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Information supplied by Waukesha Memorial Hospital

According to the National Safety Council, 80 percent of child safety seats are not properly installed. Furthermore, about 40 percent of kids still ride unrestrained.

And while virtually none of us would consider taking a newborn home from the hospital without an infant car seat, we mistakenly assume that once they hit 40 pounds, kids are ready for seat belts. "Many parents think that once a child turns four, they can get rid of the car seat," says Catherine Giampetroni, RN, MSN, director of Waukesha Memorial's Emergency Department. But, Giampetroni warns, seat belts do not adequately protect children ages 4 to 8 (about 40 to 80 pounds) from injury in a crash.

Up to 8 years old, most children are too short for seat belts. Lap belts can ride up in young children. In the event of an accident, that can mean spinal or abdominal injuries. The shoulder portion of the belt drapes across the neck. Tucking it under the arm or back can cause serious injury in a crash.

Belt-positioning booster seats are strongly urged for this age group. The seats -- which are more effective than ever at preventing injury -- work by elevating the child so that the lap and shoulder belts fit comfortably and works effectively.

Today's lighter, easier-to-use models are better tolerated by kids than are older models, notes Jane Howard, coordinator of Southeast Wisconsin SAFE KIDS Coalition, lead by Children's Hospital of Wisconsin and based at the Health Education Center of Wisconsin. Parents find that if they avoid calling boosters "car seats" and point out that boosters help big kids use adult safety belts, children are happy to ride in them.

Information supplied by Waukesha Memorial Hospital

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