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How Can a Sock Monkey Make Commuting with Your Kid Safer?

Rarely do you find yourself getting excited while driving your kid to school. But, much to my teen’s chagrin, that’s just what happened one morning last week.

It’s all because my son was awake and observant that morning. As I was navigating a busy round-about near our neighborhood – he cried out, “What the heck?? Some crazy person has a life-size sock monkey in their front passenger seat!”

Now this intrigued me, but I didn’t manage to see the car since I was trying to keep us safe in traffic. So I asked him for more details, like who was driving. “It was a woman,” he said…..and then the all important clue: “And she had a little kid in a car seat in the back….what a weirdo!”

Now I am both a newly minted public health professional (MPH received last year!) and a child health and safety geek (seven years as Senior Editor at Pediatric Safety will do that to you!), so I immediately had a flash of insight. “Oh,” I said, “I know what she’s doing!!” “Oh that’s so cool!” I was practically bouncing up and down in my seat. Thankfully I had already merged into traffic on the local parkway.

“She’s taking her kid to daycare on her way to work, and the sock monkey is next to her to remind her that the child is in the back seat. When they aren’t using the car seat, the sock monkey sits in it – and when they put the little girl in the car seat, they move the sock monkey doll up front as a visual cue.”

The reason I was SO excited is this was an example of child safety in action. Forgetting a baby or young child in the back seat can happen to any parent when we are on autopilot, trying to get all the morning tasks done and get to work. And even a short time alone in a hot car can be fatal, since children’s bodies heat up faster than those of adults. More details on heatstroke and kids can be found at the links below:

Given the risks of heatstroke, government experts and child advocates recommend memory helpers, like keeping a stuffed animal in the car seat and moving it up front when the child is strapped in (see the links above). Experts also advise parents to keep something critical for their day in the back near their child – like a purse, briefcase or mobile phone.

Now you might think that you don’t need to take measures like this….but research shows that the easiest way to adopt a new habit or remember something is to set up your environment to help you – like ridding your house of fattening foods, keeping your gym clothes handy and visible….or putting a life-sized stuffed animal next to you in the car when your child is in back.

I don’t know who the woman was on the road that morning, but I commend her effort to ensure her child’s safety – and she really made a child safety geek’s day! Oh, and if you’d like to buy a life-size sock monkey, they have them on Amazon.


How To Avoid Accidentally Locking Your Kids In The Car

Mornings can be hectic with little kids, right? There are breakfasts to be made, lunches to be prepared, and  kids to be dressed, not including preparing yourself for your workday too. When all that is taken care of, you still have to get the kids into the car, along with whatever you need to take along for work that day.

little boy with car keys opening car doorAnd don’t forget the squabbling over rain coats, bickering over seating arrangements (but Mommy, I want to sit in his car seat today!) and then navigating the frustrations of rush hour traffic on the way to begin your day.

And there is the big chance that you forgot something very important.

It is very easy to be a distracted parent. There are so many curve-balls be tossed your way at once it can be hard to make heads and tails of the situation. Perhaps the biggest fear parents have in their morning routine is if they left something important at home. Did I grab enough diapers? Where’s the wallet? Do I have my phone? My keys? Did I make sure to turn off the stove?

And then there’s the remote possibility of accidentally locking your kids in the car.

Believe it or not, this kind of mental blunder is not uncommon to even the best parents. Most parents assume this would never happen to them… until it does.  Many times local locksmiths are called in to help open the doors of a car and liberate the tots inside.

The following are a few tips that parents have learned the hard way that can help you remember not to lock your kids inside a car:

No. 1 — ANY TIME you leave your vehicle, make sure you ALWAYS have your kids with you

While this may seem obvious, what this means is if you need to hop out to grab something really quick from the supermarket, take the kiddos with you! If your one-year old that has trouble sleeping has fallen asleep in the backseat, and you desperately need diapers, you have a choice to make – and neither option includes leaving him in the back seat. In many states this is required by law, especially in those states where the temperatures can get pretty high (such as Florida). By making this a habit, you will avoid leaving them in the car, and locking them in the car by accident.

No. 2 — Don’t leave your Keys where the kiddos can get them

Even if you are in the comfort of your home. The auto lock feature on the key fob makes it easy for even a small child to secure the vehicle with themselves inside. Spare keys are a must, and please don’t make the mistake of putting the spare key on the same ring with your primary key. Finding a competent locksmith to create a spare is far easier than having this job done at the dealers.

No. 3 — Pre-arranged Communications with your child’s caregiver

Make sure you are in constant communication with your child’s caregiver and that they will call you if your child does not show up at day care. Parents have been in such a flurry, they have left their child in the backseat of the car as they head to work. These are the absolute worst lock-ins as they can be potentially fatal.  There are “reminder” smartphone apps that require check-ins – if your child does not arrive at the caregiver’s location, a pre-programmed alert will be sent.

No. 4 — Check the Seat

Yes, a simple routine whenever you enter or exit your car should become second nature to a concerned parent. The same way you can check to make sure your keys, cellphone and wallet/purse are in your possession, you can flip your head to the backseat and make sure your little one is where he should be, Place a sign on the dashboard if it will help you remember.

No. 5— Have a Locksmith on Speed Dial

Despite taking every precaution accidents can and do happen, so have a plan in place for the “just in case” scenario, keeping in mind that the harshness of the situation will ultimately determine your response.  If it is at the height of the heat of the day, 80 degrees and climbing and your child is in the car, you will want immediate action. Call the police, ambulance, and attempt to break a window for entry into the car.

If it is cool outside, and your child hasn’t been in the car for long, you may want a less drastic option, such as calling your local locksmith. Locksmiths are typically on-call 24/7 and will have no problem showing up onsite to spring your tiny tot from their imprisonment.  If you need help finding one near you, and you are in the U.S., you can use this site for help in finding a local one near you.

In Conclusionyou must always be vigilant when it comes to car safety and your child. Parents tend to spend a lot of time researching the perfect car seat for their child in the event of a car accident, God forbid. However, they don’t really think that they’ll ever accidentally leave their child in the car. They don’t think they’ll ever be that sort of parent who could be so neglectful.

The truth is that it so easy to make the mistake of accidentally locking your child in the car. With the off chance of that happening, parents must remain vigilant and create a plan to prevent this situation ever happening.  Take these tips to heart.

Child Safety Seats – Take it From a Fireman

Two boys in car seats, travellingSummer is here and if you are like me, you now have a car load of children tagging along with you to do your daily errands that you normally did while they were in school.  Summer is prime time for road trips and field trips to all sorts of amazing places around our great country, but the facts are the facts and the facts are still very much pointing towards too many children either not properly secured in vehicles or just not secured at all.  There are laws in every state now that deal with seatbelts and car seats and still some of us do not wear our seatbelts and do not properly secure our children.  Please take it from someone who sees the results of not wearing seatbelts in many auto accidents: Seatbelts save lives!  And as of 2013, auto accidents are still among a leading cause of death in children, and still one of the most preventable.  Whether your child is an infant or a teenager, it is still important to make sure everyone is wearing seatbelts and is properly secured.

According to the CDC  In the United States, motor vehicle crashes are a leading cause of death among children. In 2013, 638 children ages 12 years and younger died in motor vehicle crashes, and more than 127,250 were injured. But parents and caregivers can make a lifesaving difference.

Whenever you’re on the road, make sure your child passengers are buckled in age- and size-appropriate car seats, booster seats, or seat belts. Buckle all children ages 12 and under in the back seat. Airbags can kill young children riding in the front seat. Never place a rear-facing car seat in the front seat or in front of an airbag.  Note: the safest place for children of any age to ride is properly buckled in the back seat.

Data shows that:

  • In 2013, restraint use saved the lives of 263 children ages 4 years and younger.
  • Car seats reduce the risk of death in car crashes by 71% for infants and 54% for toddlers ages 1 to 4.
  • Booster seats reduce the risk for serious injury by 45% for children ages 4 to 8 years.
  • Between 1975 and 2013, child restraints saved an estimated 10,421 lives of children ages 4 and younger.

Know the Stages

Make sure children are properly buckled up in a car seat, booster seat, or seat belt, whichever is appropriate for their age, height, and weight.

  • Birth up to age 2 – Rear-facing car seat. For the best possible protection, infants and children should be buckled in a rear-facing car seat, in the back seat, until age 2 or when they reach the upper weight or height limits of their particular seat. Check the seat’s owner’s manual and/or labels on the seat for weight and height limits.
  • Age 2 up to at least age 5 – Forward-facing car seat. When children outgrow their rear-facing seats they should be buckled in a forward-facing car seat, in the back seat, until at least age 5 or when they reach the upper weight or height limit of their particular seat. Check the seat’s owner’s manual and/or labels on the seat for weight and height limits.
  • Age 5 up until seat belts fit properly – Booster seat. Once children outgrow their forward-facing seat (by reaching the upper height or weight limit of their seat), they should be buckled in a belt positioning booster seat until seat belts fit properly. Seat belts fit properly when the lap belt lays across the upper thighs (not the stomach) and the shoulder belt lays across the chest (not the neck). Remember to keep children properly buckled in the back seat for the best possible protection.
  • Once seat belts fit properly without a booster seat – Children no longer need to use a booster seat once seat belts fit them properly. Seat belts fit properly when the lap belt lays across the upper thighs (not the stomach) and the shoulder belt lays across the chest (not the neck). The recommended height for proper seat belt fit is 57 inches tall. For the best possible protection keep children properly buckled in the back seat.

Need Advice?

Install and use car seats and booster seats according to the seat’s owner’s manual or get help installing them from a certified Child Passenger Safety Technician.  Find a Child Passenger Safety Technician.  

September 19 is National Seat Check Saturday, when drivers with child passengers are encouraged to visit a child safety seat inspection station to have a certified technician inspect their car seat and give hands-on advice free of charge…(although no need to wait for September to get help – it’s available year-round).  Locate a car seat inspection station in your area.

  • Buckle children in the middle of the back seat when possible, because it is the safest spot in the vehicle.
  • Buckle children in car seats, booster seats, or seat belts on every trip, no matter how short.
  • Set a good example by always using your seat belt.

Summary  a.k.a. the highlights (…at the risk of repeating myself)

  1. Using the correct car seat or booster seat can be a lifesaver.
  2. Make sure your child is always buckled in an age- and size-appropriate car seat or booster seat.
  3. Use a rear-facing car seat from birth to age 2.
  4. Use a forward-facing car seat from age 2 up to at least 5.
  5. Use a booster seat from age 5 up until seat belts fit properly.
  6. Use a seat belt once seat belts fit properly without a booster seat.

So if you are not going to take it from the Fireman, please take it from the CDC. SEATBELTS SAVE LIVES. No matter the age!!

As an EMS professional I urge everyone to buckle up and as a father I urge every parent to be the example in the care and buckle up.

I hope everyone has an amazing summer and you go amazing places.   But please WEAR YOUR SEATBELT!  Thank you!

Smartphone Apps To Prevent Child Hot Car Deaths (Gifting 1st 50)

Mother Putting Baby Son Into Car Travel Seat‘Forgotten Baby Syndrome’ (FBS), or as I prefer to call it, ‘Forgotten BACKSEAT Baby Syndrome’, is a relatively new danger to child passenger safety that results in fatal child vehicular heatstroke in greater than 99 percent of cases. FBS is the leading origin of child vehicular heatstroke cases.  It was practically nonexistent prior to placement of infants and young toddlers in the backseat beginning in the late 1990s.  I now know this danger too well, having lost my first child, my soulmate, Sophia Rayne (aka “Ray Ray”), to this too often unknown and misunderstood threat to child passenger safety in May 2011, just ten days after her first birthday.  Our tale of tragedy resulting from ‘One Wrong Turn’ can be found on the Ray Ray’s Pledge website.

I learned very quickly after Ray Ray’s passing that our tragedy was in no way unique nor simply a ‘freak accident’.  According to the National Highway Traffic Administration (NHTSA), vehicular heatstroke is one of the leading causes of death among children.  To date, ‘’ reports that there have been at least 667 child vehicular heatstroke deaths since 1998, most of whom were inadvertently forgotten in the backseat at less than two years of age.  The most common intended destination when they were forgotten? daycare/ babysitterRay-Ray picThirty-seven children on average die annually of vehicular heatstroke.  From the Friday kicking off Memorial Day weekend through Labor Day weekend, a child dies in a hot car every 3.5 days.  Though the deadliest months nationally are July and August, it is important to note that children have died during every month of the year, EVEN on days when it is ‘not that hot’, as the inside temperature of a car can increase by more than 40 degrees in less than an hour, half of that in the first 10 minutes, and 80 percent of that within the initial 30 minutes after shutting off the engine (source:

By now you may have heard many child safety groups cry that “technology in automobiles” is the answer to eliminating child hot car deaths.  This battle cry annoys me as a parent of a heatstroke victim AND as a fellow vehicular heatstroke prevention warrior/ advocate.  WHY???

  1. This statement is only partially true, given that nearly 30 percent of child hot car deaths involve kids who gain access to an unlocked car and become entrapped. There is no technology on earth that will make certain 100 percent of the time that vehicle doors are always locked upon exit AND that keys/ fobs are out of reach of children without unintended consequences of inadvertently locking people/ pets INSIDE, as learned recently in the 2015 Texas Corvette entrapment case and the 2013 California BMW entrapment case.
  2. EVEN if we were to have a miraculous technology blessed by the auto industry as 100 percent reliable AND plans to install in ALL car models of the next manufacturing season, WHAT do we do in the meantime with all of the other family transport vehicles within the US fleet? Not every family with a small child can afford to purchase a new vehicle immediately.
  3. EVEN if NHTSA issued a requirement for said ‘child backseat reminder technology’ to be added as a standard feature in the US automobile fleet by a specified date, whom would enforce that regulation and what would be the penalty for failure to comply? History has shown us that enforcement of said requirements, and penalties for non-compliance, is poor at best.  For example:  the Cameron Gulbransen Kids Transportation Safety Act of 2007, related to standard-feature rear-view camera requirements to avoid accidental child back-overs, was signed into law in 2008, with a deadline of 2011 for auto manufacturers to comply…what was done when the auto industry did not comply? The deadline was extended to 2018, of course!

mom-with-baby-and-smartphoneSo, as parents who are now aware of the dangers of Forgotten ‘Backseat’ Baby Syndrome (FBS), WHAT do we do in the meantime, whilst we wait for the technology of the auto industry to spare our children from the dangers of our own memory failure?  I have GREAT news!  There are technologies available TODAY, on our smartphones, which can help us to prevent the tragic loss of our babies to vehicular heatstroke due to FBS by creating childcare arrival confirmations/ absence verifications within our family safety circles, a core concept of Ray Ray’s Pledge.  Even better, these technologies are PASSIVE after the initial installation/ setup, meaning they do not rely upon you to be consistent in remembering or appropriately activating an alarm/ device each time you transport a child, a noted limitation of several post-market reminder devices as outlined in the 2012 NHTSA report on Evaluation of Reminder Technology.

Smartphone Safety Tip #1:  The basic alarm clock

Most, if not all, smartphones are equipped with pre-installed clocks whose alarms are very easy to program (many of us now use these exclusively as our wake-up alarms), AND they can alarm with sound and vibration, even if one has muted the phone sound.  I have two reminder alarms created in my phone: one that reminds me to check for my husband’s text confirming childcare drop-off at 9:45 am (within 15 minutes of the usual drop-off time); another that reminds me to confirm via text to my husband that we have arrived home and they have been removed from the car at 6:30pm each weekday—note that after the initial alarm setup with repeating schedule, these reminders are PASSIVE (ie., you don’t have to remember to set them each time you transport a child).  I urge all parents and others who transport young children to create these safety circles confirming childcare drop-off and removal from the vehicle for both regular routines, such as daycare drop-off (a high risk time of day for FBS resulting in fatal vehicular heatstroke) and weekend church/ temple arrivals, as well as for those non-routine transports where a child may be inadvertently forgotten in the backseat such as mid-day doctor/ dentist appointments.


How to Create a Drop-off Reminder wSmartPhone Leg 530x275

Smartphone Safety Tip #2:  Text scheduling apps

Though there are numerous SMS scheduler apps available for download on both IOS and Android systems (and many of them are FREE!), the one I use on my android phone is titled, “SMS Scheduler”.  Such apps allow you to pre-program a reminder text at a certain time of day and on whichever days needed so that the child transporter receives a text reminder to “confirm that children have been dropped off at school” to the safety circle/ other parent.  Such apps may be found on your app store by searching, “SMS scheduler”.  The downside: there is no safety net for failures to respond with confirmation of child drop-off/ pick-up other than user action to re-text/ call the driver.

sms scheduler apps 530x360

Smartphone Safety Tip #3:  Child reminder apps

mom i am here app - 350x161The best app that I have found is the “Mom I am Here” app:  great for confirmation of morning childcare drop-offs!   It is currently available on android only and for a small fee. Once installed, this app allows you to set up an automatic schedule for the alarm to sound and display on your phone. If you do not respond to the alarm within your specified interval, it will send a text (which can be customized to include your daycare name, number, etc.) to your emergency contacts in a stepwise fashion so that a child’s whereabouts may be confirmed within a reasonable timeframe.  The app has future build out plans for a 911 option as well.  What I love most about this app is the automatic safety chain of emergency contacts when the driver fails to confirm child drop-off within a customizable interval (in my case, 5 minutes).

check my child app 350x180Another app I like (and use daily) is the “Check My Child” (CMC) Reminder system, also available on android for a small fee.  CMC features customizable scheduling, one emergency backup if the user fails to confirm the alert within a customizable alarm interval, and the option to set multiple reminders. This app is great for children who need to travel to multiple activities during a typical week (eg: art, swim class, childcare).

Sadly, I have not found any child reminder apps operating in IOS or Windows-based smartphones that offer the emergency backup contact features of the two aforementioned reminder apps which are currently available on android devices.  I hope that this status changes in the near future.  It is important to note, however, that IOS does offer as a standard feature a GPS-based reminder/ alert notification, which can be set up to alarm upon detecting arrival to your workplace, church, etc.  There are also apps that can use GPS-based locations to set alerts.  However, the ones I have tested to date have been less than optimal in reliability for my family’s daily child transport activities.

A Call to Action for ALL Parents:

RRP sick or absent one phone call flyer 330x440As I approach the fifth anniversary of my child’s untimely death due to vehicular heatstroke, I look back with pride at how far my fellow heatstroke prevention warriors have come in raising awareness of FBS, a danger to child passenger safety that most parents have never heard of until it strikes their family or their community.  I also look at the present status of child hot car deaths and must admit my frustration with the apparent failure of the aforementioned awareness campaigns to reduce the average number of annual child hot car deaths.  Why????  What are we missing?  My best guess is that we too often tell parents to create reminders to alert them of babies riding in the backseat, but most of the reminder suggestions are impractical, even archaic at times given the advanced technology systems that we have become accustomed to in our daily lives.  The core concept of Ray Ray’s Pledge calls for families with young children to create a safety circle of childcare arrival confirmations and absence verifications for the morning childcare drop-off, a known high-risk time of day for young children to be forgotten in the backseat, ESPECIALLY if the child is less than three years of age and/ or there is a change in routine.  This safety circle should include the parents, the childcare provider/ teacher, as well as the driver in charge of transporting the child on a regular basis (if different from the parents).  I know, in hindsight, that one phone call or text could have saved my baby’s life on that fateful day; and I hope that the smartphone tips and tools that I have elucidated in today’s blog will assist you in creating your own safety circle to prevent child vehicular heatstroke in your family—BUT….reading this blog will do nothing to save your child from your own memory failure:  you MUST take ACTION to prevent child hot car death.  The first step?  Use one of these reminder suggestions as part of your daily child transport safety plan!

To Get You Started!!


We are Giving the “Mom I am Here” App…to the first 50 Android Phone Owners Who Do the Following 2 Things…

  • Sign Up for Child Safety: Subscribe Here to Receive Pediatric Safety Emails (make sure to confirm or we won’t know)
  • Take RayRay’s Pledge: Post one of the following on Twitter, FB or your favorite Social Media Site – (go ahead and customize it – make it your own!)
    • I pledge to call my child’s teacher/caregiver if he/she will be late or absent from childcare
    • I pledge to check my back seats every time I walk away from my car, and remind others to do the same
    • I pledge to call the police any time I see a child left alone in a car

Leave a Comment and Let Us Know You Met These 2 Requirements (along with a link [URL] to your pledge) and we’ll email you an access code to the Mom I am Here App. Please Help Us Keep Kids Out of Hot Cars This Summer!

***Finally…The Rules

  1. Promotion is only for Android phones – we’re so sorry, but this app isn’t available for iPhones
  2. Promo codes have no country of origin participation restrictions
  3. Codes will be given to the first 50 participants that can be verified to have met BOTH requirements above.
  4. Promotion starts Friday May 27, 2016 and ends at noon EST Thursday June 2, 2016. Please make sure to confirm  your subscription  to Pediatric Safety (and leave your email address in the comments so we can match it up) or we can’t verify the entry.
  5. Finally – very important – you MUST redeem the access codes and install the app before their expiration date of  June 14th, 2016.

The Other Gifts We Give Our Kids

Christmas dayThere are many traditions at this time of year that involve parents giving their children presents – whether obviously or through Santa subterfuge! But there are many gifts we give our kids throughout the year that have a much more lasting impact than the latest hot video game or toy, even if our little people don’t yet realize it or always appreciate our efforts.  Below is a selection of some of these gifts of love.


The WHO cites a book on the history of vaccination that says only clean water has done more for the health and wellness of mankind.  Historical books, movies and TV shows detail just how frightening the diseases we vaccinate against once were. The shots we get for our children are a gift that provides a lifetime of protection – for them and those around us.

Safe Home

Every time parents install a cabinet lock to hide chemical cleaners, secure heavy furniture and TVs against tipping, or reduce the setting of their water heater they are providing invaluable gifts to their children – reduction in the risk of preventable poisoning, injury, burns. The Consumer Product
Safety Commission
says that 22,000 kids are seen in Emergency Departments each year due to injuries from furniture and TV tip-overs – and 26 kids die annually from these incidents.

Safe Transport

Around 400-500 child deaths are prevented in the US every year due to use of car seats and other child restraints – and that’s not counting the reduction in severe injuries from use of safety seats for kids. Every time we strap them into a car seat we are giving them a precious gift and teaching them good car safety habits for when they become drivers.

Healthy Eating Appreciation

Obesity is one of the greatest health crises of our age, given its link to diabetes, heart disease, high blood pressure and cholesterol, liver disease, sleep apnea, arthritis, and even several cancers. Helping our children appreciate food for its support of health is a gift that keeps giving over a lifetime.

Active Lifestyle Encouragement

As parents, we all want our children to live a long and happy life. Physical activity is a important contributor to this goal, given how it reduces risk for chronic diseases and even improves mental health, sleep and mood.

According to the US Centers for Disease Control, “only a few lifestyle choices have as large an impact on your health as physical activity. People who are physically active for about 7 hours a week have a 40 percent lower risk of dying early than those who are active for less than 30 minutes a week.”

Getting our kids to be active – and, more importantly, being a role model for physical activity is literally a gift of life.

Protection from Excessive/Inappropriate Online Exposure

Although the American Academy of Pediatrics has updated their guidelines for “screen time” to better reflect how entrenched online usage now is at all ages, they still make recommendations – such as focusing on content and engaging with your kids around screens – to ensure a valuable online experience.  Putting limits in place for when our kids can access the internet and what they can see is an important gift for protecting their online reputation and preventing inappropriate connections.

So while you are savoring your kids squeals of delight when they open their presents during the holidays, remember to pat yourself on the back for all the other gifts you labor to give them year-round – gifts that protect them for a lifetime.

A Question on Vehicle Booster Seats Answered

Several years ago I wrote a post on booster seats (I’m 9 Years Old – Do I Really Still Need a Booster Seat?) about how my then 9 year old son didn’t want to keep Portrait Of Girl Holding Booster Seat Standing Next To Carusing a booster seat in the car because none of his friends did anymore and he felt he was old enough to use the regular seat belt. The point of the article was that guidelines issued in 2011 recommended using a booster seat until a child reaches 4’9” tall (57 inches) and weighs between 80 and 100 pounds – generally in the range of 8-12 years of age. This continues to be one of our most read posts on the site and still gets occasional comments – which indicates the ongoing confusion and lack of clear laws and communication about what constitutes safe car travel for our older kids.

Recently one of our readers asked a very good question about my post – which warranted some extra research:

My car (Jeep Cherokee, older) has a bench seat in back, and the back of the seat is somewhat low. If my 8 year old son is not in a booster, his head and neck are against the seat and supported; in a booster, his shoulders, neck and head are above the seat back and completely unsupported. In a wreck, that booster would cause his neck to be snapped. I really hate that the law forces me to endanger him that way with the booster. Buying a new car isn’t an option, and I wish there were some sort of aftermarket option that was safe and crash-tested, which would allow the belt to fit him and keep him out of the booster. Suggestions?

To get an expert perspective on this issue, I turned to Stephanie Tombrello, LCSW, CPSTI, Executive Director of SafetyBeltSafe U.S.A. According to Tombrello, “if a parent has a vehicle with a low-back vehicle seat, the immediate recommendation is a high back booster. There are many options in every price range and with a variety of backs.” The Insurance Institute for Highway Safety has a recommended list of “Good Bets” for booster seats in 2015, many of which are high back models. Additionally, “for some children, the Dorel (Safety 1st) Incognito booster for children 60-120 lbs. can be low enough to allow for fitting the belt properly while not placing the child high in the vehicle,” says Tombrello.

If none of these options suit, parents can consider an alternative to booster seats – the Safe Traffic System RIDESAFER Travel Vest – which Tombrello also recommended.  These vests, which are billed as the world’s first wearable child restraint system, reduce the load transferred to the child in a crash, thereby providing better safety. However, please note that these vests are limited to a weight of 80 pounds and height of 57 inches.

Virtually no US laws make it clear that children need booster seats until adult belts fit – and there’s little guidance to parents on how to determine fit. Tombrello cautions “that children must be able to pass the 5-Step Test before dispensing with a booster. The potential injuries to the bowel or stomach from the misplaced lap belt are significant.” See the box below for the steps to take to determine if and when your child can graduate to adult seat belts – and go to for more information on protecting children and pregnant women in the car.

The 5-Step Test
1. Does the child sit all the way back against the auto seat?
2. Do the child’s knees bend comfortably at the edge of the auto seat?
3. Does the belt cross the shoulder between the neck and arm?
4. Is the lap belt as low as possible, touching the thighs?
5. Can the child stay seated like this for the whole trip?

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