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The injury reducing effectiveness of child safety seats in frontal crashes was evaluated, based on 36 frontal or oblique sled tests run with two or more GM three-year-old dummies in the simulated passenger compartment of a car. Unrestrained, correctly restrained and incorrectly restrained dummies were tested at the range of speeds where most nonminor injuries occur (15-35 mph). Accident data from NHTSA files were used to calibrate a relationship between the front-seat unrestrained dummies' HIC and unrestrained children's risk of serious head injuries; also between torso g's and the risk of serious torso injuries. These relationships were used to predict injury risk for the restrained children as a function of crash speed and to compare it to the risk for unrestrained children. The sled test analysis predicted that the 1984 mix of correctly and incorrectly used safety seats reduced serious injury risk by 40 percent relative to the unrestrained child, in frontal crashes.

The fatality and injury reducing effectiveness of Tap belts for back seat occupants is estimated by applying the double pair comparison method to 1975-86 Fatal Accident Reporting System and 1982-85 Pennsylvania accident data. Lap belts significantly reduce the risk of fatalities by 17-26 percent, serious injuries by 37 percent, moderate to serious injuries by 33 percent and injuries of any severity by 11 percent, relative to the unrestrained back seat occupant. Lap belts are primarily effective in nonfrontal crashes because the unrestrained back seat occupant is already well protected in frontals. Lap belted occupants have lower head injury risk but higher torso injury risk than unrestrained back seat occupants. This paper presents the views of the author and not necessarily those of the National Highway Traffic Safety Administration (NHTSA).