than 1 year old and/or does not have complete head control.

Angle Adjuster Rear Facing ONLY!

Sold Seperately

3/19/2012

10

Radian & ems

• No need to access a child for a seat

• Waterproof covers

• Machine washable

• Folds flat

• Child Size Range

Up to 120 lb / 63” tall

• Side Impact Protection

• LATCH Attachment

• Airtek™ Foam

• Cup Holders

• Backless Booster

• Adjustable Height & Width

Energy Absorbing Foam and Aluminum

Reinforced frame

MSRP: $149.99

CPST & State

Dist. Program discounts available.

3/19/2012

11

3/19/2012

Whether in the car or on the track,

Max and Andrew say

“Buckle Up!!

Sending me an email to SIGN up for our

TechTalk newsletter

Allana Pinkerton

CPS Advocate/CPSI #1609 [email protected]

(855) 463‐4666 ext. 252

Infant Seats

Ez-Flex-loc

5-22 lbs., 28.5”


Flex-loc

5-30 lbs., 30”

12

Combination Seats

EuroSport FastBack

Harness: 22‐50 lbs.

High Back Booster: 30‐100 lbs.

Backless Booster: 40‐100 lbs.

Smart Safety Buckle Beeps Alert



High Back Booster: 30‐100 lbs.

Backless Booster: 40‐120 lbs.

Infant Seats

KeyFit

KeyFit 30

4 – 22 lbs.

Up to 30”


4 – 30 lbs.

Up to 30”

KeyFit Infant Seat Lock‐off

• Lock‐off on base for shoulder belt

• Helps prevent tilting from switchable retractor

Lock-off


3/19/2012

13

Booster Seat

Strada

• Height adjustable head/torso

• Width adjustable side wings

• Cupholder with adjustable angle

• EPS throughout

4‐10 years old

High Back: 33‐100 lbs. 38‐57”

Backless: 40‐100 lbs., 40‐57”


Advocate Support

• Training seats available

‐ Application required, request via email

‐ $25 shipping fee

• Contact Information for Techs

‐ Julie Prom ‐ [email protected] or 317‐

867‐3872


Infant Seats

Shuttle 33 Navette

Birth – 33 lbs.


Birth – 22lbs.

Institutional Sales Only

Without Base: $64.50 each

Contact: dolores@child‐source.com

3/19/2012

14

Coccoro

RF: 5‐33 pounds

FF: 20‐40 pounds


Coccoro

Installation with Seat Belt:

Option 1

Installation with Seat Belt:

Option 2


Convertibles

Zeus Turn Zeus 360

RF: 5‐22

FF: 20‐40


RF: 5‐33

FF: 20‐40

3/19/2012

15

Booster

Kobuk Air‐Thru

 Tru Safe Side Impact

 EPS Lining

 Memory Foam

 Breathable Fabric

 Adjustable Shoulder

Belt Width

 Low Lap Belt Path

3 Years

33 – 125 lbs.



Infant Seats

Comfy Carry* OnBoard 35

Prezi

4‐22 and 29” ht.

4‐35 and 32” ht.

4‐35 and 32” ht

*Comfy Carry is replacing Designer 22‐ Elite model has front‐adjust harness

.


3/19/2012

16

New Convertibles

Apt 40RF Chart Air* XRS 65/Guide 65 PRIA 70

XR 65

R‐F: 5‐40 lbs.

F‐F: 22‐40 lbs.

R‐F: 5‐40 lbs.

F‐F: 22‐65 lbs.

* Air Protect

$129.99

R‐F: 5‐40 lbs.

F‐F: 22‐65 lbs.

Fits small spaces

$159.99

R‐F: 4‐40 lbs.

F‐F: 22‐70 lbs.

Removable padding for small infants <4


Basic Convertibles

Scenera 40RF

Apt 40 RF

$49.99

$129.99

R‐F: 5‐35 lbs.*

F‐F: 22‐40 lbs.

*

5‐35 will be phased out and replaced by 5‐40


$159.99

R‐F: 5‐40 lbs.

F‐F: 22‐40 lbs.

Air Protect

TM

Convertibles

OnSide Air*

Complete Air 65

5‐40 R‐F, 22‐40 5‐40 R‐F, 22‐65

* Does not have air bladders in the head area


3/19/2012

17

Dual Level to Ground Labeling

Rear‐Facing:

Most Upright:

‐ Children ‐ 22‐

35/40 lbs.

‐ Sit‐up unassisted

‐ Recline between lines

Most Reclined:

‐ Children ‐ 5‐22 lbs.


New Combination Seats

Essential Air

$49.99


Booster: 40‐100 lbs.

*Exclusively at Babies R

Us/Toys R Us


$159.99



$129.99

Go‐Hybrid Booster

• Previously IMMI

SafeGuard Go

• Now, Safety 1 st Go

Hybrid Booster

• Seat folds for storage

Harness: 22‐65

BPB: 40‐100


3/19/2012

18

3‐in‐1 Seat

Alpha Elite 65

• Base is NON‐removable

• Anti‐slip harness

R‐F: 5‐40

F‐F: 22‐65

BPB: 40‐100


Boosters

Boost Air Protect

Side‐impact protection in high back mode

HighRise

30‐100 lbs.*

Pronto

High Back: 30‐100 lbs.

Backless: 40‐100 lbs.


40‐100 lbs.

* All backless models moving to 40 lb. minimum

Infant Car Seats

Discovery Embrace 35 SecureRide 35 Serenade

5‐22 lbs.

Up to 29”

4‐35 lbs.

Up to 30”

4‐35 lbs.

Up to 32”

5‐35 lbs.

Up to 32”


3/19/2012

19

Convertibles

Tribute Titan Triumph 65 Momentum 65

R‐F: 5‐35 lbs.

F‐F: 20‐40 lbs.

R‐F: 5‐35 lbs.

F‐F: 20‐50 lbs.

R‐F: 5‐40 lbs.

F‐F: 20‐65 lbs.

R‐F: 5‐40 lbs.

F‐F: 20‐65 lbs.


All‐In‐I Seat

Symphony 65

R‐F: 5‐40 lbs.

F‐F: 20‐65 lbs.



• E3 Energy Absorption

• Infinite Slide Harness

Adjustment


Chase

Maestro

SecureKid 300/400*





Harness: 20‐65lbs.


*SecureKid 400 has

SureLATCH and E3


3/19/2012

20

High Back Boosters

Amp High Back Big Kid High Back Big Kid Sport








Backless Boosters

40‐110 lbs.


Evenflo Product Updates

•

Tether Lengths

• Tether extenders now available for all Evenflo

Convertible and Booster car seats

•

Booster and LATCH use

• Permit use of tethers and lower anchors, for belt positioning boosters, as long as the position of the booster seat in the vehicle and/or the resulting fit of the auto belt over the child are not affected.

• This is retro‐active for all booster seats.

• NEW – Non‐standard center anchoring allowed if spacing is at least 11” and vehicle mfg. allows.


3/19/2012

21

Evenflo Offers Replacement Clip



Two‐piece retainer clip

Sold separately

Can be used on all Evenflo infants, convertibles, and combination seats


Evenflo Tech Site

• Safetymadeeasier.com – Revamped!!

• Click on ‘CEUs for CPS Techs’


SnugRide SnugRide 30 SnugRide 35

5‐22 lbs.

Up to 29”

4‐30 lbs.

Up to 30”

4‐35 lbs.

Up to 32”

Note: SafeSeat will eventually be phased out and replaced with

SnugRide 35


3/19/2012

22

t‐tario 35 Infant Seat


5‐35 lbs.

Up to 35”

• Co‐engineered with Teutonia

‐ Includes memory foam

Convertible Car Seat Range

Convertibles

Classic Ride 50

ComfortSport

My Ride 65

My Ride 65

R‐F: 4‐40 lbs.

R‐F: 5‐35 lbs.

F‐F: 20‐40 lbs.

F‐F: 20‐50 lbs. R‐F: 5‐40 lbs.

F‐F: 20‐65 lbs.

Shown with

Safety

Surround

R‐F: 5‐40 lbs.

F‐F: 20‐65 lbs.


3‐in‐1 Seat

Smart Seat

R‐F: 5‐40 lbs

F‐F: 20‐65

Booster: 30‐100


• Key Features:

– Smart Base stay‐in‐car base for one time install

– Seat to base locking indicators ensure that the car seat is secured into the base

– One‐hand, adjustable headrest with no re‐thread harness

– On the go, 5‐position recline so you can recline child while in use

– EPS, energy absorbing foam

3/19/2012

23


Nautilus

Argos 70/ Argos 70 Elite

No re-thread harness.


HB Booster: 30‐100 lbs.



Booster: 30‐100



Boosters

Turbo Booster Backless

Turbo Booster

HB Booster: 30‐100 lbs.




High Back Boosters

Dreamtime Baby Armor V6 High Back*

30‐110 lbs.

30‐110 lbs.

30‐110 lbs.

*More narrow

Boosters feature full‐body front, rear, and side‐impact protection and anti‐torque backs.


3/19/2012

24

Backless Boosters

Youth Booster Cruz

Olympia

30‐100

$13.50


30‐110

$16.50

30‐110

Wider seat fits bigger children

KidsEmbrace

Harness: 22‐65

Booster: 30‐100 and 3 yrs.

Newer entry in car seat market

•

2‐position recline

•

Push‐on lower anchor connectors


Infant Seats

Via I470*

5‐35 lbs.

Up to 32”

Via with handle as anti‐rebound

*Replaces Via35 Model. Must use base with 22‐35 lb. child


3/19/2012

25

Convertibles

C650 True Fit C670 True Fit Premiere

R‐F: 5‐35

F‐F: 23‐65

R‐F: 5‐35

F‐F: 23‐65

True Fit Premiere

Flip‐up rebound bar

True Fit convertibles feature removable head rest for infant 5‐22 lbs.


Boosters

All are folding

Compass B505 Compass B540 Compass B570

Deeper sides

Color‐coded belt paths

30‐100 lbs.

B505 B530 & B540

At least 3 years old

For taller child

30‐100 lbs.

At least 3 years old


New Convertible

Foonf

R‐F: 5‐45

F‐F: 20‐65


Features rebound bar

Available in the summer 2012

3/19/2012

26

Boosters with LATCH

All have rigid lower anchor connectors

Oobr can recline when anchors are used

Olli Ozzi

Oobr

40‐120 lbs.


40‐120 lbs.

40‐100 Backless

33‐100 High Back

Infant Seat

Birth – 22 lbs.


Orbit Base with Strong Arm Knob

Convertible

R‐F: 15‐35

F‐F: 1 yr. & 20‐50


Installs with Orbit base or Braces

3/19/2012

27

Infant Seat

PRIMO VIAGGIO SIP 30‐30

Side‐impact Protection

Birth to 30 lbs.

Up to 30”


Convertible

New

Primo Viaggio Sip 5‐70 Convertible

Rear‐facing 5 ‐ 45 lbs.

Forward‐facing 22 ‐ 70 lbs.


RECARO

Recaro New PROSeries Seats

ProRIDE

Convertible

Recaro Euro

Convertible

ProSPORT

Combo

R‐F: 5‐35

F‐F: 20‐70

Replaces Como & Signo

R‐F: 5‐35

F‐F: 20‐70

Replaces Como & Signo

Harness: 20‐90

Booster: 30‐120

Replaces Young Sport


3/19/2012

28

RECARO

Recaro New PROSeries Boosters

ProBooster Vivo Booster


30‐120

30‐100

Infant Seat

Prodigy

4‐32 Lbs.

Up to 32”








Smart Screen Technology

‐ clear, step‐by‐step instructions to click, level and tighten the base properly.

Easy‐to‐use belt‐ tightening system ensures a tight fit.

SafeGuard® 1Adjust™ automatic height and harness adjustment allows for a fast and snug fit with one hand with no rethread harness.

Inflatable Booster Seats

33‐79 lbs.

40 and 80 lbs.


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Finding Answers

• Have a question or notice a possible problem?

– Check the child restraint Owner’s Manual

– Contact the child restraint manufacturer

• Caregiver empowerment

– Teach the caregiver where and how to find the answers


Learn More about New Seats

• Field trip! Check out the latest models in person.

• Use the manufacturers’ websites.

• Call/email manufacturer’s customer service.

– Many have techs on staff who speak your language


When in Doubt, Check It Out!


Read Instructions; call manufacturer

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Questions and Answers


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Owner's manual | Baby Trend EuroSport Owner`s manual

TECHNICIAN UPDATE

Speakers

MythBusters

CPS Industry Hot Topics

FAA Approved!

Vehicle Safety Features

Airbag System Components

2010 Honda Odyssey

2009 Chevy Malibu

2010 Honda Accord EX‐L

2010 Chevy Traverse

2011 Kia Soul

Can a CRS touch the vehicle seat back in front?

2012 Lexus ES 350

Child restraint systems installed on the rear seat should not contact the front seatbacks.

2011 Ford Explorer

Inflatable Seat Belts

Can I use an inflatable seat belt to install a CRS?

2011 Ford Explorer

2011 Chevy Malibu

GM Introduces Industry’s First Front

Center Air Bag

2009 Chevy Tahoe

2009 Toyota Tacoma Access Cab

Dodge Trucks

2012 Chrysler 200 Convertible

Can a CRS be installed in this vehicle?

What is a LSV?

2011 Dodge Journey

Seat Belt Entanglement

2010 Honda Accord EX‐L

2011 Volkswagen Golf

Nissan

Can the retractor be locked in booster mode?

2011 GMC Acadia

What accessory base will work with the SnugRide®?

2011 Chevy Equinox

Department of Transportation's

Federal Aviation Administration (FAA)

Cares Child Airplane Aviation

Restraint System

Does CRS and vehicle always agree?

NHTSA Priority Plan

Smartphones!

Car Seat Helper

QR Codes

Thank you!

15 Minute Break

Communicating

Extended

Rear‐facing to Parents

Why Rear‐Facing?

• It’s 5 TIMES SAFER than forward‐ facing.

• Even for 2 year olds!

Why Children Should

Travel Rear‐Facing

AAP Recommendations

12‐month‐old Forward‐Facing

Younger Child’s Head is Larger in

Proportion to Body

12‐month‐old Rear Facing

Rear‐facing Until Age 2 (At Least!)

Too Heavy

Too Tall

Reasons Drivers

Chose Forward‐Facing

Parents Believe Child Is Too Big Long

Before Child Outgrows Rear‐facing

But what about their legs?

3 Years 2 Months ‐ 37 lbs.

1 Year 2 Months ‐ 18 lbs.

2 Years 2 Months ‐ 35 lbs.

3 Years 6 Months ‐ 38 lbs.

2 Years 1 Month ‐ 27 lbs.

2 Years 1 Month ‐ 27 & 32 lbs.

Forward‐facing kids also sit in uncomfortable‐looking positions!

2 Years 5 Months ‐ 38 lbs.

3 Years 10 Months ‐ 38 lbs.

2 Years 10 Months ‐ 40 lbs.