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A comprehensive review of casualty-reducing effectiveness estimates of child safety seats in actual use, obtained by statistical analyses of highway accident data. Recent analyses of large samples of New York and Maryland accidents show statistically significant injury reductions for child safety seats; so does a new analysis of the National Highway Traffic Safety Administration's accident files. Results from Washington State, Tennessee, New Jersey, and Idaho are also reviewed, as are Nationwide restraint usage and fatality trends. The findings are critically examined for possible data biases. It is concluded that child safety seats definitely reduce deaths and injuries in highway crashes, but that their effectiveness cannot be accurately estimated at this time because of inconsistencies and possible biases in the various studies.

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 correct restraint for children, age 4-10 years, is a booster seat restrained by the vehicle's seat belt system. The goal of this study is to investigate the effects of misuse of the restraint system by varying initial seat belt slack and to investigate the effects of modern countermeasures, like force limiting belts and pretensioners, on the injury risk of young children. A multi-body model of a Hybrid III 6-year old dummy positioned in a booster seat and restrained by the car seat belt was developed using MADYMO and validated using sled tests. As anticipated, adding initial slack resulted in higher peak accelerations and to an increase in forces and moments in the neck, both factors increasing the injury risk significantly. The countermeasures pretensioning and force limiting prove to be useful in lowering peak values but a high risk of injury persists. A combination of pretension and force limiting provides the safest restraint for this setup.

A recent study of U.S. crash data has shown that children 0-23 months of age in forward-facing child restraint systems (FFCRS) are 76% more likely to be seriously injured in comparison to children in rear-facing child restraint systems (RFCRS). Motivated by the epidemiological data, seven sled tests of dummies in child seats were performed at the University of Virginia using a crash pulse similar to FMVSS 213 test conditions. The tests showed an advantage for RFCRS; however, real-world crashes include a great deal of variability among factors that may affect the relative performance of FFCRS and RFCRS. Therefore, this research developed MADYMO computational models of these tests and varied several real-world parameters. These models used ellipsoid models of Q-series child dummies and facet surface models of American- and Swedish- style convertible child restraints (CRS).